World Stroke Day 2011

DO NOT TAKE CHANCES.
ONE IN SIX PEOPLE IS AT RISK FOR STROKE – IT COULD BE YOU.

LEARN THE FACTS.

SAVE A LIFE TODAY. ACT NOW!

Every six seconds, regardless of age or gender, someone will die from a stroke. Stroke is the second leading cause for death for people above the age of 60.

The World Stroke Organization is preparing several worldwide Stroke Awareness Campaigns for advocacy groups, patient survivor support networks, volunteer stroke societies, public health authorities and physicians.

The World Stroke Organization, which sponsors World Stroke Day annually, wants you to Act Now by taking these six challenges to lower stroke risk:

1. Know the risk factors for stroke— high blood pressure, diabetes, obesity and high blood cholesterol — and keep them in a healthy range.
2. Be physically active.
3. Eat a healthy diet.
4. Limit alcohol consumption.
5. Avoid cigarette smoke. If you smoke, seek help to stop now.
6. Learn to recognize the warning signs of a stroke and how to take action

F=Face --ask the person to smile if one side of the face appears crooked or drooping. This person maybe having stroke

A=Arms--ask the person to lift both of his/her arms in the air--if he/she has difficulty with one arm this too mig

ht be a sign that this person is having a

stroke

S=Speech--ask the person to speak. If his/her words are

slurred or they are unable to speak, they might be having a stroke

T=Time--If any of the above symptoms are present you must call 911 immediately in order to make sure that this person reaches the hospital FAST

29 OCTOBER : REMEMBER...! EVERY MINUTE IS YOUR BRAIN, AND BRAIN IS YOUR LIFE

The Beggar from Luossa

By : Dan Anderson

Around the beggar from Luossa
People sat in circles
And by the camp fire they heard him sing
About beggars and wanderers,about wonderful things
About his long and he sang all night

There is something beyond the mountains
Beyond the flowers and the song
There is something behind the star
Behind my burning heart
Listen something comes whispering
Comes enticing and is asking:
Come to us for this world is not longer you kingdom

I have listened to the waves calm rolling
Towards the shore
About the wild oceans rest,I have dreamt
In my mind I rushed to the shapeless land
Where the most dear we know shall be forgotten
To a wild and endless loneing we were
Born of mothers palthrough anxiety of the birth agony
Sounded our first groaning

Thrown upon hills and highlands,we tumbled round
And played
Where we elks and lions,butterflies,beggers and God
I sat quite by her side,she, whose heart was like mine
Whith tender hands she built a nest,out home
I heard my heart crying,what you own is not yours and I was carried away by spirits to get peace and mind

That I love,it is beyond and hidden afar
And my rihteous way is great and wunderful
And the middle of all pother I am tempted
To pray the lord
You take away all my land,I dont wish to own thing
Come whith me brother,beyond the mountains whith the
Silent chilly rivers
Where the ocean slowly fall asleep in a mountain wrapped bed

Somewhere beyond the heaven is my home,is my mother
In the middle of the hazes of golddash dressed in a
Cape of roses
May the black salty waters cool the fever hot cheeks
May we be miles from life before the morning breaks!
Not from this world I was and eternal hardship
I suffered for the sake of my worry,infidelity and fiery love

By a shell sown beach,stand a gate of heavy roses
Inside moulded wrecks are resting and tired men have
Peace of mind
And high songs never heard like eaches of violin singing
Under arches where children forever young and
Blessed live.


Thank you Uncle Jeff. It's beautiful poem

Bismillah...

It's been 3 days my sister's grandma in ICU. She had Myocardial Infarction when I found her weak and hypotension. Today, she's getting worse due to new heart attack event. It's STEMI now (whereas yesterday still NSTEMI). She must got knocked down first in order to keep her circulation in stable state. I think, she's a strong woman because it was a rare thing to find an 80 y.o woman that already got cerebrovascular event and complicated by hypertension and diabetic to survive.

When I standby at the hospital to keep my sister's grandma, I met my colleague at the waiting room and just knew that her husband get serious illness. Brain tumor! I couldn't say anything to cheer up and lift her spirit. What God have planned for her. She's just getting married for 6 months and 'walaaah' her husband lie on the bed unconscious and paralysis. So, I need to pray for them, for my sister's grandma and my colleague for their goodness and strength. And hoping that they can clear stuff that never been clear with their family. I realize my situation right now is more more more better and been blessed til today. May Allah keep my father and my mother in a great health, because I'm here far away from them. Amin. Pray and poem for both of them, my sister's grandma and my colleague I presented...

