Monday, August 18, 2008

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

Wednesday, August 13, 2008

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


Monday, August 11, 2008

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.

Tuesday, June 24, 2008

Leptospirosis (Demam Kencing Tikus)


----- Original Message ----
From: peja
Sent: Monday, 23 June, 2008 9:38:22 PM
Subject: Re: [xbp84] Kencing Haiwan

ni aku cedok dari internet...

leptospirosis adalah penyakit haiwan yg disebabkan oleh pathogenic bakteria leptospira interrogans (bentuk dia panjang & spiral) yg boleh menjangkit pd manusia (zoonotik).. . haiwan yg mudah dijangkiti bakteria ni ialah tikus dan tupai... tapi haiwan2 lain mcm anjing, kucing, ayam, burung etc pun boleh kena jugak... bila bakteria ni dah berkembang biak dlm tubuh haiwan, dia boleh keluar bersama2 urine haiwan tu... bakteria ni boleh menular secara langsung dan tak langsung kepada manusia... secara langsung tu contohnya bila kulit yg ada luka terkena apa2 yg tercemar dgn bakteria ni.. atau masa cuci muka, air yg digunakan tercemar dgn bakteria ni... bila basuh muka, bakteria dlm air yg tercemar ni boleh masuk ikut kelopak mata, mukosa mulut / hidung... atau bila termakan atau terminum mknan/minuman yg tercemar dgn bakteria ni... kalau secara tak langsung pulak kalau bakteria tu dijangkiti dari haiwan perantara (vector) yg lain... bila masuk dlm badan manusia, dlm masa 4-19 hari, akan ada simptom awal spt pening kepala, lesu, demam menggigil etc... penyakit ni boleh diubati dgn antibiotik streptomycin, tetracyclin atau erithromycin. .. yg jadi fatal tu bila lambat dirawat dengan sepatutnya.. .


2008/6/24 Kadut :

Just nak add sikit.

Demam kecing tikus atau Leptospirosis memang banyak berlaku kat M'sia- dah endemic tapi cuma kurang diberi tumpuan kerana kadangkala tak didiagnoasakan dgn cepat (diagnosis sepenuhnya perlukan keputusan darah/cecair badan yg mungkln memakan masa > 1week).

Masalahnya pesakit boleh dpt kuman leptospira ni (yg lebih bahaya kalau tak salah aku jenis Leptopsira icterohaemorrhagiae sbb dia sebabkan demam kuning berdarah!) dimana2 (esp kalau pi mandi kat hutan/ sungai eg Ulu Langat/ kedai yg tak terurus) dan boleh present dgn pelbagai simtom: (4 differant presenatations)

1) Demam sikit2 cam selsema
2) Weil's disease (dpt demam berlarutan, demam kuning/ jaundice, kidney rosak, pendarahan dan denyutan jantung tak sekata)
3) Meningitis (sakit kepala tak boeh tundukkan kepala)
4) Batuk berdarah/ pulmonary haemorrhage serta peparu rosak

Jadi kadang2 ingatkan demam denggi but turn out to be Leptospirosis.. rawatannya berbeza sekali sbb perlukan antibiotiks. Kalau lambat memang susah nak sembuh. Kalau leptospirosis darah putih (white cell count WBC tinggi vs Denggi WBC normal)

Sebab tu kalau demam selepas pi mandi air sungai/ terjun.. cepat2 pi doktor ambik antibiotik. Kalau nak cegah boleh jugak- can try antibiotik Doxycycline.. untuk rawatan jerawat sekali..!! utk Buyung yg dah umula remaja balik!!

Kadut

Thursday, June 19, 2008

Pronoton & Mentalk

2008/6/19 Shamsul Amri

Yes...mmg ada sildenafil....sebab tu aku kata 'dulu' coz tak silap aku zuber yang cerita kat aku pasal benda ni dah kena withdraw. La ni aku tak tau dia pakai ubat apa, tapi ari tu wak jono ada story pasal kopi apa ntah...power sepanjang malam. Hang pun ada sekali kan malam tu azam....lepas aku naik keta baru hang yang berusia 3 minggu masa tu.

