Size of smile matters

Seen by many,known by few.

It happened for A Reason



"I'm not sure.You tell me,what should I do?"


"Listen here.Time is money.Don't waste it,"she said.

It was 5 yearss ago.


I don't understand it back then.

It was true indeed;I thought.


Today's she's my medical officer and I'm working under her taking her her orders.


It's humiliating but she treated me like a friend.Yet,it not the same .


"Next week I'm going to Sarawak,"she said.

"Why that far?"


"I applied for Selangor but they simply threw me there."


"Everything happened for a reason,"I tried to console her.



She smiled.


Maybe,even if its delayed,there's a reason for it.Doesn't mean those who went forward wins  nor those who finished late didn't make it.


EVERYTHING HAS A REASON 



Humiliation That Matters






He opened the newspaper, which blocked his face from mine. I didn't know if it was intentional but I felt it was. It's a normal norm here.I realized it during my first week there itself. 6 years later, nothing changed.




I kept quiet and turned to the peon next to him.

I smiled but he didn't react. That place had an eeric silence.


"Did I asked you to come in?" he moved the newspaper and asked in a rude tone. His eyebrows peaked. 


I strained my brain for an appropriate answer.


I don't know why human have to behave such a way.

I kept silent. 


I know he going to screw me. He probably  circled my name and cancelled my visa for the upcoming year. 


I fixed my gazed down and came out. 

After all, he just a passport office staff. 

"I've never been so humiliated," my another friend said. 

He was treated worser than me.


"What happened?" I asked. 

'Let go far first.'"


"One day, this shall pass. We should be someone so big that no body disrespect us."


I winked at him.


"Is it possible?"

"It is," he said..

The conversation that these pictures reminds me of.


One day everything will be different.

It's Hurt because it Matters

 


"You're not starting back?" He asked his friend.

I heard their conversation. They were just few steps away from me. 


"Have too. Not sure when. Did so much of damage in past few months. Too much of pain within ," he sighed.


I don't really understand what's the issue but he continued, "So often we try to make other people feel better by minimizing their pain. By telling them that it will get better;which will with time or  saying that there are worse things in the world."


"There are for sure," his friend uttered. 


"What people really need is for someone to tell them that it hurts because it mattered," he replied. 


I looked at them.

'How true I thought.' 


Sometime I felt, we can't go back and change the beginning. What happened meant to happen.The damage and dramas were there for a reason. But you can start where you are and change the ending. 





 




Kidney Failure and The Thirst

 



H20. Water.One of the factor that makes our planet liveable.

Fluidity, It's unique in it's own way.


"Aunty, are you aware that you shouldn't drink more than 500ml of water per day?" 

She looked at me with a grumpy face. 


"That much for 24 hours??" she asked morosely pointing at the small water bottle beside her bed. 


"15hours,if you sleep for 9 hours per day."


I realized that the fact doesn't make a difference. She was still a sullen person. 


"Before my kidney gone, everyone asked me to drink water properly. Now, everyone asking me not to drink. Such a cruel world,"she complained.


I just smiled and continue writing my review. 

The ward was chaotic that morning.Like a natural disaster's emergency health camp. 


Acute cubicle literally turned into ICU. Half of the patients were intubated. 

Subacute cubicle seems more like an acute cubicle. 

From Bed 37E's cardiac table,I can see the acute cubicle nurses were talking in hushed voices. 


In the midst of a tensed morning, what she just said was still echoing in my head. 


Water is your friend if you have a healthy heart and kidney. It became your enemy once it's dysfunctional. 

Irony of life. 


"Did anyone told you that when you're thirsty, you can put an ice cube inside your mouth, let it to melt and the thrist will subside ?" I asked the patient that was admitted for shortness of breathing for fluid overload. 


She gave a puzzled look.

"Noo."


An ice cube is roughly about 30ml but it overcome the thrist for a good period of time. 

Or we can get a water spray, fill up with drinking water, spray into our mouth whenever we're feeling thirsty;if we have to restrict our fluid intake. 


The tricks were simple but unfortunately, it never reach the people that need the most. 








Learnt the Correlation of Smoking and High Hemoglobin

 





Smoking can lead to an increase in red blood cells. 

To compensate the decreased oxygen delivering capacity, smokers maintain a higher hemoglobin level than non-smokers .

Sometimes, I used to wonder "Why this patient' s Hb is so high? "

Back then, I don't know the correlation between smoking Hb, hematocrit etc.





 The hematocrit is the proportion, by volume, of the blood that consists of red blood cells. It's normal value for a male less than 60 years old is less than 46% and 42% for someone more than 60 years old. For female of all age groups, it's less than 42%.
 If hematocrit increase, means your blood is getting thicker. If your blood is getting thicker, the flow will get sluggish and from there all kind of problem arise. 


Smoking deprives the bone marrow of oxygen, and it's tricked into thinking that it needs to boost its production of red blood cells, the carriers of oxygen.

The blood cells crowd the circulation and cause blood to flow sluggishly. That brings on a number of symptoms, like headache, dizziness, ear ringing and a rise in blood pressure. 


If you want to know more about your health status, send pictures of your blood investigation, xrays, lipid profile, renal function,etc to pranasteya@gmail.com and we will explain to you regarding your health status.
*More info about heart attack, diabetes, stroke, kidney failure, wound care etc.


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