Virtual Clinic v5
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Most likely possible... during your 5 years there, do you noticed this pattern?Originally posted by rainee:Eh I got question...these few days I have been feeling rather breathless and bloated after having my meals...is it because of the weather has become colder?
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never really paid any attention to it...cos I was walking to a restaurant this afternoon and it was quite chilly then I realized that it was quite hard for me to breathe, plus I feel like sth is weighting down heavily in my tummy...Originally posted by renorenal:Most likely possible... during your 5 years there, do you noticed this pattern?
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It is possible because of the sudden change in temperature from in-house to outside the house, the sudden drop in temperature can cause a person to be almost out of breath because of the shivering one makes in attempt to generate body heat to counter the cold.Originally posted by rainee:never really paid any attention to it...cos I was walking to a restaurant this afternoon and it was quite chilly then I realized that it was quite hard for me to breathe, plus I feel like sth is weighting down heavily in my tummy...
If you have just eaten, digestion and absorption of food will come second to surviving the cold, hence those food are stationed temporarily in the stomach until you find a better place (warmer place) to heat up and rest... -
arrgh sucks...make me feel uncomfortable...anyway thanks for the clarificationOriginally posted by renorenal:It is possible because of the sudden change in temperature from in-house to outside the house, the sudden drop in temperature can cause a person to be almost out of breath because of the shivering one makes in attempt to generate body heat to counter the cold.
If you have just eaten, digestion and absorption of food will come second to surviving the cold, hence those food are stationed temporarily in the stomach until you find a better place (warmer place) to heat up and rest...
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I'm going out for lunch
Back in half an hours time... -
lolo..now got new guy to open door for doctor...alex..good customer service eh..
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Like that might as well don't eat. We eat to absorb nutrients, and the surgery is to minimize absorption.Originally posted by renorenal:Yes... there is a surgery to remove the short intestines to disable food absorption into the body, hence the food will travel from the stomach into the large bowels to be excreted with minimial absorption.
However, most of these patients restrict their diet to fluids and very soft diet.
Imagine the trauma to see you pooping what you ate...
But of course, there are different surgery, depending on which small intestines you want removed... -
Well, this is so because the surgery is only restricted to those who are grossly obese, and we are talking about BMI hitting more then 40 in that case. Those patients who need rapid weight loss for health risk complications.Originally posted by ndmmxiaomayi:Like that might as well don't eat. We eat to absorb nutrients, and the surgery is to minimize absorption.
Such surgery is not indicated for those who are overweight or just in the borderline of obesity and even those who are obese. Prime methods such as exercise, nutrition wise and diet controls are used first. When these fails, medications step in as the second line, and finally the third line is through surgical approach. -
You're welcomeOriginally posted by rainee:arrgh sucks...make me feel uncomfortable...anyway thanks for the clarification -
Originally posted by alfagal:
come to think of it..y does itch occurs near e wound sometimes when its recovering? -
May be due to the bandage that you are using, or the inflammatory chemicals that are released in the healing processes.Originally posted by ndmmxiaomayi: -
Inflammatory chemicals?Originally posted by renorenal:May be due to the bandage that you are using, or the inflammatory chemicals that are released in the healing processes. -
You don't have to know in-depth... just know that during a break or a breach of the skin which we call wound, construction workers will come and repair the broken building, and these construction workers are known as inflammatory chemicals...Originally posted by ndmmxiaomayi:Inflammatory chemicals?
Suffice to say that sometimes when it is in excess, it may indicate a bacterial infection and you should seek a doctor for an anti-histamine or a topical cream... -
Is it what the doctors called pus?Originally posted by renorenal:You don't have to know in-depth... just know that during a break or a breach of the skin which we call wound, construction workers will come and repair the broken building, and these construction workers are known as inflammatory chemicals...
Suffice to say that sometimes when it is in excess, it may indicate a bacterial infection and you should seek a doctor for an anti-histamine or a topical cream... -
Off to lunch. Will be back in a while.
