Thalassemia

From: Mohamad Zuber Bin Ismail
Sent: Friday, August 29, 2008 5:33:50 PM
Subject: RE: [xbp84] thalassemia

Isk…mana Dr Kadut ni…Dr Shamshul sure dah merajuk

Thalassemia ni penyakit keturunan….kalau kita ada penyakit ni…akan turun jugak pada anak-anak…tapi bukan semua anak-anak yg kena….kalau nasib baik mungkin anak-anak semua tak kena…bergantung pada kromosom kita….yg aku tau pembawak thalassemia ni komponen darahnya tak sempurna…namun boleh hidup macam biasa (contohnya aku & neezat)…umpama sebuah lori sepuluh tayar, satu tayar pancit lori tu boleh jalan lagi (betui dak contoh aku ni Doc?)

Satu yg penting, mereka tak digalakkan berkahwin sesama mereka kerana memberi kesan pada anak-anak yg bakal lahir.

Satu sindrom yg aku perasan ialah mudah letih , rasa macam malas kadang2 rasa nak baring selalu….mudah letih kalau berdiri lama2….anak aku tu sikit2 nak baring-baring

Issskkk…tunggu la Doc terangkan…

Help to save some lives : Derma darah

2008/8/29 Kadut :
Aku ada komen sikit benda yg sama taun lepas.
Good that u ada niat for blood donation..congates, you may save a live...ingat ayat al-Quran sapa2 yg menyelamatkan nyawa seseorang seumpama menyelamatkan satu ummah.

Tapi memang betul ada guideline yg mengatakan sapa2 yg duduk kat UK from 1980-1996 (for >6 mths) or in Europe (at any time from 1980 till now for >6mths) tak boleh menderma darah sampai bila2.

Berikut adalah senarai orang2 yg tak leh derma darah permanently:

1. Age above 60 years.

2. Endocrine Disorders eg, Hyperthroidism, Thyrotoxicosis

3. Having had treatment with Human Growth Hormone

4. Having had corneal or duramater transplants

5. Having lived in the United Kingdom (England, Northern Ireland, Scotland, Wales, the Isle of Man or the Channel Island) from 1980 to 1996 for a period of 6 months or longer.

6. Having lived in Europe from 1980 to the present for a period of 6 months or longer.

7. High Risk Groups:
7.1 Sexual Relationship with HIV infected person
7.2 Multiple sex partners
7.3 Intravenous Drug Users
7.4 Bisexuals
7.5 Sexual Relationship with Hepatitis B Positive person
7.6 Exposure to prostitutes
7.7 Homosexuals
7.8 Prostitutes

8. Medical History Of :
8.1 Acquired Haematological Disorders eg.Polycythemia Vera
8.2 Arrythmia
8.3 Autoimmune Disorders e.g. SLE
8.4 Asthma with course of steroid therapy
8.5 Cancer
8.6 Congenital Bleeding Disorder
8.7 Congenital Blood Disorder
8.8 Colitis
8.9 Dermatitis e.g. Psoriasis
8.10 Diabetes with complications
8.11 Emphysema
8.12 Epilepsy
8.13 Hepatitis B
8.14 Hepatitis C
8.15 Heart Diseases e.g. Heart Failure/Angina Pectoris/Coronary Artery Disease
8.16 HIV/AIDs
8.17 Hypertension with complications
8.18 Hypotension
8.19 Malignancy
8.20 MentalRetardation/Cerebro-vascular Disease
8.21 Multiple Sclerosis
8.22 Myelopoliferative Disorders
8.23 Nephritis
8.24 Peptic Ulcer
8.25 Psychiatric Disorder
8.26 Raynauds Disease
8.27 Sarcoidosis
8.28 Severe Allergies
8.29 Shingles
8.30 Syphilis
8.31 Total Gastrectomy

Please don't make this list put you off from menderma darah. Klau tak pasti, tanya kat Pusat derma darah/ Pusat Darah Negara (PDN) or visitwebsite http://www.pdn.gov.my/faq.html Tujuan tak nak depa2 yg pernah di UK pada masa tu adalah utk mengelak kalau2 ada Mad Cow Disease...nanti PDN kena saman pulak.


-Kadut-

TSE and BSE

2008/8/19 Kadut:
Zubek and all those yg ngaku "ada teloq"....

