(I was stuck in the most gadawful jam this morning trying to get to PJ and filled our time typing this up about my Father in law. Hubby was dictating it and what was cute was he dumbed it down for me- saying "my FIL" rather than Abah as he thought that was what I would write- HELLOOOO don't lah act like you married me for my looks hehehehe)
For the past month, Abah has been complaining of chest pains. Occassional shortness ofbreath and headaches despite strong anti anginal therapy. Due to his 2 previous heartattacks we had to take his complaints seriously . He has had 2 heartattacks in December 2006 after Yati’s wedding and 15 months later which was thought to be gastric pains initially. Consequently he has had 2 coronorary angiogram. Hubby said the first one was an anterior myocardial infarc. Which is the branch of the left coronary artery going right down between the 2 sides of the heart. For the first heart attack he required some angioplasty and 3 stents to get him right. He was ok for a while, until he developed some lower chest pains which was thought to be due to the aspirins he was taking to keep the stents open.He was admitted to the nearby hospital and diagnosed as gastric pains however when hubby called the hospital up for more details, one of his enzymes was particularly high it sounded like LDH, which can either come from the liver or the heart. Hence another quick baton passing of Abah from Kluang by his sons from Johor to KL with a switchover at Ayer Keroh and Nilai to speed things up, between Majan and Epa.
(Should I masuk Jalan Kuching or not)
He got admitted to IJN and was diagnosed with an inferior myocardial infarc. Now due to another branch of the left coronary artery. However the 2nd angiogramme showed a plaque at the junction of the 1st and 2nd vessel which could not be remedied at angiography for fear of causing acute blockage (thrombosis) associated with diffused small vessel disease. The right coronary artery has always been ok on both occasions.
(The above is SOOO NOT written by me)
Hence the only cause available to him is NOT a bypass - No further stents required and simply best medical care .
The increase in the amount of drugs he had to take following the 2nd heart attack gave FIL headaches due to the baso-dilatory effects of the drugs Poor FIL he was advised to slow down and take only gentle exercises but soon he resumed his normal life .
Just after xmas he popped over with mother in law (I will NOT say MIL, dad) for her clinic appointment. He related having had recurrent episodes of chestpains again . One bad occasion made hubby take him to IJN emergency department however his ecg and blood test were not in keeping with the heart attack. He had already stopped aspirin well before that. IJN suruh.
They increased the dose of his drugs from once to twice daily and brought his clinic appointment forward from June to February . The chest pains were not however made worse by physical activities or exertion. He saw his doctor at IJN in the clinic , who was convinced htat the pain was non cardiac although he could not give 100%guarantee. The 3rd angiography was then proposed which FIL accepted.
Thankfully this did not show any new disease. The pain is therefore declared to be non cardiac , probably muscular skeletal or gastric reflux. Now the ball is in hubby’s court.
The first thing he did after coming back, was to enjoy a bowl of sup kambing – so much for an angiogramme.
Friday, February 13, 2009
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