Aku dah sentuh dulu pasal cialis i.e taldalafil....bunyik macam 'tak dak la feel'. Bunyi jer tak dak la feel...makan baru tau camna dia punya feel...hahaha

Zul B = Zul H


On Thu, 6/19/08, Saiful Azam wrote:

Ehhh...bukan Pronoton dah kena withdraw dari market ke...sebab ada sildenafil (active ingredient Viagra). Baru-baru ni satu lagi product.. Mentalk pun ada active ingredient yang lebih kurang sama i.e. taldalafil (Cialis).
Eh...sapa plak Zul B... Zul H ka?


Shamsul Amri wrote:

Aku dengaq dulu dia dok amek pronoton.... maybe ni la long term side effect ubat nih. Zul B....komen?? ?/


On Thu, 6/19/08, faizalahmad wrote:

ni Zuber hang ni kami kena prescribe ubat lain ni ,,,,, lain macam

Jib ko jgn layan si zuber ni.....mabuk la kalau dia kata dia obese. Badan steady ....exercise tiap2 malam paa. kalu dia kata dia obese sket.... kita kategori apa????


Thursday, September 20, 2007

Derma Organ - fatwa dan pendapat


saha harun wrote:

salam kawan2.....nak minta opinion kawan2 sikit, especially the doctors.....

last saturday sambil2 tunggu berbuka , aku tgk NTV7 , program ni pasal derma organ. kat malaysia ni sgt kurang org2 yang willing & mendaftar untuk derma organ selepas diorg mati.

kata dr tu, paling ramai cina then india last baru lah melayu yang dah daftar untuk derma organ.

kata dia lagi, dlm setahun ada 7000 org malaysia mati sebab accident, so kalau lah 1 % sahaja drpd jumlah tu willing to donate, then maybe hospital dah ada 140 buah pinggang yg boleh di pindah kan kpd org lain & menyelamatkan nyawa ramai org juga. lagi pun kat bwh ofis aku ni, memang ada hemodialysis centre, so kesian jugak la tgk patients kat sini, selang 3 hari kena dtg treatment...mahal pulak tu !!

sblm ni isu ni pernah dibincangkan oleh mufti & pakar2 dalam islam & rasanya org islam boleh donate....

so, soalannya adalah mcmana kita nak daftar & agensi kerajaan mana yg in caj ?

fromSaiful Azam Hj Ahmad
dateMon, Sep 17, 2007 at 11:02 PM
subject[xbp84] Organ donor

Saha,
National Transplant Resource Centre adalah di bawah Ministry of Health, Malaysia.
Nko boleh dapatkan national organ donor registration form dari :
For further information you can contact :
03-26942704/2705 (Pusat Sumber Transplan Nasional, Hosp. Kuala Lumpur
05-5222324/2533333 ext 2324 (Pusat Sumber Perdermaan Organ, Hosp. Ipoh
04-2002436/2293333 ext 435 (Pusat Sumber Transplan, Hosp. P. Pinang
07-2231666 ext 2751 (Pusat Sumber Tranplan, Hosp. Sultanah Aminah
Kalau rajin, baca artikel kat bawah ni:
Putting real meaning into Qurban
Shaikh Mohd Saifuddeen Shaikh Mohd Salleh
Fellow

