GP Attachment in Newmarket Day 7

Assalamualaikum.

Hoyeah hari ni balik awal. Sebab every petang selasa, either pergi pharmacy ataupun pergi community hospital. Last week dah duk kat pharmacy, so minggu ni pergi community hospital. So, my GP pun suruh lah carik patient yang ada signs of Parkinson's Disease (PD). Mula-mula sampai, macam blur jugaklah, nasib baik ada Matron yang so baik. Dia suggest dua patients.

Sorang ni makcik A. So, aku bacalah medical charts ke report dia. Ada satu soalan tu what is the fondest memory you ever had? Jawapan dia holiday with family in France. Ya Rabbi. Masa tu rasa nak jatuh air mata. Sebab kesian sangat tengok patient with PD. Makcik tu sekarang kiranya macam dah tahap end stage PD. Masa sembang ngan nurse tu, dia pun macam sayu jugak tengok patient. Aku just cakap, just pray for the best. Sebab memang takde harapan untuk pulih la pun melainkan dengan kuasa Allah. 

Kemudia seorang pakcik B. Umur 90 tahun. Mula-mula sembang ngan lah pakcik ni. Dia quite deaf juga so terpaksa la tinggikan nada suara. Dah duk kat situ almost 2 years dah. Aku pun saja laa tengok wrist dia, yup ada rigidity. And then bila baca geritrician punya report about pakcik ni, memang dia ada idiopathic PD.

Antara signs of PD yang doktor reportkan ialah slowness in movement, decline mobility, history of falls, expresionless face, festinate gait, cogwheel rigidity, shuffling steps and reduction in arm swings. So current medication dia ialah Sinemet. Apakah itu Sinemet?

Antiparkinsonian agent.

For treatment of Parkinson's disease and syndrome. 'Sinemet' is useful in relieving many of the symptoms of parkinsonism, particularly rigidity and bradykinesia. It is frequently helpful in the management of tremor, dysphagia, sialorrhoea, and postural instability associated with Parkinson's disease and syndrome.

When response to levodopa alone is irregular, and signs and symptoms of Parkinson's disease are not controlled evenly throughout the day, substitution of 'Sinemet' usually reduces fluctuations in response. By reducing some of the adverse reactions produced by levodopa alone, 'Sinemet' permits more patients to obtain adequate relief from the symptoms of Parkinson's disease.

'Sinemet' may be given to patients with Parkinson's disease and syndrome who are taking vitamin preparations that contain pyridoxine hydrochloride (Vitamin B6).

So itulah kisahnya. Masa lepas tengok report pakcik ni, aku pun cakap goodbye kat pakcik ni. Hoho. Then pergi ambik beg kat office Matron and ada short chat jap. Aku pun meluahkan rasa kesian jumpa patient with PD. Sebab PD ni idiopathic, we dont know what can we do to prevent it from happen. Tak boleh nak cure pun cuma boleh control symptoms and lambatkan deterioration of the disease. This is so sad... And kisah pakcik tu lagi laa sedih sebab dia tak kahwin, yang jadi primary carer dia is nephew dia..

Then keluar je dari sini, dalam kesunyian petang dan keseorangan aku, rasa hiba menyelubungi diri. Sebab bila sembang ngan atuk 90 tahun tu, touching his hand, oh ya Allah, teringat kat arwah atuk yang meninggal end of March tahun lepas.. Sebab tak sempat jumpa atuk. Last jumpa masa september 2012 kot. Huhu. Whatsaap kat family and housemates kata nak nangis, padahal dah nangis dah masa jalan kaki sorang-sorang balik B&B. Nasib baik takde sangat orang haha.

Everyone is so nice heree :))

On my way back to B&B. Di pathway inilah dipercayai bahawa saudari Norain a.k.a Noreen (Irish name aku) tersedu-sedan. HAHA

Okey sekarang ni nak cerita aktiviti sebelah pagi pulak. So pagi ni dengan nurse. Ada seorang pakcik ni, haha habis complete clinical procedure aku. Ambik blood pressure, pastu buat phlebomotomy kat dia, pastu buat urine analysis, pastu pasang ECG, pastu buat intramuscular injection kat dia. Satisfaction betul dapat buat semua. Nurse macam tanya, nak buat tak? Aku yup yup sure laah. Bila lagi nak dapat peluang praktis ye dak. So kalau GP and Nurse suruh, grab the chance! Tak menahan masa nak pasang pelekat tu, lupa pula 6 places tu, hoho. Bila pakcik tu keluar, he said all the best. Haha. One thing yang suka duk GP ni, sebab patients selalu wish goodluck and all the best bagai, feel blessed sungguh~ 

So itu je lah cerita hari ni. Takleh dilupakan ada seorang makcik ni. Dia datang buat cervical smear. I think she's very worried laa. And nurse aku masa hantar dia keluar pintu, nampa makcik ni berair je mata dia, pastu cepat cepat dia panggil balik if she want a cup water coffer or tea ke, so makcik tu pun masuk balik sambil lap lap air mata dia. Hoho. Bagusnya nurse, cepat je perasan perubahan emosi makcik ni. Lepas sembang-sembang, baru nampak dia okey and baru say goodbye kat aku. 

Okay, that's all for today. Sekian, wassalam.