While we are on this topic.... please perform your own testicular examination at least once a month (kakak2 kita pun buat BSE..breast self examination)

The testicular self exam is best performed after a warm bath or shower. (Heat relaxes the scrotum, making it easier to spot anything abnormal)

Do the following steps every month (keep in mind that the point is not to find something wrong, it is to learn what everything feels like so that you will know if something changes):

Stand in front of a mirror. Check for any swelling on the scrotal skin.

Examine each testicle with both hands. Place the index and middle fingers under the testicle with the thumbs placed on top. Roll the testicle gently between the thumbs and fingers -- you shouldn't feel any pain when doing the exam. Don't be alarmed if one testicle seems slightly larger than the other, that's normal.

Find the epididymis, the soft, tubelike structure behind the testicle that collects and carries sperm. If you are familiar with this structure, you won't mistake it for a suspicious lump. Cancerous lumps usually are found on the sides of the testicle but can also show up on the front. Lumps on the epididymis are not cancerous.

If you find a lump on your testicle, see a doctor, preferably a urologist, right away. The abnormality may not be cancer, it may just be an infection. But if it is testicular cancer, it will spread if it is not stopped by treatment. Waiting and hoping will not fix anything. Please note that free floating lumps in the scrotum that are not attached in any way to a testicle are not testicular cancer. When in doubt, get it checked out - if only for peace of mind!

Other signs of testicular cancer to keep in mind are:
> Any enlargement of a testicle
> A significant loss of size in one of the testicles
> A feeling of heaviness in the scrotum
> A dull ache in the lower abdomen or in the groin
> A sudden collection of fluid in the scrotum
> Pain or discomfort in a testicle or in the scrotum
> Enlargement or tenderness of the breasts

I hesitate to mention the following list, since anything out of the ordinary down there should prompt a visit to the doctor, but you should be aware that the following symptoms are not normally signs of testicular cancer:
> A pimple, ingrown hair or rash on the scrotal skin
> A free floating lump in the scrotum, seemingly not attached to anything
> A lump on the epidiymis or tubes coming from the testicle that kind of feels
> like a third testicle
> Pain or burning during urination
> Blood in the urine or semen

*** Remember, only a physician can make a positive diagnosis ***

For that matter, only a physician can make a negative diagnosis too. If you think something feels strange, go see the doctor!

Finally, embarassment is a poor excuse for not having any problem examined by a doctor. If you think there is something wrong or something has changed, please see your doctor!

Source: Testicular Cancer Resource Centre


2008/8/20 Kadut:
I'm also a doctor.. I'd like to see my patient as a whole, not just as a piece of a heart. Kalau rawat jantung but 'tak dak teloq' tak best jugak...

I'd also encourage mak2 di sini buat BSE .. sapa tu Aguillara penyanyi tu dah kena breast cancer sampai double mastectomies (dua2 dia buang)




for details see http://www.breastselfexam.ca/

jangan saman aku pulak hantaq email cam ni... senang bagi photos dari aku explain panjang2 yg penting buat sendiri.. baru tau your own normal body / anatomy

Calculated risk for Down Syndrome

kaduts71@..au:
Just for your info... here's the possible risk involve for Down's syndrome accordign to mum's age...note: risk also higher if father is older... these are just the risk but Allah know best DS is due to chromosomal problems and it can occur at any age but relatively higher chances when someone gets older. That's why Down syndrome can also occur if the mum is 18 yrs old. At age 37, the chances of NORMAL (not Down's) baby is 328/329 (looking on the other side of the coin)!!

