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let's talk about pregnant mommy with DM

kencing manis.
or diabetes mellitus. (DM)

it really complicates pregnancy.
especially yang uncontrolled one.

this morning, i was assigned to the ONG clinic.

later on, a patient with DM type 2 went into doctor's room.
the doctor is really unhappy with her blood glucose test.
it was really an uncontrolled one.
i was shocked too after knowing the result.
it was really really high. 
i was like, what was she eating? doesn't she cared about her baby in her tummy?

since her glucose is high, doctor planed for admission of the patient.
doctor talks to her about that.
but she doesn't want to be admitted yet.
because there will be nobody to take care of her children.
her husband will be outstation for a while..

doctor explained all about the risks.
shutting down of kidneys, eyes will damaged which will lead to blindness, peripheral neuropathy, wound healing will take more times ect.
the baby might be macrosomia, diabetic, abnormalities of the baby ect.

BUT, she keen to not be admitted just yet.

since doctor must respect what the patients want.
so, doctor let her, with few conditions la.

1) patient will be responsible if anything happened to her, or the baby.
2) in one week time, patient must come to the clinic again, and if her sugar level is still hay wire, high like daa she must be admitted to ward, no matter what the alasan is.

moral of the story :

patient will come with many different problems.
as a doctor, we must know how to tolerate lah.
must hear patient's problems too before make our decision.

however, we must counseled her lah about her condition.
why she needs to be admitted and ect.

if she still doesn't want to.
then, we must save our career too lah.
fill in a letter of " i will not be responsible if anything happened to the patient and baby".

ok, till then. TATA.

Comments

agreed,.macam2 ragam orang kan?,.maklumla,keje yg menuntut perkhdmatan kite,.tp ape2 pon,itu adlah tanggungjawab,.mesti dilaksanakan dgn penuh hemah,.


err,huhu..
WZulhilmi said…
kdg2 doktor pun byk dilemma jugak layan pesakit. ak tgk grey's anatomy pun byk gila cabaran dia. tp myabe yg tu ada tokok tambah sikit from real life.

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:(

salam.
kalo xsuka jangan lah layan. maaf la kan. aku penuhkan newsfeed korang.  mesti bosan kan tengok status aku jer. kang aku delete baru tahu. aku xperlulah orang yang suke sindir menyindir ni. ko saje nk bergurau ke aku xtahu. tapi ayat ko serius menyakitkan hati. pandai gile ko sindir eh? newsfeed ko x gerak ke? kesian. kawan kawan ko xmen fb ke? ke aku je kawan ko yang men fb?  jadi news aku yang banyak naik? annoying gila.  aku xkisah langsung kalau nak delete ko. baru ko puas kan? xjumpa status aku?
bodow lah. aku bukan update status gedik mengada pon. aku update status yang orang nak tahu ape aku fikir pasal die. itu pon jadi hal. nak sindir aku bagai. serius benci orang macam tuh.  ok fine. aku deactiveate fb aku.

bye. :(

nescafe ais.

hebat x?
si kakak yg umonye 19taon tahon 2010.. nak wat nescafe ais.
but then x reti. so, mintak tlg adik die yg umonye 10taon 2010.
sgt terox kan kakak srg ni?
tp, hasilnye sangat bes. nyum3. :))
*bakal suami saya. nescafe ais saya bes taw*  :))

SPICE-UP UR BLOG : buat sticky post

salam.
hari ni nak share, macam mana nak buat sticky post.  sticky post tuh macam, post yang melekit. huh?
ok, sebenarnya. sticky post tuh macam post pemberitahuan (contohnya la) bagi sesuatu tempoh masa. kalau korang post benda lain, post pemberitahuan korang tuh akan still kat paling atas. so, orang masuk, tuh post first yang orang akan baca. 
sesuai la bagi sape sape yang buat kontest itu. :)
cara cara nya :


 tekan post option (yang bulat merah)
 pilih 'scheduled at'
 pilih tarikh dan pukul berapa korang nak sampai bila post tuh jadi post utama. :)
 dah siap!

k bye. :)