Aku dan Statistik

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24 November 2011

Aku dan pesakit hari ini



Seorang lelaki Bangla.
Umur lewat 30-an.
Bulan ini sahaja dah 3 kali datang ke klinik aku.
Dia mengadu demam dan sakit2 badan.
3 kali datang aku check suhunya tak pernah lebih 37 darjah.
Aku tengok dia sihat macam mamat Bangla yang lain.
Aku dah syak macam2.
Malingering terutamanya.

Cukup 3 kali telinga aku dah tak tahan dengar komplen dia yang macam2.
Aku cakap aku nak ambik darah dia.
Dan masa aku nak ambik darah,
baru aku terperasan.
Kuku di semua jejarinya sangat putih.
Memang tak sama dengan mamat Bangla yang lain.
Sekarang tengah tunggu keputusan ujian darahnya.
 Dia dah berkira2 nak balik kampung.

Pening jaga mamat2 Bangla ni.
Kalau 5 orang sekali datang cukuplah.
Semuanya sakit yang berlainan.
Komplennya macam2.
Biasanya aku tak tahu apa sebenar sakitnya.
Yang kepenatan bekerja.
Yang kurang zat.
Yang kurang darah.
Yang kecacingan.
Yang sakit malas pun susah nak bezakan.

Selalunya aku kasihan dengan mereka.
Datang ke Malaysia berhutang keliling pinggang.
Sampai sini kerja teruk nak mampus.
Hari2 kerja dan jarang bercuti.
Gajinya habis untuk tolak hutang dan makan.
Tempat tidurnya ala kadar.
Kebersihan diri pun ala kadar.

Aku tak tahu sampai bila.
Kita terlalu bergantung dengan tenaga warga asing.
Tanpa warga Bangla dan Indon,
Kilang2 tak boleh siapkan barang.
Shopping complex tiada siapa nak bersihkan.
Tandas2 awam pun tiada yang nak cuci.
Kelapa sawit tidak boleh dituai.
Sayur2an tidak boleh dipetik.
Bangunan2 tidak boleh disiapkan.
Malah warung2 mamak pun tidak boleh buka 24 jam.

Sampai bila ya?


Nail color and texture can reflect a wide range of medical conditions.
WebMD Feature
Reviewed By Brunilda Nazario

Take a good look at your fingernails and you may notice subtle variations in the texture or color - a touch of white here, a rosy tinge there, perhaps some rippling or bumps in the surface. These imperfections may not look like much to you, but to the trained eye they can provide valuable clues about your overall health. 

"Just like the eyes are the window to the soul, so are the nails," says Tamara Lior, MD, a dermatologist with Cleveland Clinic Florida. Lior says she once convinced a patient to have his lungs checked after noticing a bluish tint to his nails, a sign that he wasn't getting enough oxygen. Sure enough, he had fluid in his lungs.

Warning signs for many other conditions, from hepatitis to heart disease, may also appear in the nails, according to Joshua Fox, MD, director of Advanced Dermatology and a spokesman for the American Academy of Dermatology. 
"Changes in the nails can be a sign of a local disease like a fungus infection or a sign of a systemic disease like lupus or anemia," Fox tells WebMD. 

He says he sometimes tries to guess if a person has anemia by looking at his or her nails. He explains that pale, whitish nail beds may indicate a low red blood cell count consistent with anemia.

An iron deficiency can cause the nail bed to be thin and concave and have raised ridges.
While most of Fox's patients don't come in to report nail problems, he often checks their nails anyway. 
"The nails offer many little clues to what's going on inside you. Lupus patients get quirky, angular blood vessels in their nail folds. Psoriasis starts in the nails up to 10% of the time" and causes splitting and pitting of the nail bed.

Heart disease can turn the nail beds red. Obsessive-compulsive disorder can show up in the nails through persistent nail-biting or picking, Fox says.
Even common disorders like thyroid disease can cause abnormities in the nail beds, producing dry, brittle nails that crack and split easily.

He lists the following 10 examples of nail changes that could indicate a serious medical condition.

What Your Nails Say About Your Health:
10 Possible Signs of Serious Conditions
Nail Appearance Associated Condition
White nails Liver diseases, such as hepatitis
Yellowish, thickened, slow-growing nails Lung diseases, such as emphysema
Yellowish nails with a slight blush at the base Diabetes
Half-white, half-pink nails Kidney disease
Red nail beds Heart disease
Pale or white nail beds Anemia
Pitting or rippling of the nail surface Psoriasis or inflammatory arthritis
"Clubbing," a painless increase in tissue around the ends of the fingers, or inversion of the nail Lung diseases
Irregular red lines at the base of the nail fold Lupus or connective tissue disease
Dark lines beneath the nail Melanoma

source: www.medicinenet.com

2 ulasan:

  1. thanks doc! good info, need to copy this and save it as a reminder.. :)

    BalasPadam
  2. Kesian mereka kan. Kerja teruk , layanan majikan pun teruk.Masa saya praktikal mamat bangla luka parah hampir terpotong jari, lepas jahit kat klinik, balik kilang kena keje balik. Kat tempat saya surau penuh dengan bangla saja.

    BalasPadam