Cat Attack

No thanks to Cheeky the naughty cat, I spent almost 2 hours at the University Malaya Medical Centre (UMMC) Trauma and Emergency Department seeking treatment for injuries to my left arm. He was agitated by a neighbourhood cat that came into the compound. When I closed the door, he pounced on my elbow.

Cat claw injuries
Cat claw injuries.

He sank his fangs into my elbow and clung on to my arm with his claws. I tried to shake him off but he held on fast. When he finally let go, he ran into the bedroom and left me bleeding profusely from a deep puncture wound. It was still bleeding 2 hours later at the hospital. My blood pressure was elevated. The doctor who attended to me said it could be caused by the trauma. I was given a tetanus toxoid injection and had the wound dressed.

Dressed cat bites
Dressed cat bite.

The agony from that attack was not the superficial wounds but the aching muscles which I suspect was sustained when I tried to shake him off. 24 hours later now, it is still tender to the touch and swollen. Luckily, it is not my dominant arm. If not, I would not be able to drive and perform many of my activities of daily living.

KUB Ultrasound For December 2010

Report for the KUB (kidneys, ureters and bladder) ultrasound done on December 27, 2010 at UMMC:

Neurogenic bladder with renal parenchymal disease.

Comparison made with previous ultrasound dated 11.2.2010.
Both kidneys are increased in echogenicity. Right kidney measures 8.6 cm in bipolar length and left kidney measures 9.1 cm in bipolar length. A small cyst is seen in the right kidney, measuring 0.5 x 0.5 cm. No renal calculi or hydronephrosis. Urinary bladder is underfilled and the wall is trabeculated.

1. Echogenic kidneys which may represent parenchymal disease.
2. Renal right cyst.
3. Trabeculated bladder wall.

Generally, I would say that there is little change from the previous ultrasound. That is good news for now. Together with the slightly better results for the renal profile done on August 2010, I am happy. These are good news to close the year with.

Blood Work for August 2010

Wuan accompanied me to the University Malaya Medical Centre (UMMC) yesterday. It was for my scheduled check-up at the Spinal Rehabilitation Clinic. I had been anxious from the time we went there three weeks ago to have my blood drawn for renal profile, blood glucose test and lipid profile.

Blood test results for August 2010
Blood test results for August 2010.

I had half-expected the serum creatinine to be higher than previous results. I have been going through a spell of lethargy that I thought could be due to be caused by my kidneys. It was a great relief when I saw that the serum creatinine was 288 umol/L. No doubt, it was very high due to kidney disease, it has stayed below 300 umol/L. That was all I had been hoping for.

Serum potassium was marginally higher at 5.4 mmol/L. Normal values should be between 3.6 to 5.2 mmol/L. I need to be aware of potassium-rich food that I have to cut down on. Serum urea had come down although still above the desired range, while sodium was hovering at previous levels. Fasting blood glucose looked good. Likewise, lipid profile. Saying that I am happy with the results is an understatement. I am ecstatic!