31/01/2004
MUCH has been said and written about sacrifice. Books and poems have been written on the subject. Likewise, movies have been made. Even Elton John wrote a song with sacrifice as its title and theme.
� Tomorrow, Muslims will be celebrating Aidiladha. As many are aware, it is one of the biggest and most important events in the annual Muslim calendar.
� While Muslims all over the world celebrate the 10th day of the Muslim month Zulhijjah, pilgrims in the holy city of Mecca are performing the fifth pillar of Islam, that is the haj.
� During Aidiladha, a ritual known as qurban or sacrifice is carried out after the Aidiladha prayer. Animals such as cows, goats and camels that meet certain religious criteria are sacrificed as a symbolic gesture to remember the sacrifice that was instructed upon Prophet Ibrahim Khalilullah.
� This act of sacrifice is an attribute of the spirit embodied in Islam. Islam encourages its believers to be everwilling to sacrifice in the name of God. While the sacrifice on Aidiladha is specific in nature, sacrifice can come in many forms.
It should be realised that sacrifice should not be limited to the day of Aidiladha. Instead sacrifice should be part and parcel of a Muslim's character which is practised every day of his life. This form of sacrifice can be tangible or intangible, be they in the form of material, financial, time and/or energy.
� From the perspective of Islam, sacrifice is a form of characterbuilding. Muslims would be able to better themselves through this act of devotion. This is mentioned in verse 2 of Surah al-Kauthar in the Quran: "Therefore to thy Lord turn in prayer and sacrifice."
� There is nothing new about sacrifice in man's long history. Ever since the time of Prophet Adam, there is a story about sacrifice that revolves around the Prophet's sons Qabil and Habil. Aside from this, the Quran also mentions the sacrifice carried out during the time of Prophet Musa.
� Sacrifice is performed in the name of God Almighty. However, throughout the chronicling of man's time on this planet, we have read or heard of sacrifice in the name of other deities or even tales of human sacrifice.
� Nonetheless, as mentioned earlier, the sacrifice as carried out by Muslims today is in remembrance of the sacrifice of the Abu Al-Anbiya (father of the Prophets), Prophet Ibrahim.
Indeed, the true apotheosis of qurban goes beyond the sacrificing of animals. In the context of contemporary society, we need people who are willing to come forward to help others in need.
� Sacrifice is capable of ridding one's self of individualism and materialism. This is the true spirit behind the act of qurban as practised by Muslims during Aidiladha.
Qurban is conducted to seek the pleasure of God, and at the same time, it is a way to share one's wealth with others, in particular those who are less fortunate.
� The act of qurban should be extended to our everyday lives in the form of altruistic acts. One form of altruism is organ and tissue donation. In Malaysia, the number of organ pledges has increased over the years.
� Yet, much still needs to be done to encourage people, particularly Muslims, to come forward. While the National Fatwa Committee has
deliberated way back in 1970 that organ donation is permissible in Islam, many Muslims are still reluctant to do so
.� This reluctance may be the result of a lack of information, lack of understanding or pure selfishness.
� If we were to make a comparison by looking at the rest of the Muslim world, we would find that many Muslim countries have sanctioned organ and tissue donation.
� One of the earliest countries to do so was Egypt. Way back in 1952, the Grand Mufti of Egypt, Sheikh Makhloof, issued a fatwa (decree) allowing for corneal transplant.
� Many other fatwa have been issued by religious scholars and authorities around the world pertaining to the permissibility of organ and tissue transplant.
� In Malaysia, we have thousands of people who are dying of diseases because they could not find a donor.
� The Health Ministry has been carrying out continuous public awareness campaigns to encourage more people to come forward to pledge their organs for donation. Thus far, the campaign seems to be successful.
� However, much still needs to be done. The majority of the pledges are from non-Muslims. Muslims need to be reminded of the need for organ donation because a significant number of those waiting for organs are Muslims themselves.
� In actuality, there is really nothing new about organ transplantation in Islam. Imam Nawawi and Asshir-bini, two renowned Muslim jurists, are known to have sanctioned transplantation of the teeth and bones.
� Today, with rapid advancements in the area of medical science, hazards involving organ transplantation have been minimised.
� Saving the life of another human being is a philanthropic and unselfish act that is much encouraged by Islam. In fact, the preservation and protection of life is one of the purposes of Islamic jurisprudence (maqassid shariah).
The reward for saving other people's lives is also significant in the eyes of Islam. This is stated in verse 32 of Surah al-Maidah where God says to the effect: "If anyone saved a life, it would be as if he saved the life of the whole people."
� This verse should actuate more Muslims to come forward to pledge their organs for donation and transplantation. Nonetheless, it should be noted that in Islam, the selling of organs for commercial purposes is not allowed.
� As a matter of fact, the United Nations under the auspices of the World Health Organisation states that the selling and buying of organs is prohibited.
The questions that we should ask now are: Have we got what it takes? Have we enough courage to come forward? Are we too selfish or ego-centric to give that which is important to us?
The answer lies within each and every one of us. There is no pressure or obligation for us to sacrifice something that we hold on to dearly, in particular our organs and tissues. If we have the drive to come forward, then we should do so on our own free will.
Sometimes it is worth being reminded of the short time that we have in this world. We should try to make a difference, no matter how small.
We should also remember that in life, we often find ourselves more privileged than the next person. This is a ni'mah (blessing) from God that is bestowed upon us.
When we are blessed by God, we should never forget those who are less fortunate.
How would we feel when the situation is reversed? Surely, if we are stricken with an illness, we would work hard towards finding a cure. In fact, Islam does not allow its followers to simply give up.
� Today, organ transplantation is a viable option to cure many diseases and illnesses that may have claimed a lot of lives in the past. But would it not be a pity if we have the technology to cure the diseases, yet we lack donors to provide the needed tissues and organs?
How would we feel if we find ourselves in a situation that requires organs and tissues, yet none is available. Try putting ourselves in that situation. Only then would we know the gravity of the importance of organ donation.
� Again, as stated earlier, organ donation is a form of sacrifice. The lesson that we learn from Prophet Ibrahim's sacrifice is one that needs tobe imbued within each and everyone of us.
� Sacrifice must not be something that only manifests itself once a year during Aidiladha.
� Therefore, we must try to inculcate the spirit of qurban into our lives so that altruism would be one of our characteristics. Coming forward to pledge organs and tissues - hence, saving other people's lives - is perhaps one of the ultimate sacrifices that one could make.
� It is easy to write or read or listen to stories of sacrifice whether in the form of a story or a poem or a song. Even this article is
comparatively easy to write.
� But in actual fact, the true and most difficult challenge is for people - like us - to carry out the sacrifice ourselves.


