Mari Berbuka
Berjaya membuat sate goreng itu dengan jayanye. Sedap. Bleh buat lagi. Hoho. Sebab takde timun, maka improvise dengan salad ngan cherry tomato. Sedap juge.
Sabtu ni plan nk ke Connemara pulak. Si Katha sudah pn menyewa kereta. Tolongla jangan lupe bateri lagi!
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Semalam jumpe sorang makcik ni...current diagnosis Bulbar Palsy. From someone who's perfectly articulate, she becomes dysphasic. If the cause of her BP is Motor Neuron Disease (MND), then maybe she has only 2-3 years to live.
We just diagnose another person with MND last week and since his disease is more progressive the SPR predicts he has less than 18 months to live.
Seen too many patients with MS too...
Not forgetting those with peripheral neuropathy.
And yeah...the rare limbic encephalopathy +/- temporal lobe epilepsy.
Oh..stiff person syndromes was awesome!
Then we met this uncle who has leg cramps like every 2 minutes! (when I failed to finish the neuro exam, the neuro SPR was like," was it even a true spasm?". Then he looked at me with this expression on his face ---"you're just lazy, haa haa". Whatever. Nasib baik (could I say this to that poor uncle??) the spasms also occurred when the SPR and I went back to see the patient together. The SPR was like, "ohhh this is so wonderful, I don't know whats wrong but this is unbelievable! He really got cramps!". Yes Doctor, I wasn't lying or being lazy when I said he got leg cramps!!!
...and finally one pakcik that receives full TLC (tender loving care) since he's unresponsive - Dx of paraneoplastic syndromes. =(
Ingat buat neuro jumpe stroke patients je. Man..I was so WRONG!
Berjaya membuat sate goreng itu dengan jayanye. Sedap. Bleh buat lagi. Hoho. Sebab takde timun, maka improvise dengan salad ngan cherry tomato. Sedap juge.Sabtu ni plan nk ke Connemara pulak. Si Katha sudah pn menyewa kereta. Tolongla jangan lupe bateri lagi!
-----------------------------
Attachments so far:
Semalam jumpe sorang makcik ni...current diagnosis Bulbar Palsy. From someone who's perfectly articulate, she becomes dysphasic. If the cause of her BP is Motor Neuron Disease (MND), then maybe she has only 2-3 years to live.
We just diagnose another person with MND last week and since his disease is more progressive the SPR predicts he has less than 18 months to live.
Seen too many patients with MS too...
Not forgetting those with peripheral neuropathy.
And yeah...the rare limbic encephalopathy +/- temporal lobe epilepsy.
Oh..stiff person syndromes was awesome!
Then we met this uncle who has leg cramps like every 2 minutes! (when I failed to finish the neuro exam, the neuro SPR was like," was it even a true spasm?". Then he looked at me with this expression on his face ---"you're just lazy, haa haa". Whatever. Nasib baik (could I say this to that poor uncle??) the spasms also occurred when the SPR and I went back to see the patient together. The SPR was like, "ohhh this is so wonderful, I don't know whats wrong but this is unbelievable! He really got cramps!". Yes Doctor, I wasn't lying or being lazy when I said he got leg cramps!!!
...and finally one pakcik that receives full TLC (tender loving care) since he's unresponsive - Dx of paraneoplastic syndromes. =(
Ingat buat neuro jumpe stroke patients je. Man..I was so WRONG!
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posted by fAraHnaDiaH at
9:42 PM
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