I have lost my beloved appendix :'(

21 May 2012
I came back from work late that I've had my lunch at 3.30pm, consuming a set of egg sandwich and a bottle of iced lemon tea. At around 4pm, I suddenly felt abdominal cramp-like at my epigastric region, then I decided to take a shower and have a nap. I woke up at 10pm when I felt pain over my umbilical region. I thought it was due to gas or whatever. So, I skipped my dinner and continue sleeping.

22 May 2012
It's like a nightmare when I dream of having a laparotomy with a PCA Morphine post op. Oh.. When I'm awake at around 10am, my whole abdomen cramp! Like a coliky pain that I can't nearly bear when I tried to get up from bed. It was so pain when I turn my body, when I bend my right leg. I wonder, Oh Allah, what had happened to me? I took more than an hour to get off from bed and took my shower. It was so hard for me to even wear my undies because I have to bend my right leg. I cried myself alone. No one present at my rent house at that time. My mind was wondering perhaps my colon was twisted or obstructed. But seems I have no vomiting, or diarrhea, I have no idea what else could the pain arise from. Moreover, I am from medical department, and abdominal pain is something associated with surgical thingy. I packed my bag, with some toiletteries, and clothes, make up myself to hospital. I can't imagine how pain I experienced the first time I got into my car and it was more pain when I want to get off from the car seat. I cried again.

I reached HTAA A&E department at around 4pm, and as usual, privileged as a staff to get the fast lane. Most of the HOs there knew me and based from my history, they would suggest it is APPENDICITIS until confirmed by abdominal examination where I felt rebound tenderness on palpation over Mc Burney's point which is located at the right lower quadrant near right illiac fossa region (Rovsing's sign). Ok, that was the most pain I've ever had. Other signs and symptoms were guarding behaviour due to pain, anorexia and loss of appetite, psoas sign, and low grade fever. An abdominal x ray done, branula set up with IV drip maintenance, I was admitted to the 3rd class female surgical ward. I called my ward sister that I was admitted and unable to attend my night shift. The staff nurse of the ward was so busy allocating me to 1st class, and at last they transferred me out to the 2nd class ward as the 1st class was full. As usual, it took times for doctor to see you in the ward unless you are put in general ward where there were so many HOs and MOs. The periphery Surgical HO first clerked my case nearly 7pm. Seen by MO at 9.30pm, where she perform a painful PR and another abdominal palpation. Specialist from UIAM attended my at 10.30pm, and suggested my appendicitis may be perforated. He cancelled other 3 surgical cases that night to allow my case to be posted as emergency op. Haha. A Urine Pregnancy Test (UPT) is required for any female patient who will undergo surgical procedure involving abdomen. I sent my urine sample late, because of the pain I can't bear. My watch showed 11.50pm, my sister have to go back to hostel as she need to wake up very early for work tomorrow. So bored that I fell asleep awaiting for my case to be called. Haha.

23 May 2012
A staff nurse woke me up at around 12.50am. Changed to OT attire and cap, and pushed to OT. An anesthesia MO, Dr Lai got my written consent and explain regarding General Anesthesia (GA) procedure. I know I will be intubated, ventilated, and sedated. But my anxious just gone as I fell so sleepy like under drug abuse. Hahaha!!! What I could recall is when I been transferred to OT table, it was so cold. Was given oxygen via mask, and somebody put something-like-cool-pad over my left popliteal and I just fell asleep.
The operation took place from 1.30am to 4.45am.

It's 7.40 am when I woke up and my 2 night shift-supposedly-colleague visited me, I could not voice out, my larynx was so pain, then I fell asleep again. I fully awake at nearly 11am when my colleagues visited me, help me to ambulate on bed by elevating the head rest so that I could sit in prop up position. I was totally forgot what happened after the procedure. The staff nurse said, I was so restless and agitated post intubation, and keep complaining of nausea and severe headache. Huhu. My parents came from KL. I was so happy at that time. I've seen by the specialist from UIAM that attended me last night, inspected my wound and spray over with Opsite Spray. Oh! It was so pain and pain and pain! Usually the Wound Inspection (WI) will be done on post op day 3 while mine was on the op day, 7 hours post op! Oh my :'(

I tried to ambulate by walking at 2pm. Yeay! Alhamdulillah I could make it :D

24 May 2012
I was discharged from the ward at 5.30pm. MC until 31st May. Lepaking at my sister's hostel while waiting for Babah to pick me up the day after.

25 May 2012
Babah came to Kuantan by bus and brought me home with my Encem. Resting my mind, body, and soul - hoping for full recovery :D



*Currently listening to Andrea Bocelli - Besame Mucho

Goodbye KL

There were nothing much I did during my 6-day-of-stay here. Sobs..
But at least I could spend some time with:
1) Mummy and Babah
2) My inspiration <3
3) Besties: Syak and Yatty
4) Childhood buddy, Helmi
5) UKM nurses friends and lecturers

All great and sweet memories remain...

*Currently listening to Amy Winehouse - Will You Still Love Me Tomorrow