CAse #84: The elderly woman who fell

This elderly woman fell in the bathroom and presented to the hospital complaining of left hip pain.

Here are her Xrays:

Questions:
1. Describe the affected area.
2. What procedure was done for her?

Mon, 060709 @ 0700

1.1 decade

Happy Anniversary Wifey!

Love u 1.1 godzillion times more than 11 years ago.

XOXOXO

Hubby.

Sat, 040709 @ 0700

Toilet Tale

Jimbo was pleasantly surprised when he saw a little post card slipped under the door of his office when he came in for work yesterday morning. The card was from a student who recently made a trip to Singapore and picked up the card, thinking that Jimbo would “find this postcard interesting”. (Thanks! And yes, it is interesting)

Here’s what was printed on the card:

Which begs the question: Okay, so you can’t get HIV from the toilet seat, so what CAN you get from the toilet seat?

Actually not much, from what Jimbo read on the net.

For instance you can’t really catch public lice (crabs): Crabs – also known as pubic lice – can be spread by sex play and other intimate or close contact. They’re also spread by contact with infected bedding, clothing, upholstered furniture. A common misbelief is that infestation can be spread by sitting on a toilet seat. This isn’t likely, since lice cannot live long away from a warm human body. Also, lice do not have feet designed to walk or hold onto smooth surfaces such as toilet seats.

You can’t really catch Genital Herpes, unless “Basically you have to be sitting on a toilet seat immediately after someone who has Herpes Simplex in outbreak sat on it and managed to smear a large amount of virus on the seat. You will then have to have rubbed either your genitals, anus or an open cut on your bottom or thighs on the toilet seat to catch the virus but even in an unlikely scenario like this, the chances of catching Herpes are very slim”

And basically, you can’t really get any STD from a toilet seat. “To my knowledge, no one has ever acquired an STD on the toilet seat — unless they were having sex on the toilet seat!” says Abigail Salyers, PhD, president of the American Society for Microbiology (ASM).

Still, there are some things that one can do to minimize the risk of getting an infection when using a public toilet:
* Rather than flushing the toilet with your bare hand, use your shoe. Everyone else is probably doing it.
* After washing your hands, use a paper towel to shut off the faucet and to open the door on your way out, in order to keep from becoming contaminated (but then again, in Malaysia, toilets with paper towels are rare)
* Whenever possible, use a restroom stall with toilet paper that is almost completely covered in a metal or plastic holder, which will guard against splattering water and germs.
* Use hot-air hand dryers with care. In order to feel the hot air, you might have to get very close to the vents. Don’t let your hands touch the surface of the vents, however, or you’ll risk contamination.

So, why is Jimbo talking about toilet (tall) tales?

Here’s a story.

Once upon a time, a young couple got married. As expected with marriage, the young couple had sex. Two weeks later, the wife felt pain and discomfort near her genitalia which rapidly progressed to severe ulcerations and secondary bacterial infection. Because she sought treatment late (due to shyness maybe), she was in shock and having high swinging temperature by the time she presented to the hospital.

Thankfully, with a good course of antibiotics and Acyclovir, she recovered over a period of 2 weeks. The diagnosis was Herpes Simplex with secondary bacterial infection.

The wife said she never ‘did it’ before marriage. “Ditto”, claimed the hubby but he did say he had some ‘lesions’ on his penis on and off for a long time.

The wife asked Jimbo how she got the awful thing. The hubby asked Jimbo how he got the awful thing.
The wife looked at the hubby one kind.
The hubby looked back at the wife one kind.
They both looked at Jimbo one kind.

It’s a one month old marriage.

And so Jimbo took a deep breath….

Muttered a prayer asking for forgiveness for what he was about to do….

And said…

“Maybe one of you got it from a dirty toilet”…

Friday, 030709 @ 0700

*Confession is good for the soul, bad for the reputation.

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Sleep Driving

It’s one of the irony of life and has become one of Jimbo’s pet angst every Monday and Tuesday when he travels to KL to work.

How can a highway which is meant to cut traveling time end up prolonging it?

The people who built and manage the NPE Highway have this banner displayed prominently everywhere:

It takes only 5 minutes from Point A to Point B.

Of course they neglect (or forgot) to mention (or maybe it’s in the fine print), that point A and B refer to the toll booths on either end of the highway. Thereafter, you gotta crawl to your destination.

Which is why Jimbo often wonders why he forks out RM 1.60 one way to use the NPE Highway, to travel from the Sg Besi Highway to the Bangsar Exit which takes around 5 minutes and then CRAWL from the toll to the actual exit, usually taking around 20-30 minutes! (Btw, if any people out there are thinking of suggesting that Jimbo try using the Federal Highway ~ don’t. It takes Jimbo 40-60 minutes to get from the Desa Water Park to UMMC!)

Here’s a picture of the crawl yesterday:

To add salt to the wound, there is also a banner hung at the lamp post which carries the following words:

JANGAN MENGANTUK KETIKA MEMANDU (Do not doze off while driving)!!!

It’s some kind of sick joke.
With traffic going at 5 cm/min; one could not but become sleepy an drowsy.