fromSyed Faisal Taha
dateTue, Sep 18, 2007 at 2:02 PM
subjectRE: [xbp84] Organ donor

thanks a lot with all the fatwa and qur'anic verses yang kau include pasal organ transplant. Bolehlah aku quote kat family members pasal organ donation when the time comes.

kau memang betul, when it comes to nak ambik orang lain punya kidney untuk transplant, orang melayu memang tak dak hal. tapi bila nak ambik buah pinggang dia orang,problem pulak. macam-macam yang disebut, seksa mayatlah etc.

In fact memang aku deal with kidney transplantation, preparing patients and managing post transplantation care. Biasanya bila ada kes brain death daripada kes accident,patients ni has still heart beat and good kidney function tapi legally speaking they are dead sebab brain death is equivallent to death. so it is such a waste bila pesakit macam ni meninggal dunia with such functioning kidney sebab hanya dengan sorang dia saja, dia boleh menyelamatkan banyak nyawa lain from his heart,2 kidneys and the liver.

Sistem kita ialah "opt out" di mana bila ada kes macam ni, we will meet the next of kin, isteri dia ke or parents dia. you need to know even kalau kau dah pledge nak bagi buah pinggang kau masa kau hidup, if your next of kin rejects it masa kita approach dia, we wont be able to harvest the organs. so you also need to tell your family members about your intention-so this is opt out

Di singapore,it is opt in di mana semua orang are considered penderma organ. so bila ada brain death, they will harvest the organ without approaching the family members. melainkan kalau kau tak setuju jadi penderma organ, then you kena pledge untuk tidak jadi penderma. so nampak tak the difference? sini kita kena pledge jadi penderma, tapi kat singapore, kita kena pledge untuk tidak jadi penderma, kalau tak organ kau akan diambil without family approval. but the implication is kalau kau pledge untuk tidak jadi penderma, the implication is you and your family under your care will not get an organ bila diperlukan. Sounds fair? perhaps, tapi kita tak apply this approach sebab we feel this approach is against the transplant ethics. this is a gift and it should come from your heart not to be forced.

