masa umur alisya 32 hari, alisya start demam.
mula2 mummy ingat demam tu cuma post-vaccination fever.
initially cuma low grade fever, controllable with pcm
tapi mummy mula risau bila dah 4 hari demam tak settle down & jadi high grade fever pulak
mummy & abah bwk alisya jumpa GP kat panel clinic dulu
selain demam alisya takde simptom lain except loose stool
temperature recorded kat klinik :38.3
on examination, no source of infection found
so GP just prescribed pcm & advised to do tepid sponging
malamnya badan alisya panas sepanas-panasnya
walaupun dah bagi pcm suhu still tak turun
mummy & abah memang tak tido mlm tu sbb continue buat sponging utk alisya sbb suhu tinggi sgt.
muka anak mummy yg demam
mummy rasa mlm tu adalah mlm yg sgt panjang
sgt risau dgn keadaan alisya
mummy plan nak bwk alisya jumpa peads kat pantai cheras- Dr Tan LZ early in the morning esoknya
sepanjang mlm alisya tak lena tido & merengek sbb tak sihat
pastu dia tak selera sgt nak menyusu sampai breasts mummy naik engorged..sian anak mummy
paginya jumpa Dr Tan. Temp pagi tu 2 hrs post PCM: 38.9
Still no signs to suggest the source of infection on examination.
Dr Tan suggest utk admission since umur alisya baru sebulan & kena buat proper investigation & treat properly.
since mummy belum sempat amik insurans/medical card utk alisya, mummy request Dr Tan refer alisya ke HUKM sbb mummy ni staff & bayaran pun FOC.
Dr Tan pun refer alisya ke A&E HUKM with a referral letter yg mengatakan mummy staff & sila buat proper investigation + strongly suggest for admission
kat A&E HUKM,mula2 amik blood utk full blood count dulu
nasib baik nurse tu berjaya amik blood sekali cucuk je
mummy dok perhati je alisya kena amik blood + tolong pegang bedung alisya so that dia tak meronta masa kena cucuk.
lain betul perasaannya bila tgk anak sendiri kena amik blood- rasa nak menangis pun ada
dulu masa sendiri2 amik blood anak org kat wad peads bukan main lagi asalkan dpt ape yg dihajati
sekarang baru mummy faham mcmana perasaan mak2 budak kat wad peads nun
pastu sorg MO a&e attend alisya
MO nih tak berapa friendly la dgn mummy walaupun mummy medical Dr & staff UKM
amik history pun nak sarcastic dgn kita
mummy malas nak cite pjg kat sini buat sakit hati je
anyway results FBC & Urine alisya nampak normal je
MO A&E tu pun consult la MO peads over the phone (MO peads tak dtg tgk pun, consulktation over the phone jer)
lastly diorg punye diagnosis is viral fever
management: continue PCM & tepid sponging, no indication for ward admission, appointment as outpatient in peads clinic to trace urine culture result.
disebabkan diorg dah decide tak nak admit, mummy pun bawakla alisya balik rumah
high fever is still there
kat rumah dr tan call tanya mcmana dgn management kat hukm
mummy pun kata la baby diorg discharge
dr tan cuma kata beraninya diorang dicharge baby umur sebulan yg ada high fever- they should be more cautious !!
dr tan offer mummy klu mummy nak admitkan alisya kat pantai cheras boleh dtg ptg tu jugak
mummy pun tak fikir pjg terus setuju sbb risau sgt tgk alisya takde improvement
takpe la habis duit sikit pun janji alisya sembuh
sampai kat pantai cheras, alisya terus admit ke pead ward
diagnosis; neonatal sepsis
Dr Tan set IV line utk alisya & amik blood utk culture, FBC & RP
Urine sent for feme & culture
tag alisya
dr tan start iv rocephine
mlm tu temperature alisya turun & alisya tido lena
nenek dtg tgk alisya. alisya mengadu kat nenek dia demam
dgn abah
by day 3 of admission, alisya completely afebrile. culture sume no growth. hari ke 4 alisya pun balik rumah
mummy harap lepas ni alisya sihat2 je. mmmy saaayang sgt alisya.
thank you to dr tan & staff in peads ward, pantai cheras for their excellent service