Mother's age 15 years, Down Syndrome risk factor is 1 pregnancy in 1663

Maternal age 16 years, Down Syndrome risk factor is 1 pregnancy in 1659

Mother's age 17 years, Down Syndrome risk factor is 1 pregnancy in 1654

Maternal age 18 years, Down Syndrome risk factor is 1 pregnancy in 1647

Mother's age 19 years, Down Syndrome risk factor is 1 pregnancy in 1638

Maternal age 20 years, Down Syndrome risk factor is 1 pregnancy in 1627

Mother's age 21 years, Down Syndrome risk factor is 1 pregnancy in 1611

Maternal age 22 years, Down Syndrome risk factor is 1 pregnancy in 1591

Mother's age 23 years, Down Syndrome risk factor is 1 pregnancy in 1564

Maternal age 24 years, Down Syndrome risk factor is 1 pregnancy in 1531

Mother's age 25 years, Down Syndrome risk factor is 1 pregnancy in 1487

Maternal age 26 years, Down Syndrome risk factor is 1 pregnancy in 1433

Mother's age 27 years, Down Syndrome risk factor is 1 pregnancy in 1367

Maternal age 28 years, Down Syndrome risk factor is 1 pregnancy in 1288

Mother's age 29 years, Down Syndrome risk factor is 1 pregnancy in 1195

Maternal age 30 years, Down Syndrome risk factor is 1 pregnancy in 1089

Mother's age 31 years, Down Syndrome risk factor is 1 pregnancy in 975

Maternal age 32 years, Down Syndrome risk factor is 1 pregnancy in 855

Mother's age 33 years, Down Syndrome risk factor is 1 pregnancy in 733

Maternal age 34 years, Down Syndrome risk factor is 1 pregnancy in 617

Mother's age 35 years, Down Syndrome risk factor is 1 pregnancy in 509

Maternal age of 36 years, Down Syndrome risk factor is 1 pregnancy in 412

Mother's age of 37 years, Down Syndrome risk factor is 1 pregnancy in 329

Maternal age of 38 years, Down Syndrome risk factor is 1 pregnancy in 259

Mother's age of 39 years, Down Syndrome risk factor is 1 pregnancy in 202

Maternal age of 40 years, Down Syndrome risk factor is 1 pregnancy in 156

Mother's age 41 years, Down Syndrome risk factor is 1 pregnancy in 119

Maternal age 42 years, Down Syndrome risk factor is 1 pregnancy in 91

Mother's age 43 years, Down Syndrome risk factor is 1 pregnancy in 69

Maternal age 44 years, Down Syndrome risk factor is 1 pregnancy in 52

Mother's age 45 years, Down Syndrome risk factor is 1 pregnancy in 40

Maternal age 46 years, Down Syndrome risk factor is 1 pregnancy in 20

Mother's age 48 years, Down Syndrome risk factor is 1 pregnancy in 16

Maternal age 49 years, Down Syndrome risk factor is 1 pregnancy in 12

..of it being a Down Syndrome pregnancy. According to Hook, E.G., Lindsjo, A.

Why teloq senget sebelah?

On 8/14/08, Kadut wrote:
Memang senget... "teloq" kiri memang lebih rendah dari kanan.
Kalu x caya, londeh tengok..


boonchert:
doc, mmg londeh sblh (psai apa aa sbnarnya?)


On 8/15/08, sazammd:
Nak cerita sket...Avocado dlm bahasa Aztec bermaksud testicle...sebab buah avocado dia akan ada dua bijik pada satu tangkai...satu akan lebih rendah sikit daripada yg satu lagi.


2008/8/18 Kaduts:
Aku saja nak tengok berapa org nak ngaku "teloq" depa sengat/rendah ke kanan instead of kiri..mesti ada tapi malu nak habaq!! Sorri para ibu2, I'm trying to be 'academic' here not 'erotic' kay. Actually, suatu masa dulu kat DTSP (library la tu!), MRSM BP aku telah terbaca tenteng maklumat "teloq senget sebelah" ni and that info has changed my ambition sebab rasa facinated about medicine since then! (dulu nak jadi engineer or scientist.. cam Peja kot).

Anyway, some researchers noted 70-80% men have left testicle lower then the right, some commented that if u r right-handed person, then ur left testis is lower then the right and vice versa. Senget sebelah tu disebabkan oleh yg kiri selalunya lebih berat!! Nak timbang..silakan...

peja :
agak2nya macamana ke cara nak timbang tu, tuan doktor? aku ikhlas tanya ni sbb memang tak tau...


2008/08/20, amri_ya@...:
Takyah ikhlas nak tanya...buat2 tak ikhlas tengok...mesti banyak jawapan gelong...tapi aku rasa takdak la alat timbang spesific. selalunya kalau nak timbang berat organ ni kita wat masa post mortem. Ada ka kadut weighing scale ni???


2008/8/20 Kadut:
Aku pun tak pernah timbang, tapi selalunya aku guna 'biji tasbih'... orchiometer

jarum gajah = butterfly needle

2008/8/13 kaduts71@...:
Saja aku panggil jarum gajah (jarum tu connected dgn tubing cam belalai!)... kalau nak kurangkan sakit boleh guna butterfly needle... jarum haluih sikit..byk guna utk budak kecik, cuma kekadang kalau hisap darah cepat sangat boleh dpt inaccurate result

Cara lein nak kurangkan sakit..bubuh EMLA cream/ tepuk2 sikit or tuam2 dgn air suam bagi urat timbui/ exercise tangan/ elevate tangan etc. Aku pernah buat semua tu esp kat Otolia dulu sbb kat sana lengan depa nala punya besaq tapi urat kadang haluih and fragile and dissapear bila sejuk winter. Last2 cari urat artery jugak...senang sikit but dangerous!! (don't request for this!)

