Aiden & Yasmin room instant makeover
May 24, 2011Yasmin @ 1yr 10mth
May 24, 20111st May – Happy 6th Birthday Aiden
May 24, 2011Appendicitis > Laparoscopic > Loose internal stitches > Appendicular stump leak > Laparotomy
May 24, 2011
TIMELINE
2/4/2011
Noon – Abdominal discomfort started, bloated feel. Midnight – pain worsened. 3am sent to hospital – diagnosed with appendicitis.
3/4/2011
Laparoscopic surgery 11am
5/4/2011
Discharge
6 – 9/42011
Severe back pain, abdominal pain persist
9/4/2011
Blood test confirm infection, ultrasound shows no collection – warded
9 – 11/2011
Antibiotic treatment – Severe backpain & abdominal pain persist
11/4/2011
3pm
Abdominal CT scan (oral & rectal contrast used).
Radiologist report read (part)
There a collection medial to the caecal pole measuring 5.0 x 6.5cm in diameter and 6.0cm in height. There are contrast and pockets of air seen within.
Radiologist IMPRESSION
Post operative collection medial to the caecal pole. Contrast and pockets of air seen within.
Likely infected collection, leaking from the appendicular stump.
Surgeon decided that immediate surgery necessary.
8pm
Laparotomy surgery
Post surgery note – patient woken up immediately after surgery in severe wound pain – without painkiller. Patient was pushed to his ward still in pain. Painkiller was given about 30 minutes after patient was sent to ward.
Post surgery note – surgeon briefed patient’s wife that he discovered that the appendicular stump stitches was loose, and that has been causing internal leakage and infection. He further noted that this was his first case of such leakage since he started practice as a surgeon since 1985.
12 /4/2011
Antibiotic treatment.
Patient was given high dosage of painkiller (on request) – low dosage has no effect on severe surgery wound pain. Side-effect – nausea & vomitting.
13/4/2011
Painkiller dosage reduced to minimum as wound pain lessen.
Due to frequent vomitting, nurse advised for stomach tube insertion to empty the stomach. Patient agreed to proceed. 30min after insertion, patient vomitted the entire stomach content. Patient requested the tube to be removed soon after.
Night, patient requested to stop the painkiller as he can endure the pain and didn’t want to continue having nausea.
17/4/2011
As surgeon instructed, nurse removed the main tube for liquid discharge. Against surgeon instruction, nurse removed the secondary small tube for liquid discharge.
Patient was discharged from hospital.
Surgeon has waived his surgery fee. Hospital and anaestheologist fee were charge at regular rates.
20/4/2011
Follow-up visit to surgeon. Due to consistent amount of liquid discharge from the infection, surgeon suggested to insert back the small tube for more efficient flow. Surgeon admitted that the nurse did not follow his instruction. Patient request time to decide.
22/4/2011
Patient went to Selayang hospital to get 2nd opinion. Upon requesting a referal letter from the surgeon, he convinced the patient to come back to him for further treatment, and will not charge for his service. Patient went back to the surgeon to get the tube inserted back in.
30/4/2011
Follow-up visit. Surgeon decided to let the tube in for another week.
6/5/2011
Follow-up visit. Tube was removed.
Patient lost 5kg in 1 week of the second surgery.
The kids at Megakidz
May 24, 2011Life in February 2011
March 14, 2011Jitra – CNY February 2011
February 8, 2011Langkawi! Day 0-1 (Lots of photos)
January 11, 2011Aiden’s special request – touchdown in Langkawi
Masni’s hotel check-in ritual
1st day – 1st destination – Langkawi cable car
After 45mins Q
Personally, I think this is crazy, but brilliant
Pitsrop – milk refuel
Something you don’t see everyday
While mama having her burger
Something that I see everyday
Now this is fun
Chocolate shopping at Ismael
The magnificent Tanjung Rhu
A friendly Lithuanian tourist
My complimentary dip
Genting in half-a-tank & flip-flops
January 11, 2011Kids lately
January 11, 2011Singapore – NWKA Study Trip 2010
December 2, 2010The Sands @ Marina Bay
November 25, 2010http://azreensani.com/
November 23, 2010Courtesy & Copyright of
http://azreensani.com/
Twinkle Kidz / Bintangku Ceria – Annual Concert & Graduation
November 9, 2010It was Aiden’s first concert, so we won’t miss it for the world. Yes, we cried once he came & performed on stage.
Well done to Teacher Althea & the rest of her staff. Certainly made our day brighter!
The speech & drama team
The number 1 fan
























































































