PakarBedahAnda
PakarBedahAnda or Your-General-Surgeon is my blog in which I highlight common surgical problems faced by Malaysians. In the last 20 years of my practice, many of my patients presented with advanced diseases in which treatments were more complicated, and if they were cancers then the prognosis were poor. This is also my personal 'fight' against late presentation of surgical diseases particularly cancers.
Sunday, June 9, 2013
WOI ......
Lama sungguh saya tak menulis di blog ini.... Sebenarnya saya 'dah lupa' pasal blog ini - maklumlah zaman twitter dan facebook sekarang ini. Sehinggalah saya dikejutkan beberapa email yang menanyakan tentang beberapa perkara yang saya tulis dalam blog ini. Begitu jugalah dengan beberapa kes yang really 'mencabar' ego yang InsyaAllah akan saya nukilkan dalam beberapa penulisan yang akan datang. Kes-kes ini menuntut saya terus menulis - orang Malaysia masih tak faham penyakit kanser.
Saturday, August 27, 2011
Peutz-Jegher Syndrome
The lifetime risk of cancer in people with PJS is around 93%. People with PJS also tend to develop dark blue or dark brown freckling, especially around the mouth and on the lips, fingers, or toes. Freckles generally appear in childhood and may fade with age.
1. Polyps in the small intestine
2. Characteristic freckling of the mouth, lips, fingers, or toes
Tuesday, March 1, 2011
NEGERIKU DILANGGAR TODAK
As their name suggests, needlefish are long, narrow and silvery. The smaller common species reach about 15 inches long; the larger ones can grow to more than 3 feet. In all species, the fishes' needlelike beaks, filled with sharp teeth, merge with their bodies to form sleek, living spears.
Needlefish have two long jaws, good for catching fish. A needlefish strikes at passing prey with a sideways movement of the head, then swallows it whole.
Like their other close relatives, the flyingfish (malolo), needlefish can leap from the water at up to 38 miles an hour, skimming the surface before falling back to the water. This is where needlefish and people can clash.
At night, lights sometimes attract and excite these fish, causing them to jump at speed. Needlefish beaks have penetrated the wooden hulls of outrigger canoes.
Tragically, one also penetrated the eye of a 10-year-old Kauai boy while he was night fishing in a small boat with his father. The fish beak penetrated the boy's brain, killing him.
In other parts of the Pacific, needlefish have punctured people in the chest, abdomen, arms, legs, head and neck.
People at greatest risk of needlefish punctures are night reef fishermen carrying lights in low boats. For many village fishermen in the Pacific, needlefish are a greater occupational hazard than sharks.
Although it's rare, swimmers and divers have been seriously injured by needlefish in Japan, New Zealand and the Red Sea.
No such injuries have been reported in Hawaii, but it's a possibility. To prevent such an incident, night divers should leave lights off until well submerged. Fishermen in small boats should be aware of the potential danger of carrying lights at night.
Millions of people, including me, have snorkeled near, dived around and paddled into schools of needlefish countless times without any trouble at all.
These lovely, interesting fish aren't out to get you and injuries are indeed rare.
Still, it's good to know the facts. Now, when someone asks me if those skinny, silvery fish can hurt you, I won't say never. I'll say, almost never.
Sunday, February 27, 2011
LAGI-LAGI TUNGGU
Saturday, February 26, 2011
Kelate oh Kelate ku ......
Sunday, January 9, 2011
Penangan TOK BOMOH
abscess cavity
the colon cancer
.
.
.
.
Apa yang telah berlaku ?
Basically she has a neglected / untreated colonic cancer, now it has perforated through the abdominal wall (kena uli tok bomoh sampai pecah) . Soon, it would be coming out through the skin (itu pun if she survives the septicemia).
What needs to be done is to drain the abscess and feces through the skin and treat the infection. Once her condition improves, go and remove the cancer. But that was not in her mind. She wanted to go back to the bomoh. What could I do?. Furthermore she had the full support of her children. So be it.
This is it ........ CANCER and Kelantanese don't click !
I hope this is not the end of my struggle. I believe there are many more non-Kelantanese that would benefit from my writings.