Cardiovascular Cartography...

Isnin 19 Oktober, selesai sahaja solat subuh , aku dan zauj bergerak menuju ke Melaka untuk mendapatkan rawatan jantung di Dr Ishak and Surgery. Awal kami tiba, belum pun pukul 8:00 pagi dah sampai. Perjalanan dari JB ke Ayer Keroh cuma mengambil masa 1 jam 30 minit sahaja.

Jalan raya tidak sibuk seperti hari hari perayaan. Lagi pun hari Isnin, kebanyakkan orang ramai dah mula bekerja selepas bercuti hari Deepavali. Tiba di pusat rawatan terus aku mendaftar untuk bertemu doktor. Rupanya Dr Ishak, tuan punya pusat rawatan telah bersara dan diambil alih oleh anaknya, Dr Shahleen.

Aku diterangkan berkenaan dengan "Cardiovascular Cartography - A New Non-Invasive Technique to Detect Coronary Artery Disease".

Apakah yang dikatakan 'Cardiovascular Cartography'?

Tadi aku ada hantar email untuk mengetahui apa itu Cardiovascular Cartography, ini jawapannya. Cepat dan pantas mereka menjawapnya.

"Cardio-vascular Cartography is non-invasive technique through which one can detect blood flow in the arteries of heart. One can also know about ischemia or narrowing of the coronary arteries. The new machine also informs about the blood flow through kidneys as well. This test is used for routine periodic monitoring of heart condition. It takes about half an hour to complete the test."

"Cardiovascular screening to exclude coronary artery disease (CAD) forms a very important part of any aircrew evaluation. A routine ECG forms part of initial evaluation for aircrew duties. As the incidence of CAD is age-related, repeat ECG examination and even periodic Bruce protocol stress test are mandatory requirements by certain Regulatory Agencies including India. Routine use of cardiac stress testing has been controversial because of inadequate specificity when applied to an asymptomatic population. At times further invasive tests for delineation of the coronary arteries become necessary with avoidable stress and even risk to life to the apparently normal aircrew. Availability of population health data and increasing use of computer applications in medical database management have made risk analysis and risk stratification easier and more reliable."



1) What is Cardiovascular Cartography?
• This is a new technique for the early detection of Coronary Artery Disease (CAD)

• The information obtained by cartography is not provided by the existing cardiac diagnostic tools

• Some of the information was never possible, non-invasively, earlier

• CAD is a progressive silent killer and if left undetected at its early stage leads to ANGINA PECTORIS [Chest Pain], MYOCARDIAL INFARCTION [Heart Attack], SUDDEN DEATH

2) Who requires Cartography? Ini sebab aku dikehendaki melalui ujian ini.

• Those who have had heart attacks and undergoing treatment

3) What are the Advantages of Cartography?
• Non-Invasive procedure

• No Pain, No Anesthesia, No Catheterization

• No "after effects"; No physical / mental stress

• Can be repeated any number of times, unlike invasive methods

• No hospitalization

• Provides 5 page colour report on the functioning and current status of the heart

• Indicates Myocardial (Heart Muscle) blood flow and oxygen demand and supply for every beat of your heart

• The report is fully evaluated by an experienced and specially trained cardiologist providing you with expert advise/comments

• Offers panoramic data of the heart for future monitoring/comparison for the treatment

• The entire package is cost effective

4) What should you do before coming for the test?
• Should have been fasting for 6-12 hours

• No drugs for a period of 12 hours

• no alcohol/smoking or tobacco for 12 hours

• No stimulants like coffee/tea/soft drinks for 12 hours

• No physical exercise/long walks 12 hours before test

• May take only little milks or water during fasting

• Empty the urinary bladder before procedure

Entry kali ini cuma nak cerita kan tentang ujian Cardiovascular Cartography saja. Nanti akan ada lagi sambungannya...

Selepas menjalani rawatan circulation selama 3 jam, hingga aku terlena di kerusi, laptop on tapi internet slow, jadi tak dapat juga untuk aku melayari halaqahnet sambil circulation berjalan. Masa nak pasang drip tu, aku sangat marah dan geram dengan nurse yang cucuk jarum ditangan aku.

Aku memang sejak lama dah tahu, saluran-saluran darah di tangan aku ni halus.Memang agak sukar untuk nurse atau doktor mengambil darah. Selalunya, untuk ambik setabung darah atau nak buat 'line' mesti kena cucuk 2,3 kali baru dapat. Hanya doktor yang mahir sahaja dapat cucuk sekali terus dapat 'line' darah.

Ini rupanya yang dikatakan ' line' , senang nak masukkan darah atau air mineral.

Tujuan buat 'line' jika aku dimasukkan ke wad adalah senang untuk 'drip'samada air mineral, atau masukkan antibiotik atau ubatan. Selali 'line' ni dibuat ditangan sahaja, jarang ditempat lain. Cuma pernah sekali hari tu, oleh kerana tangan-tangan aku dah bengkak membiru kerana banyak kali di cucuk ambik darah, lepas tu 'line ' tu blok, maka 'line' baru mahu dibuat. Masa tu, aku di dalam Dewan Bedah. Mereka buat 'line' dileher aku. Ngerinya tidak terkira, macam aku rasa nak disembelih .

Masa di di Pusat rawatan tu, dah nurse tak berjaya buat setelah 2 kali cubaan, barulah dia panggil doktor buat. doktor pun sama juga mula-mulanya, sakit ,lepas tu jarum yang dah dicucuk itu digerak-gerakkan mencari sasaran saluran darah agar mengalir keluar. Dah berjaya, barulah drip dipasangkan untuk rawatan 'circuation'.

Dari jam 10:00 pagi hingga 1:30 baru selesai rawatan tu, dan diberikan ubat, terus aku balik bersama-sama zauj. Sampai tertidur-tidur zauj di sofa sementara menunggu aku selesai rawatan.

Kami berhenti solat jamak taqdim di Hentian Kulai. Sampai di rumah jam 5:00 petang dalam keadaan letih dan lesu.

Impianku menjadi isteri solehah