of eisenmenger and transposition of great vessels

today, i started my summer practical at peads wards.. sebenarnye kene buat a and e, tapi x pe lah.. kebetulan tadi nak jadikan suprise, time dok masuk nak ikut ho n mo punya round, skali nmpak kak mas!! ya Allah, memang melompat2 lam ward tuu.. hehe, naseb baek kak mas cam lagi, walaupun muka ni dah x cantek cam dulu2.. T_T.. x pe.. yg penting kak mas cakap, buat praktikal biasa2 je, enjoy cuti tuu.. hehe, lap u kak mas!!

sebenarnya agak sedih bila tgok small kids sakit n they r really afraids of the doctors.. datang dekat nk pegang, dah nanges.. susah nk ases breathing rate, nk auscultate lung and heart.. nak tgok if ada splenomegaly or hepatomegaly pon susah.. tapi budak2 sgt comey.. hehe.. n specialist peads pon dah jadi cam budak2, semua kartun dia tahu.. :D

tadi ada dua patient yg menarik minat saya.. dua patient, yang even teringat kat diorg pon, dah boley senyum.. ada satu patient with down syndrome, about 11 years old, sagt funny n chubby... :D mula2 dia pakai high flow oxygen mask, which wayar mask tu dah pegi atas kepala dia cam belalai gajah dah.. hahaa, memang everybody gelak time tu.. comeyl, bila doc pgg katil dia, dia maen2 tgn doc tu.. alahaiii.. pastu tuka naso tube, skali dia maen2, letak kt dahi bagai.. haha, lupa letih jap.. and ayah dia sgt supportive. sgt playful dengan dia.. :) memang senyum manjang je tgok adik tu tadi.. and dia dah develop eisenmenger syndrome.. which dah ada clubbing hand, pulmonary edema, and right to left shunt.. so sad... cyanosis badly,,

then, ada one baby, dia ada transposition of great vessel, which right ventricle connect to aorta n left ventricle connect to pulm artery.. baby tu sgt2 cyanosis.. so small to endure the pain.. his mom memang nmpak riak wajah penat.. 24/7 .. force breathing which thorax dia memang dah deform.. sedey sgt., time blaja, igt x jumpa case ni, skali tgok depan mata n kat kelate plak tu., sedey sgt2222.. baby tu kelip2 je tgok kitorg..

overall, memang kesian kat baby n kids ni., tapi, they have to undergo several procedures like set iv line yang memang saket tu, makan ubat semua, so that they will get better and soon will be able to entertain themselves at the playground..  and this will eventually, ease their parents.. :)

cant wait to see those kids get their discharge form! lets pray for fhem..

hari ni pakai mask peel off dengan umi.. heheee