Blood Tests, KUB Ultrasound and ECG for November 2011

I went for my schedule medical checkup at the University Malaya Medical Centre Spinal Rehabilitation Clinic on Wednesday. The good news is that the renal and liver profiles did not show significant changes. Serum creatinine has gone down to 272 umol/L from 291 umol/L in July 2011.

Renal profile for November 18, 2011

Sodium 139 mmol/L
Potassium 4.8 mmol/L
Chloride 105 mmol/L
Total CO2 26.0 mmol/L
Anion Gap 13 mmol/L
Urea 7.8 mmol/L
Creatinine 272 umol/L

Liver profile for November 18, 2011

Total Protein 76 g/L
Albumin 38 g/L
Globulin 37 g/L
Total Bilirubin 8 umol/L
Conjugated Bilirubin 2 umol/L
Alk Phosphatase 86 IU/L
ALT (GPT) 17 IU/L
AST (GOT) 15 IU/L
Gamma GT 12 IU/L

The cholesterol levels are not too encouraging though, especially when there is a history of heart problem in the family. My father passed away from congestive heart failure. I was advised to go on the lowest dosage of Lipitor (atorvastatin calcium) which is 10mg to keep the cholesterol levels in check.

Lipid profile for November 18, 2011

Triglyceride 1.4 mmol/L
Total cholesterol 4.7 mmol/L
HDL 0.97 mmol/L
LDL 3.09 mmol/L

The ultrasound of the kidneys, ureters and bladder report is somewhat similar although the length of the left kidney size was measured at 8.9cm this time as compared to 9.1cm in December 2010 and 6.89cm in February 2004. There is an inconsistence in the three reports, with the 2010 report being the odd one regarding size of both kidneys and the position of the cyst.

KUB Ultrasound Report for November 18, 2011

Findings

Comparisons made previous ultrasound dated 27.12.10
Both kidneys are normal in size but with increased echogenicity
The right kidney measures 9.5cm in BPL and 0.6cm in cortical thickness
The left kidney measures 8.9cm in BPL and 0.5cm in cortical thickness
There is a small cyst seen in the upper pole of the left kidney measuring 1.0cm
The bladder wall is trabeculated
Prostate is normal in size with smooth outline

Impressions
Renal parenchymal disease
Left renal cyst
Trabeculated bladder secondary to neurogenic bladder

Electrocardiograph (ECG) for November 30, 2011
Electrocardiograph (ECG) for November 30, 2011.
Photo by Wuan with Samsung Galaxy S II.

I also had an electrocardiogram (ECG) done on the same day as the checkup. According to the doctors, the results did not show any problem which is a relief.

ECG figures for November 20, 2011

Rate 88

PR 152
QRSD 94
QT 380
QTC 460

AXIS
P 62
QRS 90
T 67

Overall, I am happy with the blood test results except for my cholesterol levels. Renal and liver profile tests will be done two months after I have started on Lipitor to check whether these organs are effected by it. A urodynamics study is also scheduled in the first quarter of next year to determine the pressure in my bladder. It was last done in 2008 at Subang Jaya Medical Centre.

27th Year Of My Spinal Cord Injury

When I sustained spinal cord injury 27 years ago today, I had to learn anew everything about my body again. My limbs could no longer move they way they used to. My bladder had to be emptied with the aid of catheters. I needed suppositories to move my bowels. Even my diaphragm function was impaired which affected my breathing.

It has not been easy for me all these years, more so when the world is not built for people with impairments like mine. Moving around in a wheelchair is like traversing an obstacle course even in the most modern parts of Kuala Lumpur. I would love to be more active but the inconvenience of overcoming these barriers wore me down quickly most of the time.

So after 27 years, my body is worn out before its time from over-exertion and over-compensation for reduced muscular functions and in pushing the wheelchair. My fingers are bent. My wrists, shoulders and right knee aches. My kidneys are failing from urinary tract infections and vesicouretal refluxes. In essence, I am living in a body much older than my age.

But all is not that bad. I got to befriend some interesting people and see the world from a different perspective. I learnt to accept the limitations of my impairments and made the best of whatever was thrown at me. Most importantly, being a disabled person, I am conscientized by the issues faced by my peers. This led me to do what I am doing today – promoting disability equality – so that disabled people are accorded the rights we deserve in society.

Someone wise said fate chooses our relative, we choose our friends. I beg to differ. It is fate that chose my friends for me too whom I otherwise would not have the honour to be acquainted with had my life took a different turn. Here’s a toast to friends who have made my 27-year journey with spinal cord injury more meaningful. Thank you for making it less arduous than it could have been. Thank you for being there for me one time or another. I could not have asked for more.

Renal Profile For March 2011

The serum creatinine for March 18 is 279 u/mol as compared to 288 u/mol in August 2, 2010. This is not a significant drop but I am not complaining. It has come down from a peak of 299 u/mol in June 2, 2008. As long as it maintains at current levels, I am a happy camper.

Renal profile and liver profile for March 2011
Renal profile and liver profile for March 2011.