这是角度问题24/4/2015

这是角度问题24/4/2015

头7-1，（男的是减一天），所以17/4/2015日逝世，22日是小叔的头7，我的大姆召集兄弟姐妹。当天，我们是5点多才知道。当晚，我有机会当面去向小婶了解已故小叔的医疗过程。所以才获得几乎完整的故事。

是的，3月13日，就是那一霎那[散腰事故]造成后来无限的痛苦。接着天天都去看不同的医生。当然，去私人医药中心照X-光。可惜，医生只照痛的部位，忽略有脊椎骨的其他部位。这是医生的认知和经验问题，所以错失黄金医治时刻。这也让我更看清楚我国这整个医疗体系。各个官爷们整天忙的都是个人的利益，对医药的提升是欠缺全心全意去完善提升。

如果，我们医疗系统有足够的医疗人才，做足研究，经验十足，认知和知识都很够，也有良善先进的仪器设备，我很肯定会有不同的结果。

想想，医院的仪器，医院行政部抱着很大的希望不是政府固定和足够的拨款，而是希望，希望，希望，和很多很多很多假象和假想Sibu 人很有钱，期待善心有钱人士捐献捐献。。。。这是多么让人心寒的事。

3月19日，我大姆带他去验血中心验血。所以4月22日，我大姆拿着已故小叔的验血报告来诉说。他有其他疾病的问题，按照他的验血报告。我当然没有完全认同她的看法，因为已故小叔是病了第7天，吃了无数止痛药和抗生素后才去验血。这验血报告根本没有已故小叔其他3月19日之前的验血报告，所以，就这么认为是他的逝世的主因是很难让人信服的。

我倒认为是在胸前开个洞手术过程是他的致命伤。已故小叔不是死于其他因故的。 我觉得有必要澄清这一点让大家知道这事实、不然，会有人被误导，只以为是已故小叔本身的身体状况是他逝世的事实。 这是多么冤枉啊！ 以我个人的观察，一个13日之前，可以自由活动的人，就因为误诊和延医，所以有这么的并发症：呼吸困难和心脏的问题。 后来的结果。

这世界上有几个人，心脏可以忍受极痛10天 而还是没事的。 

The right choice 22/4/2015

The right choice 22/4/2015

In the age of internet, you don’t need to be a doctor to know the conditions of an illness.  Google searching, you can find all kinds of information you want.  No matter how clever a doctor is, without the required medical devices and the patient’s sureness of his illness, the doctor’s cleverness is also limited in range especially in the cases which require immediate and urgent attention and treatment.

It was a grave mistake my late brother-in-law /D and his wife /S made to go to Sibu government hospital/SGH.  Being ignorant and in total darkness, late D chose to go to SGH instead of the medical centre S intended for him.

It was all because when late D had an acute pain, the doctor really relieved his pain with an injection with the kind of drug.  Ya, he went there for consultation before he was admitted on 21stApril. So, he stubbornly thought that SGH was a better choice for treatment.  Not knowing that this brought an end to his life, he insisted on going to SGH for treatment and refused to stay at the intended medical centre a day longer.

When he was in SGH, they also did not know they could choose first /second class ward to stay.  Hence, he suffered so much in the stuffy ward for 2 days before he was transferred to the ICU. 

He was brought to the hospital on 21^st April night and was admitted to ICU on 24^thApril.  He fell unconscious for a few days and woke up on his own.  When he was awake, no one was clever enough to reject artificial breathing and instead make him breathe on his own and he should have the operation on his back straight away.

It was a grave mistake, to waste time on identifying the bacteria that had infected D.  The result only came out after 3-4 days. 

No one was clever enough to know that there was a greater risk to take as a result of the delay to treat the primary cause of his suffering: osteomyelitis.  You just can’t wait for the infection to go away totally in this disease to do the operation.

Ya, so much time was waste and he was treated with the complications instead of operation to release the pinched nerve at C2 and C3 there. 

