Diabetic?

Anda perlu tahu:
Self monitoring blood glucose , atau dalam bahasa melayu, pemeriksaan sendiri glukosa darah, bolih di buat dengan alat glucometer, sedikit darah dari hujung jari sahaja diperlukan. bacaan yang diperolih merupakan level darah random, jika terlalu tinggi, menunjukkan ubat yang dimakan, atau disuntik belum mencukupi. Sila jumpa doktor untuk di adjust semula.

Hba1c, yang merupakan level glukosa dalam darah yang terikat secara irriversible dengan hemoglobin didalam sel darah merah.Paras yang optima harus lah dibawah 6.5%. Pesakit yang mempunyai paras Hba1c lebih dari 6.5%, mempunyai risiko tinggi untuk mendapat komplikasi diabetes.Ia juga menunjukkan kawalan glukosa darah yang tidak memuaskan.[ glukosa darah turun naik].

Sekarang syarikat insurance nyawa menjadikan satu kemestian kepada pesakit diabetes yang mengambil insurance diukur paras Hba1c , sebelum permohonannya diluluskan.

Leptospirosis Outbreak

I just want to mention it, after the news of leptospirosis outbreak in Penang. It is due to the cleanlines of the immegration detention centre.Now the authority itself admit it and urge the other detention centre to clean their premises.

I have never been to the detention centre before; but if it have such an outbreak, it must be damn filthy, rat infested and also congested area.I doubt if any health officer from Pejabat Kesihatan Daerah been invited to inspect the detention centre.

In 1980's and 1990's have seen patient get infected by leptospirosis because they went to field work at oil palm estate or at the jungle.Apparently now things changed.One of my relative was admitted to Intensive care unit due to leptospirosis infection and subsequently he sufferred kidney failure , lucky for him, he don't have to undergo dyalisis.

Patient usually present with fever, spiking in nature,sweating, hypotension, tachycardia, and drowsy. Later he may became septicemia, liver and kidney failure.Usually they have tinge of joundice since the start of fever.Fortunately if the right antibiotic given, they will recover.They are sensitive to old generation of antibiotic, such as doxymycin.

What they should do? clearly the inmate must be given health education, discard their poor hygiene habit. The premises must be cleaned, get the inmate to involved in the cleaning the area.

Make a point to clean the water tank, cover it properly. The inmate may actually didn't get enough supply of water, one tank may not be enough so install some more.The inmate may probably try to safe some amount of water in a dirty ,exposed container for their own consumption, and then it soiled by the rodent at night.

A congested area of detention centre worsen the severity of any outbreak. We should learn from japanese detention camp in the 40's.Fascilitate the processing and deportation of this inmate , it will ease up the congestion. Otherwise the authority must open up new detention centre.They are human too.

Berkhatan-bukan tanda dia Muslim

Sehingga sekarang, saya sudah terlibat dalam general practice selama kira kira 15 tahun.Saya sudah mengkhatankan berpuluh2 lelaki bukan muslim di klinik saya. Kebanyakannya orang2 muda, yang pada pendapat saya cukup berani kerana sanggup melalui pembedahan kecil membuang kulit yang tidak diperlukan.

Sebab sebab mereka berkhatan ialah:
1, jangkitan penyakit di situ, menyebabkan phalus tidak dapat dikeluarkan untuk hubungan kelamin.terutamanya pesakit2 yang mengidap diabetes.
2.kulit yang terlalu berlebihan, menimbulkan kesukaran mencuci alat kelamin.biasanya parent yang mencadangkan untuk berkhatan.
3.orang muda yang ingin menikmati sexual adventure.kadang2 mereka meminta untuk meletakkan sebutir dua mutiara di bawah kulit.
4.kanak2 yang cedera, tersepit zip seluar.
5.kanak2 yang mengidap balanitis dan seterusnya progress menjadi phymosis.

Saya sentiasa menyimpan rekod mereka yang berkhatan dengan cermat untuk kegunaan dikemudian hari. Bagaimanapun dari pemerhatian saya, saya dapati kanak2 bukan melayu [islam] , mereka sentiasa menjaga kebersihan dibahagian phalus dengan serius. tiada daki, dan phalus bolih dikeluarkan dengan sempurna.Saya percaya ibubapa mereka cukup mengambil berat tentang hal ini.Kanak2 melayu pula, saya dapati terlalu kotor, penuh daki , dan kulit melekat di phalus menyebabkan apabila berkhatan phalus jadi tercedera dan lambat baik. Ibubapa mereka mengharap kebijaksanaan doktor membersihkan phalus.Daki yang dipanggil smegma itu, bolih menyebabkan ketumbuhan canser cervix.Buktinya canser cervix sangat rendah incidencenya dikalangan orang2 Yahudi , dibandingkan dengan orang Caucasian.Mereka tidak berkhatan.Bagaimana pun sekarang insidence kanser cervix meningkat, dan dikaitkan dengan human papilloma virus, sebab itu dipromosikan besarbesaran untuk mengambil vaksin terhadap virus ini.

