Irfan being allowed home

The good news for the day was Irfan being discharged. Dad was also doing much better but was complaining of being hungry. He was fasted since admission and that will likely continue until he has his scope done. They were planning to do it later this morning in CCU itself. At least he was spared from having to be moved.

My Cardiology friend saw him this morning and did a scan of his heart. His heart was beating away fine and after he assured us that once the transfusion took effect, he should make a full recovery. His Hb level this morning was estimated at around 8.8 although we were still waiting for his other tests.

He was clearly getting bored and I must say I was not much of a company. What' was more important was for him to have some rest. We were cutting visitors to the absolute minimum while he recovers. It was very likely that he will be staying until the weekend.

As for Irfan, Mum and the driver will be picking him up and Puan Anita. My wife was understandably anxious to see her father. She has not met him since the fall as she was occupied with Irfan. At the moment Dad was hungry and bored which as far as I am concerned are good signs. I had to put up notices at the entrance of his room to stop the Medical Students from coming in to examine my Dad. A few of them turned up earlier this morning. Their final exams were just behind the corner and my Dad does have some good clinical sign.

Swinging by to visit Irfan

Dad has already been transfered to CCU and completing his transfusion. A bit more settled in a quieter room. Hopefully he will catch some sleep tonight. Breathing was also slightly easier although he still needs close monitoring. I have already asked my on call colleague to drop by tonight before leaving.

The main lobby still in festive moodAfter he was settled, I then headed across to Pantai to visit Irfan. He was already asleep by then and I did not want to wake him up. He was already back to his usual mischief today, bullying my Mum to buy him toys and junk food. His appetite was already back ad even the nurses were surprised at how much he gobbled down his gob. I was writing this while catching a cup of coffee at the Starbucks at Pantai. Needed that to keep me awake for the drive home.

Jambu anyone?

A hectic day as expected. It started off with sorting Idlan out in the morning. He needs his susu and puffers. After shower I headed straight off to UMMC. Dad was stable overnight although it was still clear that he was not stable. He needed more transfusion but with his age, we have to be careful not to give it too quickly. I asked my Urology and Cardiology colleague to have a look at his relevant parts.

He finally had his transfusion late on. He looks OK but was still unstable to be moved off the ward for scans and tests. He was also too unstable for any scopes. Transfusion is what was needed and he will be having them soon.

As for Irfan, his blood count on admission was high and to be on the safe side, he is staying for another day of antibiotics. Very likely he will be discharged tomorrow. At least I will just have to worry about Dad then. Also learned that United won the League Cup last night although rumour has it that Vidic should have been sent off for a foul. I don't believe in those kind of rumours of course.

The next order of business after I finished with Dad would be to stop by at Pantai to visit Anita and Irfan. My Mum has been looking after him all day while Anita came back home to see Idlan. Irfan's pet hamster, Bob has unfortunately died! According to Idlan it was because Irfan was not around to look after her! Need to make sure that Peter the Hamster - Idlan's pet - is fully fed when I arrive home later.

For lunch today I had a double dose of jambu with asam! Nice!

Now at UMMC Casualty

It certainly has been a hectic morning. He had a fall in the toilet leaving him with a massive bruise around his left eyes. Arranged for Dad-In-law to come to Casualty while I raced to get my Mum, sending her to Pantai to keep Anita accompany for the day. I left after Idlan woke up and had his breakfast and inhalers.

Irfan was much better this morning. Dr Azam came to review and was happy with his progress. He is likely going to be allowed home tomorrow.

Dad finally arrived at Casualty at around 9. His blood pressure then dropped needing resusciatation. Thank God he responded well to initial treatment and it soon became apparent that he has had internal bleeding. The bleeding has caused his pressure to drop causing him to be dizzy.

While in the toilet this morning, his blood pressure dropped so low that he lost conciousness. He was about to do his business but the next thing he remembered was he was already lying on the floor with a sharp pain on his left eye and left side of the face.

He still managed to pick himself up and went back to sleep. When he woke up later that e realised he was not able to open his left eye. It was shut due to severe bruising and swelling. His vision was still OK however. That was when I was called.

To cut a long story short, it was again his warfarin causing his blood to go too thin. He has since lost blood through his intestine. At the moment he was having blood transfusion in Casualty as well as antidote for the warfarin. Luckily his brain scan was clear with no internal bleeding. It could have been worst.

Looking after Idlan at home

Spent the night with Idlan with Anita looking after Irfan in Pantai. It turned out that Tok Abah started having black stools again. He was feeling weak and will need sorting out. Will need to sneak into the ward to organise blood tests for him.

To add to that, my abstract has yet to be completed and I have the Revision Course to sort out the week after. Deadline is looming. No rest for the wicked but at least the tsunami was not heading this way!

The plan today is apart from sorting out Tok Abah, I will need to do some writing. Will also pop by with Idlan at Pantai as he misses his Mum. He was calling for her all night. Luckily he is now back asleep.