So the problem always arise bila kita approach family members berbangsa melayu, there is always alot of resilience. but it is easier when we deal with other bangsa. the irony is, bila tang nak terima buah pinggang tu cepat je orang kita ni bersetuju.

Honestly speaking, the way to go untuk masalah buah pinggang bila sampai kena dialysis is to do renal transplantation. memang banyak masalah bila kita undergo dialysis. infection, access failure-tak boleh nak cuci darah sebab salur darah untuk dialysis tersumbat etc. dan survival rate when on dialysis is about 50% in 5 years as bad as getting colon cancer. if we get renal transplant, seseorang tu on average boleh survive more than 10 years and now with modern treatment can go as long as 20 years or more!

masalahnya is of course, tak cukup organ. on average seorang pesakit dialysis di malaysia terpaksa tunggu on average 6 to 7 years to get a kidney and that is too late, by then a lot of complications has already happenned. di australia where i am working currently, the average of waiting is 2 years...and that is why survival rate pesakit buah pinggang is very good.

I can relate this experience sebab kat sini, every week mesti ada organ donor and you have to know accident rate kat australia is much less. bila aku kat KL doing nephrology, nak dapat donor once in a month pun susah,and more often than not the donor always orang bukan melayu, tapi yang terima tu ramai pulak orang melayu.

bukan ke bagus kalau mat-mat rempit tu pledge untuk jadi organ donor. at least matinya dia orang adalah jugak gunanya daripada mati terkojol macam tu je.

Number-number yang azam bagi adalah number pusat-pusat di mana bila ada kes, they will be contacted untuk organ harvesting. dia orang akan arrange doctor-doctor yang terlibat untuk organ harvesting. pusat ini jugak akan memberi information kalau kita nak tahu lebih lanjut pasal pendermaan organ.
Kalaulah kat tempat you all kerja nak taklimat ke pasal pendermaan organ, contact the number, they will send somebody to bagi taklimat.

oklah tulis banyak sangat pulak

fromSaiful Azam Hj Ahmad
dateThu, Sep 20, 2007 at 11:00 PM
subjectRe: [xbp84] Organ donor

Aku jumpa poem ni kat kaunter yg dok promote organ donation baru-baru nie...
To Remember Me - I Will Live Forever
Robert N. Test

The day will come when my body will lie upon a white sheet neatly tucked under four corners of a mattress located in a hospital; busily occupied with the living and the dying. At a certain moment a doctor will determine that my brain has ceased to function and that, for all intents and purposes, my life has stopped.
When that happens, do not attempt to instill artificial life into my body by the use of a machine. And don't call this my deathbed. Let it be called the bed of life, and let my body be taken from it to help others lead fuller lives.
Give my sight to the man who has never seen a sunrise, a baby's face or love in the eyes of a woman.
Give my heart to a person whose own heart has caused nothing but endless days of pain.
Give my blood to the teenager who was pulled from the wreckage of his car, so that he might live to see his grandchildren play.
Give my kidneys to the one who depends on a machine to exist from week to week.
Take my bones, every muscle, every fiber and nerve in my body and find a way to make a crippled child walk.
Explore every corner of my brain.
Take my cells, if necessary, and let them grow so that, someday a speechless boy will shout at the crack of a bat and a deaf girl will hear the sound of rain against her window.
If you must bury something, let it be my faults, my weakness and all prejudice against my fellow man.
Give my sins to the devil.
Give my soul to God.
If, by chance, you wish to remember me, do it with a kind deed or word to someone who needs you. If you do all I have asked, I will live forever.



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