You would know the secret of death.

But how shall you find itunless you seek it in the heart of life?The owl whose night-bound eyes are blind unto the daycannot unveil the mystery of light.If you would indeed behold the spirit of death,open your heart wide unto the body of life.For life and death are one,

even as the river and the sea are one.

In the depth of your hopes and desires lies your silent knowledge of the beyond;And like the seeds dreaming beneath the snow

your heart dreams of spring.

Trust the dreams,

for in them is hidden the gate to eternity.

Your fear of death is but the trembling of the shepherdwhen he stands before the king whose hand

is to be laid upon him in honor.

Is the shepherd not joyful beneath his trembling,that he shall wear the mark of the king?

Yet is he not more mindful of his trembling?

For what is it to die but to stand naked in the windand to melt into the sun?And what is it to cease breathing,but to free the breath from its restless tides,

that it may rise and expand and seek God unencumbered?

Only when you drink from the river of silenceshall you indeed sing.And when you have reached the mountain top,then you shall begin to climb.And when the earth shall claim your limbs,

then shall you truly dance.

- The Prophet -- Kahlil Gibran -- Walker & Company -

- Phoenix Press, 1923 -

On the day I die, when I'm being carried

toward the grave, don't weep. Don't say,He's gone! He's gone. Death has nothing

to do with going away. The sun sets and

the moon sets, but they're not gone.

Death is a coming together. The tomb

looks like a prison, but it's really

release into union. The human seed goes

down in the ground like a bucket into

the well where Joseph is. It grows and

comes up full of some unimagined beauty.

Your mouth closes here and immediately

opens with a shout of joy there.

- Mevlana Jelaluddin Rumi, 13th Century -

http://locallygrownnorthfield.org/post/9747/

Our Lord! forgive us
our sins and anything
we may have done
that transgressed our duty:
Establish our feet firmly,
and help us against
those that resistFaith.

- Qur'an – 3:147 -
- Al 'imran: The Family of Imran -

Lover

by: Ibn al Farid (Translation)

Every part of my body awaits him,

even he's not with me, in every substance which are soft, tender, pure and happy.

Inside guitar string and melodious flute fused in vibrating tone.

And inside deer's grass field that are very fertile green, in a cool twilight and in bright of first beam of the dawn.

And in the foggy rain whom to go down from the cloud to the flower garden.

And when the wind blow so gentle bring his robe and spread to me a scent of rose fragrant in a soft of dawning day...

And when I kiss the lip of goblet, I smell of pure grapes in cheerful and happiness...

I'm not expelled from my country if he was with me ; my mind won't bothered everywhere we belong ; that place is where I was born if my lover also been there ; where there is a slope sand hill--- that's the place I will have to stop...

AN NAZI'AT (THOSE WHO DRAG FORTH)

Just read one of short Surrah of The Holy Qur'an and always being fascinated by the word of ALLAH SWT :) Alhamdulillah

بسم الله الرحمن الرحيم

..................

79:42

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Sahih International

They ask you, [O Muhammad], about the Hour: when is its arrival?

79:43

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Sahih International

In what [position] are you that you should mention it?

79:44

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Sahih International

To your Lord is its finality.

79:45

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Sahih International

You are only a warner for those who fear it.

79:46

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Sahih International

It will be, on the Day they see it, as though they had not remained [in the world] except for an afternoon or a morning thereof.

One Fine Day @ Tidung Island with Neurology Fellows

This is some of my collected image from Neuro Gathering event. Good job Galz! Proud of you ;p

One look is worth a thousand listens---Merrill C. Sosman (US Psychiatrist) 1890–1959

TOP MOVIES QUOTES that Raul Remembered...so far :p

1. A Walk To Remember (2002) :

Love is always patient and kind. It is never jealous. Love is never boastful or conceited. It is never rude or selfish. It does not take offense and is not resentful.

2. With Honors (1994) :

You shall no longer take things at second or third hand, not look through the eyes of the dead, nor feed on the spectres in books. You shall not look through my eyes either, nor take things from me, you shall listen to all sides and filter them from yourself

3. The Lovely Bones (2009) :

If I had but an hour of love, If that be all that is given me, An hour of love upon this earth, I would give my love to thee.

4. Love in the Time of Cholera (2007) :

I discovered to my joy, that it is life, not death, that has no limits.

5. The Brave One (2007) :

I always believed that fear belonged to other people, weaker people, and that it never touched me. And then it did. And when it touches you, you know that it's been there all along, waiting beneath the surfaces of everything you loved.