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Back. -
Yeah... pus is a collection of dead cells, bacteria, dead white cells and maybe some living ones... pus of this color will usually be whitish or sometimes yellowish... it actually depends on what bacteria it is... but is yellowish usually for common skin infections because the microbes (Staphylococcus aureus = aurum is a chemical name for gold coz it is almost gold in color) have different colors...Originally posted by ndmmxiaomayi:Is it what the doctors called pus? -
What is the BCG shot for?
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This is a rojak vaccine for bloodborne tuberculosis and TB meningitis but is not useful against TB pneumonia which is spread through droplets in the air...Originally posted by ndmmxiaomayi:What is the BCG shot for? -
Got difference meh?Originally posted by renorenal:This is a rojak vaccine for bloodborne tuberculosis and TB meningitis but is not useful against TB pneumonia which is spread through droplets in the air...
My sister never take the shot because MOH (Ministry of Health) stopped it. Don't know whether she will be at risk. Because whole family got take the shot except her. -
Yeah... but they are basically complications of TB pneumonia... coz once the bug escapes into the bloodstream (this is termed miliary TB), it will create a lot of trouble by attaching itself into many organs and destros them (kidneys, spleen, adrenal glands, testes, pancreas, liver and brain --> TB meningitis)...Originally posted by ndmmxiaomayi:Got difference meh?
My sister never take the shot because MOH (Ministry of Health) stopped it. Don't know whether she will be at risk. Because whole family got take the shot except her.
MOH stopped it? That is impossible... so now all the babies born in Singapore do not take their BCG vaccine which is according to the World Health Organization regime? Cannot be rite? If you say stop at Primary 1 or 12 years old, that one maybe true, but even then ,when the nurses see that there is no scar on the arm, they will administer a dose of BCG one...
But our treatment nowadays are quite good, we don't really have to worry that much except for resistance bugs and immunosuppressed patients or those who are non compliant to their medications... -
I don't know new born babies got take the shot or not. But Primary 1 will take vaccination, but don't know what is the shot. Nurses got write the shot's name, but like doctors, handwriting cannot be read.Originally posted by renorenal:Yeah... but they are basically complications of TB pneumonia... coz once the bug escapes into the bloodstream (this is termed miliary TB), it will create a lot of trouble by attaching itself into many organs and destros them (kidneys, spleen, adrenal glands, testes, pancreas, liver and brain --> TB meningitis)...
MOH stopped it? That is impossible... so now all the babies born in Singapore do not take their BCG vaccine which is according to the World Health Organization regime? Cannot be rite? If you say stop at Primary 1 or 12 years old, that one maybe true, but even then ,when the nurses see that there is no scar on the arm, they will administer a dose of BCG one...
But our treatment nowadays are quite good, we don't really have to worry that much except for resistance bugs and immunosuppressed patients or those who are non compliant to their medications...
Since 2003, I know that 12 years olds no longer take the BCG shot, because she was a 12-year-old then. But she got take the first two shots, the last shot, including the test, was not done.
(Just now write wrong age) -
Today, attended a religious talk on the topic of death and had a following inspiration.
A few yrs back, my grandfather was diagnose with cancer in the stomach and the doctor told my father, uncles and aunties that he had another 6 months to live. This put the family into a dilemma as they do not know whether to tell my grandfather his suitation.
Finally, they decided to tell my grandfather and these were his reaction which I didnÂ’t understand until today.
When they first told him about his illness and the doctor predictions, he was in the following state
1. Denial – He refused to believe his serious of illness and the prediction that he has only 6 months. He insisted that the doctor was wrong and there should be another doctor from another hospital to diagnose his illness again.
2. Anger – He was angry with everyone and himself. Relatives and friends who visited him were scolded by him.
3. Bargaining – He would bargain with himself and “Death” that if he could live for another 6 months, he would be a happy and satisfied man.
4. Dispair – He was very unhappy and wish to live longer as he will miss my grandmother, his children and his grandchildren. He wishes to see my 4th aunt gets married and my third aunt give birth.
5. Acceptance – Finally after about 5 months, he gives in to his illness and was accepting that death was coming his way. He was happier and clammer and could also comfort the relatives and friends who came to see him.