Pelajaran Sex-dari mana anak anda belajar

Perkara Sex memang menjadi taboo kepada masyarakat Melayu.Tiada siapa bincang perkara ini, dirumah atau dimana-mana.Orang2 tua yangbersembang dikedai kopi mungkin bercerita, tapi bukan berbincang. tujuannya menunjuk2 siapa hero. Buku? hanya menyentuh mengenai kehebatan sex, tujuan penulis untuk mencari duit.

Pernahkah anda terfikir, anak remaja anda tiada siapa yang memberi guideline mengenai sex? saya fikir masyarakat kita terlalu terkebelakang mengenai hal ini.Mana mungkin kita mengharap anak2 remaja itu mendapat ilham sendiri sebagaimana ibu bapanya 20 tahun dahulu.

Pelajaran sex harus menyentuh topik:
1.mengapa kahwin?umur yang sesuai untuk berkahwin.memilih pasangan untuk berkahwin.
2.akil baligh.lelaki dan wanita.dan perkara berkaitan aurat.
3.anggota jantina lelaki dan wanita.pertukaran jantina secara pembedahan.
4.berkhatan, lelaki dan wanita.keperluan menjaga kebersihan .sabun yang sesuai.
5.haid dan penyakit2nya.
6.kejadian persenyawaan benih lelaki dan wanita.
7.mengandung, tanda2 mengandung dan penyakit2 berkaitan mengandung,komplikasi mengandung.
8.perkara2 yg harus di lakukan olih pasangan bila mengandung, amalan2 afdal,makanan yang direkomendasi.
9.keperluan pemeriksaan kesihatan semasa mengandung.
10.persediaan bersalin.dimana hendak bersalin.
11.persediaan menyambut kehadiran bayi.
12.penyakit berkaitan hubungan sex rambang, homosex, lesbian .[penyakit kelamin].
13.musibah berkaitan serangan sexual , [mencabul,rogol].apa harus di lakukan.laporan polis, pemeriksaan medicolegal, rawatan perubatan .
14.perlakuan sex abnormal, kaitan nya dengan undang2.
15.kegiatan sukan lasak, adakah mencederakan lapisan dara? pemereksaan yang di benarkan.
16.pengguguran ; kebenaran melakukannya dan kesan2nya.
17.penyakit kegagalan fungsi alat jantina lelaki dan rawatannya.
18.konsep perancang keluarga [keluarga berencana].

Anda mungkin ada persoalan yang ingin di ketengahkan.maka jangan malu untuk bertanya.

Electrostatic Therapy

Yesterday I passed through a row of shoplot nearby to my clinic. I noticed there was heavy activity inside the shop. It was full of old folk, whom some of them, I know.

There was a big banner at the shop; "wellcome for free electrostatic therapy". No risk, can cure your hypertension, stroke, diabetes, asthma, gout, and other illnesses. Certified by thousand of doctors of Japan. No wonder it is full house, because it is free.

I wounder what kind of treatment these people get.What benefit did they get. I just don't have chance to try the therapy because most of their patient I know. I have treated them somehow, or may be met at the mosque.I have been practiced in this town for 15 years already.

If anybody know about electrostatic therapy , please write in.I want to hear your view.

My recipe for control of influenza A

Basically we must take precaution and practice of good habit to control this current outbreak.To some it does not matter if another person get infected, and died because the total number of people die of road accident is much higher.Even the number of people died of assault also higher.

To me it is important because the infected person won't be able to work and bring food for the family.The lost of manpower by the industry is subsequently high.

One should :
1.Not go out to public when there is outbreak .
2.Stay indoor, and concentrate to inhouse activity.
3.Child or person with compromise medical conditions, poor immunity status such as, the sick, child, very old age, canser patients, should wear protective mask especially in public places.
4.avoid over exhaustion,
5.avoid consume iced drink,cold drink, ice cream, etc
6.if possible only drink boiled water, if not possible ,take only bottled water .
7.practice good personal hygiene habit, such as wash hand befor and after preparing food, eating,or touching other person.
8.avoid oral sex .kissing.
9.take vit c , and or multivitamins as prophylaxis, to increase your immunity.
10.ensure you have agood rest after doing your task.

when you get sick:
1.use mask , all the time, at least the n95.if lesser than that, it won't be effective to control spread of bugs.
2.stay indoor, do not meet people or go to crowded places.
3.use tissue paper if you have to [to cover your face when you sneeze, and throw it at proper places.handkerchief may spraid infection.
4.drink alot of water.
5.take medication for symptoms of the flu.
6.take alot of vitamin c, at least 1 gm daily.fruit juice do help.
7.gurgle do help to control sorethroat.any brand will do.
8 see a doctor, because you can't treat yourself.
9.avoid spitting at public places.
10.avoid travel to other places.postpone your appointment.