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BORAK KOSONG, CHAT, GOSIP, LUAHAN DAN BERSANTAI DI BOD PERUBATAN
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alah macam chain of restaurant yg sesuai lah utk org yg tak poket dalam mcm saya ni ha
org lain most likely makan kat bigger or fancier restaurants
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penah gi situ
eh, ngapa jika kita nak ke KL, kdg kdg kena lalu kot kota kemuning tu?
besar nye rumah2 kat situ
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Album diorg yg dapat 2019 Grammy nomination for best recording package.
Doc. I have a question. Currently I undergo anti-viral drugs treatment for 1 year for hepatitis B. my doctor prescribe me 0.5 mg Entacavir monohydrate, daily oral intake. tapi I perasan, sejak I amik drugs tu, my heart beats is lower than 60bpm, eventho masa I tengah duduk buat kerja dekat office. waktu tidur boleh pergi lower sampai 45-50 bpm. I tawu sebab I pakai Iwatch masa tidur, semata mata untuk detect my heartbeats. & memang naik notification yg my heartbeats is low. oh ya, I pernah sekali jatuh tersungkur kat office, perasaan macam gelap mata macam tu.
kalau I seorang yg active, i mean athlete, I rasa benda ni normal. tapi I bukan seorang yg active. bila I tanya my doctor, dia cakap, drugs tu sangat bagus & almost tiada side effect.
what is your opinion, doc ipes.?
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Assalamualaikum Dik Nisa,
Alah awak tak tag, jadi terlambat sikit sy jawab.
Bukan lah bidang sy Hepatology / Infectious Disease ni tapi kami biasalah dgn pesakit2 yg ada liver issues dan on NRTI macam entecavir ni.
Entecavir ni boleh cause dizziness dan fatiguibility tau (ie jadi tired); Hep B tu sendiri pon dah boleh dah rasanya cause tiredness, so kira mcm extra hit la. Takde la pulak slow heart heart tu di listkan sebagai side effects nya. Ada la satu report bahawa 1 patient ada bradycardia masa ambik entecavir, tapi itu mungkin sbb drug interactions maybe.
Oveall, maybe fatiguibility dan tiredness plus dizzziness yg buat kan awak jatuh? sy tak boleh explain pulak that bradycardia (slow heartrate)
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Edited by anissa_kyra at 20-12-2018 08:34 AM
Thank you doc for the explaination.! susah nak dapat laymen terms & faham kalau baca in medical terms. haha.
I akan refer to my specialist masa next visit, tapi lambat lagi la nya, bulan Feb 2019. tapi maybe saya akan pergi jumpa cardiologist dulu kut. saya ada baca, yg slow heart rate ni macam tak bagi apa2 effect & kalau lagi slow masa resting, lagi bagus. cuma bila ada symptom2, tu kena risau sikit. one of the cause, maybe low thyroid function.saya mungkin akan option utk buat hormon test for thyroid, sebab recently rambut saya gugur teruk & saya syak macam saya ada hypothyroid.
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ya, do TFT
pasal bradycardia ni (slow heart rates), jika ada symptoms, kita kena tgk la ECG
kot kot ada heart block ke etc
biasanya jika awak fit, jika awak ni athletic, heart rate awak akan jadi mmg slow
tapi tk lah sampai ada symptoms
awak on any other meds tak
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Edited by anissa_kyra at 20-12-2018 11:56 AM
sure, I will do TFT. Thank you for the advice.
tapi doc, it will go very low bila saya tidur. cth, kalau masa working at desk kat office, dalam range 55-60 bpm, tapi bila waktu malam, macam lepas solat isyak then rest tengok tv, dlm 50-55 bpm, lepas tu tidur, range paling low saya pernah experience dlm 42-50 bpm continuously start drpd saya tidur, sampai la saya bangun. ni based on log data dekat iphone saya.
kalau heart block pun memang boleh contribute to bradycardia ke.? I thought, cuma the abnormal electric pace dekat jantung yg buatkan heart rate saya jadi abnormal.
saya tak ambil ubat lain, setakat ni memang on entacavir sahaja.
saya pernah buat ECG dekat clinic biasa saja, masa tu dah 3 weeks sakit continuously dekat dada sebelah kanan. doctor tu ingat saya sakit jantung. tapi dia cakap, ECG saya normal & okay, so sakit dada tu disebabkan inflammation dekat rawan tulang rusuk kanan sebelah bawah.
saya takut saya tak pass next year punya medical check-up untuk offshore je hehehe
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Salam semua, selamat malam. Dokte ipes2 or org2 lain saja nak tanya, memang kebiasaan ke doktor akan guna my nurse, my Ho, macam own diorang tu? kalau my patient cam tak rasa sangat sebab pesakit memang memerlukan rawatan dari doktor tu sebab senampak saya doktor ni bekerja secara berkumpulan, . Tapi yang jururawat dan HO tu macam memiliki orang tu pulak? kenapa tak gunakan our ? Sebab mereka2 di bawah jagaan seseorang doktor itukah? Begitukah?