He had difficulty in breathing due to pain.  He shook all over.  had fever and chill, too.  He had all the symptoms of Osteomyelitis.  Am I wrong?   But I was not a doctor to convince anybody. 

Osteomyelitis

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Osteomyelitis is a bone infection that is caused by bacteria or other germs.

Causes

Bone infection is most often caused by bacteria. But it can also be caused by fungi or other germs. When a person has osteomyelitis:

• Bacteria or other germs may spread to a bone from infected skin, muscles, or tendons next to the bone. This may occur under a skin sore.
• The infection can start in another part of the body and spread to the bone through the blood.
• The infection can also start after bone surgery. This is more likely if the surgery is done after an injury or if metal rods or plates are placed in the bone.

Symptoms of osteomyelitis

• Fever, chills, or shakes
• Unplanned weight loss
• Nighttime pain that is worse than daytime pain

http://www.nlm.nih.gov/medlineplus/ency/article/000437.htm

We all must admit that SGH has no doubt saved many lives and eased many pains in many ways.  I have a friend who  had an operation to remove her womb on 7^th April and she is recovering well. 

Sibu government hospital is still the place where 90% of the people have to go for treatment.  But for illnesses that require urgent attention and treatment, a person must know clearly where to go for treatment to avoid unnecessary hassle and waste of time and the unnecessary risk.

Feeling sorry, bad and sad 21April2015 “

Feeling sorry, bad and sad  21April2015

“Are you a doctor?”  Dr. A  

"Nop! I am just an ordinary housewife."

Nobody with me was stupid enough not to notice the tone of her displeasure being called again on the 16^th April.  Actually, she went further to remind us that she did not want to be called again. 

Would there be another time seeing the condition of D?  Why did she fuss like that?   I just can’t understand.

We were not there to question her though I was at first in doubt about her explanation about a thing when my Amu told me that D seemed to react a bit when she called him. 

But Dr A said it was the natural response /instinct of a person.

I wonder if this is the manner of the doctor to greet the patient’s family to call the doctor again without any consultation fee.   On the 14April, the ICU called D’s wife/S to come on 15April to be told of the condition of my brother-in-law/D. 

I did not go that day.  But I google searched about brain scanning that afternoon.  Hence I requested for the brain scanning on S’s behalf which they were supposed to do on the day when D had the cardiac arrest on the 4^thApril. 

It was the same day, the doctor suggested to punch a hole somewhere right below the chin.  Actually, D had the pipe connected to a lung via the nose.  That afternoon my husband went to see him and he was still wide awake and even smiled a bit. 

But, nobody knows except the medical staff involved in the operation knew what mishap occurred.  That afternoon at about 5pm, S informed my husband about the cardiac arrest and D was only revived 15 minutes later. 

Since 4^th April, he was in the coma state until he 17^thApril, he had another cardiac arrest and passed away that very night.   When everybody accepted his death as it is but I made a lot of wild guesses that he was killed unintentionally by unskillful hand punching of the hole.   I felt really sorry, bad and sad. 

I went with my husband the second time on 16^thApril since I visited him on the 7^thApril .   When I saw D, you do not have to be a doctor to know what is what.

Before I went to the hospital, of course, I jotted down a few brain scanning devices which I wanted to know if they had to examine the brain.  They had Electro-encephalography but they did not use the device on D.  When I asked Why, she said Dr. So and So did not indicate. Then she told me the doctors were clever enough knowing what to prescribe. 

Then I asked what device they would do on D.   It was CAT/CT scan .  In the conversation, she disclosed that this device often broke down due to overwork.  When I asked why did not she request the hospital to get the new one.

Instead, she argued that we people should approach some rich kind men for donation saying that Sibu was a rich place.   Not knowing that it was an absolutely wrong mentality of the head of the ICU to expect the rich kind people to donate the devices after paying hefty taxes, she told us her piece of mind.

It was understood why they did not have Magneto-encephalography and Near Infrared Spectroscopy to examine the blood oxygenation.  Instead of requesting the public funds for purchasing the required devices, they were waiting for the wealthy kind people to come out with the things. Imagine!

