Metabolic Syndrome. Fat kills!

I’ve always known that being obese is a bad thing, but being obese with complications are a whole new different level.

A 29 year old man came to me today complaining that he was short of breath for the past few days. In fact, he went to an emergency department of a heart institute called I*N (for those who knows where I am from) to seek treatment and he was treated for URTI. He was told that he had some “noise” in his lungs and therefore given paracetamol, antibiotics and a cough syrup. *facepalm*

One look at him you know that’s not breathing comfortably. He is obese, that’s for sure. He was already having difficulty sleeping at night. Easily goes out of breath if he walks too far.  BP was 166/130 mmHg. Lungs wise, fine crepitations were heard. Liver was enlarged. He had severe hypertriglyceridaemia and microalbuminaemia. Fasting blood glucose was impaired. CXR showed cardiomegaly with pulmonary exudates. To sum it up, he’s a very suitable candidate to be classified under metabolic syndrome. So, URTI anyone?

Anyway, try not to be TOO FAT okay? Fat is somewhat acceptable (I guess) since I’m in a society who loves food but being too fat just knocks you out completely.

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Is grass REALLY greener on the other side?

I’ve always have plans to work in another country like Australia but when I  read and think about the prospects working there, I weren’t very sure myself if it was a good choice in the first place. But like the saying goes, “Never try, never know”. I have asked myself these questions many times.

Am I unhappy with the current situation that I’m in now?

  • No. Not really. I’m enjoying what I am doing at this point of time.

Would I be able to do the same as what I am doing now in Australia?

  • Yes. But that would take a while, a long while perhaps. Since I’ve read about the discrimination against overseas trained doctors in certain parts of Australia, so it would not be easy. Chances are slim.

Then, why do I want to go there in the first place?

  • For a better future. And for my wife too, as she longs to work there.

Does that mean there is no future in where I am now?

  • I don’t know. I can’t foresee the future.

Then how would I know the future is better in Australia?

  • Honestly, I have no idea how’s it going to be like there too.

So, the bottom line is? I don’t know. What I do know is that, in life, everyone strives to be the breast best (been scanning too many breasts lately). I would want to make my own path and do what I’m happy with. However, there are times where responsibility and the influences from the people around you tend to stray us away.

To end my story for today, here’s a breast cyst for your viewing pleasure.

Job Satisfaction.

Many have asked me, ever since I changed my job this year, whether I enjoy what I do. To be honest, yes. I do not get the same dreadful feeling each day when I am about to go to work. I get to spend more time with my patients. And patients are happy that they get a proper explanation from me. Last time, it was pretty much a “touch and go” basis. It’s not that I did not want to spend time with them, but because of the time constraint and the amount of work load that I had, it was not possible at all.

The best part of all, I do not have to receive any calls from the director of a hospital, telling me that I should attend to a VVIP first, who came for just a simple flu instead of a patient who was having a myocardial infarction. That was purely utter nonsense. My job is to treat the sick, not to polish someone’s arse. And I’m so glad that I do not have to face that kind of crap anymore. Definitely, a very good feeling.

Apart from being said, I do miss working with the hospital staffs back in the Emergency Department. They’re really a good bunch of people and it was really enjoyable working with all of them. However, I needed a change. So I took the step of faith. And I really thank God, for providing me another group of people who are hardworking and fun to work with too.

So here I am, with another scan in hand. A scan of a 31 year old chap, with a stone in his gallbladder, termed cholelithiasis. Notice the black wide line that appears behind the stone? It’s called acoustic shadowing. I find it rather intriguing because of the same logic behind using a torch to shine at a rock, producing the same effect to as what we call, a shadow. As compared to a stone, a polyp does not produce the same effect.

Image

Cool eh?