"And He feeds me and quenches my thirst and when I fall sick then He (Allah) cures me" [Soorah Shu'araa: 80]


24.5.08

Real Case-intracerebral hemorrhage

Assalamualaikum.

Pagi ni baru balik melawat seorang pesakit di hospital. Makcik Siti , 63 yang juga merupakan ibu mertua Pn Ira (pengantin baru), my ex-staff.

Makcik Siti who has no known medical illnes, suddenly turned into loss of conciousness with bouts of vomiting yesterday. An urgent CT scan of brain revealed massive intracerebral hemorrhage (bleeding into the brain) on the left side. She is now in Glascow Coma Scale 9. Latest news I heard, she will be electively ventilated while waiting for decision by the neurosurgical team whether they want to proceed with operation or not..

Just a few points to ponder here. Pn Ira, semalam dgn nada teresak2 beritahu saya, doktor (most likely junior doctor) yang buat ward round semalam bagitau begini-"mak awak ni dah takde harapan.pendarahan dalam kepala nampak teruk. kita dah tak boleh buat apa-apa.awak boleh bawa dia balik untuk cuba rawatan lain."

Hmmm..cuba bayangkan perasaan relative bila seorang doktor cakap begitu. kalau cakap pasal penyakit yang tak boleh sembuh is quite OK, but to encourage "at- own -risk" (AOR) discharge to the relatives, is to me, very unethical. morever, doktor tu sebenarnya takde authority untuk cakap begitu sebab dia dari medical team, bukan neurosurgical...

So..they're waiting for neurosurgical team to decide whether to go in or not..sementara tu, kawan-kawan saya di luar sana yang mempunyai kebolehan 'distant healing' or Reiki, plz help Makcik Siti by sending your 'energy'.others can sama-sama berdoa ke hadrat Allah swt, semoga dipermudahkan segala urusan..ameen.

A few words on intracerebral hemorrhage.



Intracerebral Hemorrhage

What is it? Intracerebral hemorrhage occurs when a diseased blood vessel within the brain bursts, allowing blood to leak inside the brain. (The name means within the cerebrum, or brain). The sudden increase in pressure within the brainpear can cause damage to the brain cells surrounding the blood. If the amount of blood increases rapidly, the sudden buildup in pressure can lead to unconsciousness or death.

What causes it? The most common cause of intracerebral hemorrhage is high blood pressure (hypertension). Since high blood pressure by itself often causes no symptoms, many people with intracranial hemorrhage are not aware that they have high blood pressure, or that it needs to be treated. Less common causes of intracerebral hemorrhage include trauma, infections, tumors, blood clotting deficiencies, and abnormalities in blood vessels (such as arteriovenous malformations).

CT scan appearance:


Treatment

Treatment depends on the location, cause, and extent of the hemorrhage.
Surgery may be needed, especially if there is bleeding in the cerebellum.

2 comments:

rizhan said...

houseman mana tu cakap macam tu....memang bakal ditorture oleh aku le ni....tunggula aku balik kuantan hu hu...

Dr Hapizi said...

entah m.o hingusan mana....tak kenal...not nice to reveal the name here...later-later ku bgtau...hehe...

ermm...cian ira n ropa..dengar citer latest news posted for op dah....diorang nak buat burr hole..

see?. as a doctor don't pretend that u know everything...

this is a gud message for new budding doctors out there..

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