At one stage in the conversation, she even asked if we wanted to transfer D to the private hospital.  Alamak!  I wondered where she had left her work ethic to say like that.  I had no choice but rebutted, “ In such a condition, is it possible for us to do anything?”. 

To end the conversation, I only asked when they would give D the CT-scanning, that’s it. 

We must admit that going to the hospital for the case which required an immediate attention was the worst/gravest mistake D and S made being so ignorant. 

No one who came to know about the consequences has not felt with regret that the case could have had different outcome if it had been treated in the private medical centre.  They have been successful cases of the people who suffered back pain because of the pinched nerve. And due to immediate attention and operation, these people have fully recovered and are still "kicking and living".

人体的认知12April2015

人体的认知12April2015

     人体在我眼里是这人世间最最神奇的一部机器。这部机器也是人世间最最复杂的一部。如果这部机器不是自己有很神奇的修复的能力。这世间有医药团体有多 大的本事修复这部机器？ 最近，就是因为小叔和小婶对病痛的源头没有自己先掌握好。也因为，小叔太焦急要医治好自己的病痛。所以一直换医生治疗。 这从头就因为对自己个别的病痛的源头不了解因此一直[投医不当 ]而错诊/误诊。

     这一切的开始是从跑步时，一时[散腰拉扯]后，接着就是一直误诊。用药物来压制自己的病痛。十多天的误诊从3月13号起，经历无法言喻和言语的疼痛。结果，整个人瘫痪，3月24日，就因心脏承担不起负荷，呼吸困难，必需插管进紧急房。整个人是从不清醒到清醒，后来，又不清醒。现在，我们一直祈祷奇迹的出现：他可以清醒。

     据我所知，他是因脊椎骨C3和C4 （cervical 部有8对）之间有神经线被压倒.  他是一直有投诉脊椎骨的T7 和T8(T部有12)那部位疼痛。我是认为因为C3和C4的神经线被压，所以拉扯到大概T7和T8的部位。虽然，我对脊椎骨的结构认识也是很不足，不过，我认为它们是连贯的，所以，有这么的结果。

     上星期四，我右手腕上，有点肿胀。 当我的手弯上/弯下时，有点痛我知道这不是局部的问题。我知道我医学知识不够全面。但是，小叔的苦难给了我无限的启示。最近，也有去google search看看有关脊椎骨的结构的资料和疾病。对于脊椎骨的认知，我还是不够详细的。不过，至少，我心中有个谱和图案。原来，正如有位专家比喻，人体的神经线就好像电线。

     嗯。。 嗯，这一认知，让我对右手腕上的肿胀，就有了联想。我猜我脊椎骨的C1和C2，应该不是很正，因为我的肩骨/collar bone 有断过，住院时，我受伤左边的手，当时，护士有用的左手抽血等等。那时，我也是很无知的，因此没有提示她。 所以，断的地方，有个半寸的差距。这一次经历让我对自己更负责任。 这半寸的差距，对我整体平衡有一定的影响。所以，姿势不对时会出状况像微微的酸痛。这是我平躺或让背有机会休息，就不碍事了。

我右手腕上的肿胀，我追溯回，我当然大胆的假设多方面是星期三，休息不足，水也没喝够，人好像燥热了。看看右手血管都很浮胀的。 这我不怕。因为，我知道自己身体的大概大概问题。

星期天下午，又来了，这一次，是左手腕下，红了2，3和4手指合起来的大小面积一片。这一次，我猜是身体那部位的血管受压了。因为，那天早上，我花了2-3小时在围2尺2尺3尺用PVC水管接的笼子。我想是太累了，所以，我当天下午是一个姿势赖在沙发椅睡睡醒醒待太久了。大概是压到那根血管了。这些我都有让我先生看。这样至少有人见证。不然，无凭无据，人家看我大概是发[精神病]了。胡说了。今天，几乎是90%好了因为不像昨天那么红了。是的，还有点红，但是要很注意看才看得清楚呢。