Pause Dependent Torsade de Pointes caused by amiodarone administration complicated by thyroid heart disease

31 years old female admitted

to ER with chief complaint syncope since 4 days ago. She just had undergone P1A0L1 spontaneous parturition 2 months ago, and in breast feeding period. She feels fatigue, palpitation and over-sweating since she delivered her baby. No history of congenital heart disease, hypertension in pregnancy, and this is the first time she got detected an arrhytmia.

Early VS :

Compos mentis, BP 90/50,HR 101x/min,RR 28x/min,Temp 36,0 C.

No detectable murmur, irregular pulses, no rhonchi, no wheezing. No enlargement of spleen and liver, with normal peristaltic sounds. No lower extremity edema.

ECG : VES bigemini running to Ventricular tachyarrhytmia.

Lab : Trombocyte=145.000;Ht=41%;

Random blood sugar=101mg/dl; Calcium=8.4mg/dl;

Na=141meq/l;K=2.8meq/l;Cl=104meq/l.

patient has administered Amiodarone 150

mg pushed;

continue with maintenance Kendaron drip 600mg

(start 2.1cc/hours) and suggested to check plasma

magnesium and thyroid function.

40 mins after admission, patient had undergone monomorphic VT followed by general tonic clonic seizure and GP decided to give cardioversion.

Neurology consultation suggested to prepare diazepam intravenous 10 mg pushed slowly. Neurologist recommendation to control metabolic deterioration and manage the tachyarrhytmia.

After 200 joules shock for 2 times, ECG changed back to VES bigemini multifocal but with worsening pattern of ECG that tend to show running VT.

After 5 hours treatment, patient developed to many forms of tachyarrhytmia :monomorphic VT-polymorphic, VT(Torsade de Pointes)-T wave alternans.

Result for plasm magnesium=1.9meq/l and

thyroid function:TSH=4.5 mcg/ml;

FT4=35 mg/dl;T3=2.8 mmol/l &T4=165 mg/dl.

In this scenario, General Practitioner had misdiagnosed patient without considering thyroid involvement in patient's arrhytmia. So, as a general guidelines for Ventricular tachyarrhytmia, GP gave amiodarone as drug of choice for this patient. Au contraire, Amiodarone worsening the patient's condition.

After Amiodarone's restriction, and 2 gr intravenous magnesium drip, patient start reducing her refractory Torsade de Pointes along the fits and back to the early ECG pattern when she came to the hospital.

Next question is, what are drugs that should she has for her arrhytmia.

"SONG OF MYSELF"
By : Walt Whitman

You shall no longer take things at second or third hand,
not look through the eyes of the dead,
nor feed on the spectres in books.

You shall not look through my eyes either,
nor take things from me,
you shall listen to all sides and filter them from yourself

Sweden Tour with Frey's eyes :) PART 1 : Flower

Beautiful part of the world that I haven't seen.

Thanks for beautiful pics Uncle Jeff. I hope you won't be bored to send them to me.

:)

Folktales you've had

Uncle Jeff said :

How we can expect us to believe that the children listening to their parents………when TARZAN living half-naked, CINDERELLA coming home after midnight, PINOCCHIO lies all the time, ALADDIN is the king of the thieves, PRINCESS AURORA is lazy and SNOW WHITE living together with 7 dwarfs.

We shouldn't be surprised when the children mismanage themselves, they get it from the folktales.

IF

If you can keep your head when all about you Are losing theirs and blaming it on you; If you can trust yourself when all men doubt you, But make allowance for their doubting too: If you can wait and not be tired by waiting, Or, being lied about, don't deal in lies, Or being hated don't give way to hating, And yet don't look too good, nor talk too wise; If you can dream---and not make dreams your master;If you can think---and not make thoughts your aim, If you can meet with Triumph and Disaster And treat those two impostors just the same:. If you can bear to hear the truth you've spoken Twisted by knaves to make a trap for fools, Or watch the things you gave your life to, broken, And stoop and build'em up with worn-out tools; If you can make one heap of all your winnings And risk it on one turn of pitch-and-toss, And lose, and start again at your beginnings, And never breathe a word about your loss: If you can force your heart and nerve and sinewTo serve your turn long after they are gone, And so hold on when there is nothing in you Except the Will which says to them: "Hold on!" If you can talk with crowds and keep your virtue, Or walk with Kings---nor lose the common touch, If neither foes nor loving friends can hurt you, If all men count with you, but none too much: If you can fill the unforgiving minute With sixty seconds' worth of distance run,Yours is the Earth and everything that's in it, And---which is more---you'll be a Man, my son!