Day 7 Ramadhan 1434H

So pagi semalam pergi SDMC utk buat urine and blood test Sarah. Ni disebabkan a spike in the creatinine level detected in her blood last month. I tanya jugak kat prof, is it because the reference standard from the lab tu derang tukar ke more smaller range thus giving false High value kan. But prof said, no, because prof is referring to Sarah own baseline. Meaning all the while sarah punya blood test shows her normal range is between 30 - 40. So yesterday result pun sama macam last month. Sigh :(. Annndddd there's trace of protein and sugar in her urine...oh my. The result collected from the blood and urine sample ni trigger the needs for further investigation.

So we are directed to the imaging department to have an ultrasound perform on her abdomen and pelvis area. After an hour, the report came out, Alhamdulillah. Semuanya ok, liver, kidney, spleen, gal bladder, urine bladder, semua normal. Then, one more set of urine and blood test need to be done, tapi kena puasa. So last night kena puasa lah  sarah sampai pagi ni lepas test baru boleh makan.

Sampai spital tak boleh nak kencing lah pulak. Bagi dia minum air kosong secawan, pusing2 kat lobi sampai pukul 10 lebih baru boleh kencing. Tu pun dapatlah ciput aje nasib baik cukup.

Setel tu terus bawak dia makan kat mamak. Pastu masuk balik tunggu prof masuk. Lama sangat tunggu, sempat sarah kencing 2 kali. Pukul 11.45 prof masuk, tapi kena tunggu turn jugak, so pukul 12.15 camtu barulah dapat jumpa.

Masuk2 prof bgtau "it's not diebetes".......whoaaaa terus rasa nak sujud syukur kat situ jugak. But after long explanation, summary yg i ingat is Sarah ada infection. That infection menyebabkan creatinine level spike dan juga dapat kesan protin dan sugar kat urine tu. Her glucose level today is 4.3 which is normal. What cause the infection is by some bacteria (also detected in her urine) that he is not sure where the source from. But he will request the lab to culture the bacteria from the urine sample. If they manage the culture it they might be able to identify it further and be more sure of the treatment. Where is the infection? I macam blur2 sikit bab ni, but according to him, the infection if we leave it be, in the loooooonggg run, will cause kidney failure. It may take years because normally there is no symptom shown that the affected person might notice. Kidney failure is a big thing isn't it.

Macam sarah ni, actually she look fine and healthy...active...no complain masa peeing, she drink a lot of plain water. So memang takde tanda pun ada infection. The only reason we found out pun sbb the routine blood test  shows the reading lari from her baseline reading.

So prof prescribe an antibiotic. A super bitter taste of antibiotic. Prof said even he don't want to take it hahaha. He ask me to try it if i don't believe him. But its a very effective type of antibiotic katanya. Cuma memang semua patient dia sangat2 tak suka sbb teruk benor rasanya tu.

Sementara menunggu the pharmacist compound the ubat, i kenalah bg sarah makan n minum lagi sbb nak collect urine sample lagi utk culture the bacteria kan. Prof said must collect mid-stream, meaning lepas cuci bersih2 pepet tu, jangan terus collect kencing yg keluar awal2, tunggu jap utk elakkan unwanted bacteria from outside termasuk dalam sample. So i count 2second then cecepat tadah. phewwww ....gitu lah cerita macam mana nak ambik sample air kencing. Sian korang baca citer kencing sarah ahahaha.

Pukul 1.45 baru dapat balik. Sabor je lah pinggang n kaki ni macam nak tercabut duk kulu kilir kat spital tu.

Our menu buka puasa today, cencaru bakar-bertukar menjadi cencaru sambal. sup cendawan, telur dadar dan karipap segera. Ada kisah jugak di sebalik program masak2 petang tadi tapi malas nak tulis sbb nanti sakit hati. Biarlah.