Jimbo thinks the people who designed and built the NPE are a bunch of idiots* with prostate problems~ imagine a 2 lane highway, fed by 2 very busy roads and one slip road from a nearby village all headed toward the Angkasapuri (Jimbo also wonders why Angkasapuri has so many employees, contributing immensely to the jam) and trying to squeeze through a very narrow underpass which has a very inconvenient traffic light in front holding up traffic!

Stupid stupid stupid people!!! Gaargh!!!!

Wed, 010709 @ 0700

*Jimbo believes that these same idiots either built or are related to the people who built the road in front of the Hospital Tuanku Ja’afar, Seremban.

Project Greener Pasture

It has been 4 months since Jimbo and family moved to their new home. In that time, the garden has started to take shape. Compared to the initial parched barren land, and the beginning of Project Greener Pasture; the garden has slowly taken shape over the last few months.

These pictures were taken a month ago:

The ‘Bamboo and Grass’ themed garden on one side of the house is nicely shaping up.

On the other side, things aren’t so shapely but it is getting there. The grass are growing and (thankfully) the trees aren’t dying!

It won’t be long before the entire place becomes green.

Then maybe Jimbo might get some chickens, a goat and a cow! LOL!

Tues, 300609 @ 0700

Case #83: The lump on the gum

This 36-year-old gay man was recently diagnosed with HIV on routine medical check up. As his CD4 count was <250 cells, he was started on HAART. Except for some itchy skin rash, he tolerated the HAART well and his CD4 improved. He noticed a lump on the upper jaw which has been progressively increasing in size. It is not painful. He thought it is an abscess and decided to poke it with a needle. The lesion bled but there is no pus.

Here is a (blur) photo of the lesion:

Questions:
1. What is the diagnosis?
2. What is the etiological agent?
3. Why did he develop the lesion?

Mon, 290609 @ 0700

RIP: Michael Jackson & Farah Fawcett

It’s so bizarre. This morning, Jimbo heard the song ‘I’m bad’ on the radio and wondered when is Michael Jackson gonna make a comeback, clean up his image, lift himself out of the financial woes and reassert himself as the ‘King of Pop’ again.

And then, on the news over the radio, the newsreader grimly announced, “Micheal Jackson has died”!

Huh?

How?

Jimbo was never much of a MJ fan. He didn’t get his music nor could he moonwalk to save his life (everyone, except Jimbo, were walking backwards those days) but MJ defined much of Jimbo’s generation. Whenever he hears an MJ song, memories of his teenage years would come rushing into his mind.

And now, he’s gone and left behind a whole bunch of inferior imitators.

Sigh…

As if that’s not enough bad news, the darn newsreader went on to say, “Farah Fawcett lost her battle with cancer”.

Huh?

How?

“Once upon a time, there were 3 little girls who went to the police academy….
But I took them away…
And now they work for me…
My name is Charlie..”

Who could forget the opening lines of the hit TV show of yesteryear: CHARLIE’S ANGELS

Farah was the reason Jimbo watched Charlie’s Angels much like Megan Fox was the reason why Jimbo watched Transformers! Before Megan, there was Farah. Those days, TV shows (at least in Malaysia) do not show slow-mo sequence of bouncing mammaries but one smile from Farah was enough and Jimbo was hooked! She didn’t need to bounce any glands.

Another icon gone.

Double sigh…

Mercifully, Jimbo received a letter this morning informing him that his article has been accepted for publication.
Small comfort to mitigate a big big loss.

Fri, 260609 @ 0750; will try to moonwalk to work today.

Dear Thelma

Yesterday Jimbo was asked a ‘Dear Thelma’ question via sms:

“My best fren s ex whom happens to be malay, dun care much bout his health. He is only concerned with the present life, does not worry bout tomo, is brand conscious and likes everything expensive and affluent, a money boy parasite kinda way. Probably has a current cd4 of zero with a co infection of tb. How do you make patients like this care more bout their health and take their life seriously and not drag everyone around them to hell with them?”

Thelma (Jimbo) answered:

“For this type of people, I bid adieu and move on”.

Through the years, Jimbo has learned that one cannot change another human being’s attitude or behaviour unless the person him/herself wants to change. Conversely, one cannot treat a person with HIV successfully unless the person wants to be treated; and so, for these type of people, Jimbo just moves on.

What about you? Would you do things differently?

Thurs, 250609 @ 0700

Jimbo’s father’s day gifts

Jimbo did not receive an i-Phone for father’s day. Hope this puts an end to all the speculations.

What he did receive, however, are the following:

1. 2 handkerchiefs
2. 1 handmade card from Ryan
3. 1 custom made card from Ryan (which was his Sunday school project)
4. 1 handmade card from Darlene
5. 1 custom made card in the shape of a tie from Darlene (which was her Sunday school project ~ they are probably oblivious to the fact that Jimbo does not wear a tie)
6. A porcelain mug from the ‘ladies in the church’ ~ a simple IKEA mug that has the words “Happy Father’s Day, TUMC 2009″; very as-a-matter-of-fact like.
7. A nicely worded card from wifey

And this:

Mrs Jimbo assured Jimbo that the T-shirt is one-and-only in Malaysia. (so, if any of you have a similar one out there in Malaysia, your’s a FAKE!)

Are the gifts better than an i-Phone?

Not really.

But they are definitely worth a lot more.

Wed, 240609 @ 0700

Jimbo’s gonna write to Mrs Santa soon and include the i-Phone in his 2009 Christmas Wish List.