From: norlia.@...
Sent: Wednesday, 13 August, 2008 3:59:43 PM
Subject: Re: [xbp84] Sakit ambik darah

KAdut! hang jangan guna jarum gajah kat aku! aku dah donate berliter2 darah, tak penah lagi aku kena cucuk ngan jarum gajah!


On 8/13/08, kaduts71@...:

Masa tu hang mungkin dah sakit gigi, so sakit kat gigi (gusi bengkak) tu 'overuled' sakit injection tu.. memang injection tu sakit sat saja for a few seconds then jadi 'kebas' & tak sakit. Bab injection ambik darah ni lain sikit, memang tak bagi local analgesia (ubat kebas) dan mencari urat (vein) kat pelipat tangan tu adakalanya senang dan adakalanya susah especially kalau vein X nampak/ urat kecil dan bengkang-bengkok/ tangan 'gajah'. Kalau aku kat kawan memang aku guna jarum 'gajah'!


2008/8/12 zuber@...:

Aku pernah kena cucuk tak sakit…waktu aku nak cabut gigi kat klinik gigi di pekan Ayer Tawar Perak….aku sebelum tu memang tak pernah cabut gigi…memang aku seram habis bila doktor nak cucuk gusi aku….tapi heran betul sikit pun tak rasa sakit…tak tau bila dia cucuk…tau tau kebas saja…anak aku & wife aku cabut gigi kat situ pun tak rasa sakit langsung bila doktor cucuk gusi depa


From: Saiful Azam Hj Ahmad
Sent: Tuesday, August 12, 2008 8:58 AM
Subject: RE: [xbp84] blood type

Ada ka cucuk tak sakit? Hangpa ni teruk la....derhaka pada doktor. Hari tu Lia...hari hang plak. Sebagai balasan...Buyong, hang letak Zubet punya results kat sini...meh kita tengok & gelak ramai-ramai.


On Tue, 12/8/08, zuber@...:
Subject: RE: [xbp84] blood type
Date: Tuesday, 12 August, 2008, 8:43 AM

Dah la cucuk sakit…result pulak boleh hilang


From: KS
Sent: Tuesday, August 12, 2008 7:35 AM
Subject: RE: [xbp84] blood type

Kan aku dah kata Bet......


From:Shamsul Amri
Sent: Monday, 11 August, 2008 8:50 PM
Subject: RE: [xbp84] blood type

Aku dah amik dah on 1/6/07. tapi aku cari balik result hang tak jumpa la Bet....ntah mana bebudak klinik aku misplace result tu..


On Mon, 8/11/08, ksahrin@... wrote:
Subject: RE: [xbp84] blood type
Date: Monday, August 11, 2008, 7:30 PM

Yang sanggup bagi dia ambik blood hang?? .... think twice man!


From: Zuber...
Sent: Monday, 11 August, 2008 12:08 PM
Subject: RE: [xbp84] blood type

Nasib baik KS hantaq info pasal blood type tu...tak payah aku pi jumpa DSAZ untuk check aku darah jenis apa

Sperm Bank

2008/8/11 Kadut :

Actually sperm bank dah ada kat M'sia but only in KL and Penang klau aku x silap, mainly kat private.

Setengah patient aku dulu yg nak menjalani chemotherapy/ cytotoxic agent ada buat sperm bankin in case depa dapat masalah sperm selepas rawatan tersebut,
jadi masih boleh dapat zuriat sendiri.

Kat belah PJ ni, ada di Damasara Fertility Centre now known as TMC Fertility Centre (they r moving into Tropicana Medical Centre TMC kat Kota Damansara soon (dekat rumah aku... but Usin aku x dak megazine XXX kalau hang nak pinjam for sperm banking tu!!)

Just for info...

Sperm Banking is indicated for:

* Men who is undergoing cancer treatment.
* Men facing voluntary sterilization.
* Men facing sterilization resulting from medical conditions or treatments such as vasectomy, orchidectomy, chemotherapy, radiation therapy.
* Men having high risk occupation exposure to radiation or toxic substances.
* Men having high risk for testicular injury.
* Men having low sperm count.
* Men who wish to store their sperm for future use.