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.

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

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????