He finally pass away about 6 month after the diagnosis, but not before his last cup of coffee and his last stick of cigarette.
My questions is
1. What is the definition of “Death” ?
2. Should thay have told him his illness?
3. If yes, should the doctor tell the patient his suitation or the family tell him instead.
4. Is this the appropriate place to ask these questions? -
The regime - immunization schedule as of 2005Originally posted by ndmmxiaomayi:I don't know new born babies got take the shot or not. But Primary 1 will take vaccination, but don't know what is the shot. Nurses got write the shot's name, but like doctors, handwriting cannot be read.
Since 2003, I know that 12 years olds no longer take the BCG shot, because she was a 12-year-old then. But she got take the first two shots, the last shot, including the test, was not done.
(Just now write wrong age)
At birth - BCG , Hepatitis B vaccine
1 month - Hepatitis B vaccine
2 month - DPT, Polio, HiB
3 month - DPT, Polio, HiB
5 month - DPT, Polio, HiB and Hep B
12 month - MMR
18 month - DPT, Polio
7 years - DT, MMR, Polio and BCG if no scar
15 years - Tetanus
DPT - Diphtheria, Pertussis (whooping cough) and Tetanus
MMR - Measles, Mumps, Rubella
HiB - Haemophilus Influenzae Type B -
Never took Tentanus shot when I was 15 years old. Took Hepatitis B shot because I never took the shot was I was young.Originally posted by renorenal:The regime - immunization schedule as of 2005
At birth - BCG , Hepatitis B vaccine
1 month - Hepatitis B vaccine
2 month - DPT, Polio, HiB
3 month - DPT, Polio, HiB
5 month - DPT, Polio, HiB and Hep B
12 month - MMR
18 month - DPT, Polio
7 years - DT, MMR, Polio and BCG if no scar
15 years - Tetanus
DPT - Diphtheria, Pertussis (whooping cough) and Tetanus
MMR - Measles, Mumps, Rubella
HiB - Haemophilus Influenzae Type B
Time to log out. Sister's turn to use. Will be back tomorrow morning to enquire more about vaccination. -
REFERRAL TO ALFAGALOriginally posted by LinYu:Today, attended a religious talk on the topic of death and had a following inspiration.
A few yrs back, my grandfather was diagnose with cancer in the stomach and the doctor told my father, uncles and aunties that he had another 6 months to live. This put the family into a dilemma as they do not know whether to tell my grandfather his suitation.
Finally, they decided to tell my grandfather and these were his reaction which I didnÂ’t understand until today.
When they first told him about his illness and the doctor predictions, he was in the following state
1. Denial – He refused to believe his serious of illness and the prediction that he has only 6 months. He insisted that the doctor was wrong and there should be another doctor from another hospital to diagnose his illness again.
2. Anger – He was angry with everyone and himself. Relatives and friends who visited him were scolded by him.
3. Bargaining – He would bargain with himself and “Death” that if he could live for another 6 months, he would be a happy and satisfied man.
4. Dispair – He was very unhappy and wish to live longer as he will miss my grandmother, his children and his grandchildren. He wishes to see my 4th aunt gets married and my third aunt give birth.
5. Acceptance – Finally after about 5 months, he gives in to his illness and was accepting that death was coming his way. He was happier and clammer and could also comfort the relatives and friends who came to see him.
He finally pass away about 6 month after the diagnosis, but not before his last cup of coffee and his last stick of cigarette.
My questions is
1. What is the definition of “Death” ?
2. Should thay have told him his illness?
3. If yes, should the doctor tell the patient his suitation or the family tell him instead.
4. Is this the appropriate place to ask these questions?
On a side note, as doctors, for telling him about his illness, we deal it through case by case basis, and as for me, I will tell, but I will be tactful and bring this discussion to the closest family members first. Often the patients who have full insight enough will direct you on what you should do...
I do not wish to discuss the definition of death as this has sparked up a lot of arguments which someone will eventually bring up the point of pulling the plug or not...