Tanya je sebab tertanya2 juga bila dengar begitu cam ngengadenya dokter ni  |
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Saja nak tanya..
Akak awal tahun hari tu berat 58kg.. pastu tak lama turun 55kg.. pastu turun lagi 48kg.. pastu makin turun and turun and now berat tinggal 45kg je..
Kenapa ye?! Padahal makan macam biasa je! Risau.. |
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awak muda belia doc ingat awak sakit jantung?
aih 26yo jarang sgt lah.. jika ada pon hal hal jantung yg lain dan bukan coronary (''sakit jantung'' ni coronaries la kan in malay term?)
''right sided costochondritis'', ok, a good diagnosis from that doctor
if kat sini, jika ada symptoms dah bradycardia you tu, kami dah buat 24-hr Holter monitor dah
i'd like to remind you that fit and atheletic people go into deep sleep with their heart rates in the 40s
pasal heart blocks, there are many types:
1st Degree Heart Block
2nd Degree Heart Block (ada Type I and Type II)
3rd Degree Heart Block
can cause bradycardia jugak lah
bagi sy your ECG
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di sesetengah tempat je tu mainly
saya rasa di sesetengah tempat, org sgt berbangga dengan apa sedikit kekuasaan (atau apa yg diperceieve by them as ''kekuasaan'') yang mereka dapat
kadang2, kami sebut, katalah ''my HO will do the paperwork for you'', tu maksudnya HO for that team lah.
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you lost 17% of your weight.
that is really quite alot
your brain should have stopped that
(eg suruh you makan byk2, or turunkan metab etc)
sorry to tell you, but the tak-merbahaya causes sedikit sahaja dalam situasi ini, ie:
hyperthyroidism, malnutrition, overexercising
causes yang lain semuanya category merbahaya
apa symptoms lain?
poo berdarah? kencing berdarah? sakit perut? sakit dada? jaundice?
if you are 116kg, becoming 90kg is hard enough eventho you mencuba
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Skincare products utk guna kena ada kelulusan KKM dan Lab Test
2-2 ni kena seiiring tak boleh salah satu
Info baru tahu ni...
So hati2..jgn terpakai produk timbang kilo ya! |
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umur saya dah 30 doc, next month dah masuk 31 hehe
ya ya betul, sakit jantung koronari, one of the cause because of high cholesterol.
so far, cholesterol saya okay. sebab saya akan buat blood test every 6 months for full blood test, & LFT, amenda lagi tah for hepatitis for every 3 months. lagi2 kalau saya renew medical for offshore, setiap company - shell, petronas, exxon etc memang required full medical check-up. kadang2 setahun tu buat full blood test sampai 5-6 kali bila semua medical record dah expired.
saya nak share ECG tapi dukacitanya, ECG tu saya tak dapat copy pun. sebab saya buat tu dekat klinik biasa dekat ceruk kerteh nun, ECG machine pun tak canggih, guna yg lama punya. so dia sekali keluar print macam tu je utk doctor record.
thank you very much doc ipes, so i can plan what should I do after this.
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Lain2 takde sakit apa2 pun. Risau plk!
Anyway, TQ Doc.
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Bosan betul kat ofis hari ni! Semua orang sambung coti sampai tahun baru. Mereput Hakak sorang2 kat sini.. |
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good reminder vanillakekadang, ada pihak yg tipu2 je list ingerdients.. sgt teruk penipuan mereka.. mcm mengkhianati penduduk
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no probs anissaand im happy u r well looked after by various companies
seronok nye off shore, mlm2 tgk bulan bintang ye
(seronok jika visiting la kot, bila kerja, maybe tak seadr pon the sky was full of stars)
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watch your weight tau
tak mau turun lebih2
ada sebab body kita di maintain between BMI of 18.5 to 24.9
mkn byk byk ya?
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sy lagi la..oncall ni bluerose sy nih
sy dok sligo bercuti dlm cottage tau
ada janji dgn kawan
kalau wife dia beranak sebelum 30/12/2018, sy akan buat oncall dia pada 30/12 tu
ha masa xmas bini dia beranak
kena lah cut short cuti dlm cottage tu, kol4pg bining kena drive kan sy balik beratus Km utk keje di spital hari ni cover mamat tu
cheh, tension.. padahal sy buat janji janji ayam je
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Author
Post time 11-12-2018 04:06 PM
Post time 21-12-2018 02:28 AM
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