Name : Tajul Fudhari Nim : 13235101083 Mata Kuliah : Bahasa Inggris II

Medical History

Name of Patient : Mustakim Date of birth: Simpang Tiga, October , 24-1991Anddress: Simpang Tiga Sex: Male

Starting in the college years. During college ... I admit I was living a very unhealthy life like eating irregularly and often too late to eat because of the density of tasks and activities (sometimes new eating midnight and went to bed), like to eat healthy foods that do not like spicy food, fatty acids and high (ex: chocolate and cheese .... oh yeah ... do not ask me this snack every day, every day was really loh ... because besides chocolate is also a favorite food is a food that I think can be his reduce stress I) coupled with the activity of a very tiring, stressful and less sleep. Actually I feel great and proud because of the lifestyle that is so bad, I almost do not get sick, especially heartburn, pain diidap students like me, and I also have enough energy to perform activities seabreg. But from here the silent disease began, I like to feel bloating, belching and farting, but because of my activity until the middle of the night and even early morning, I consider it just a common cold. If you think about it it turns out early symptoms I did not realize.

After college, I got a job in Palembang. Although I've rarely stayed up late and activity has also been greatly reduced (which means I've rarely felt tired), but a sense of bloating, belching and farting was not also abate. My habit of eating acidic foods, spicy and fatty still I continue because I never associated that these foods affect the bloating.

A month before my wedding ... suddenly I woke up and felt my body was weak once (oya ... I also include human alias bat man who likes to move the middle of the night, such as watch, nyuci, nyetrika in the middle of the night, because I began to sleep at 8 pm and usually woke up at 12 am). I think it's because of low blood, would I take to eat, but after eating symptoms were not also abate. I continued washing, washing machine while waiting for his noble task, I continue taking ablution for prayer night .... but a scar ... added lemes aja ya ... I got scared until my heart was pounding (first I was not aware of anyway if my heart was pounding) and I see my hands and feet are already pale. Fearing ... directly deh my sister invited me to the emergency room (this is my first experience inside the ER tablets). Once in the ER I recorded the heart and mounted oxygen, and the doctor said my heart was pounding like a frightened, but after a few hours I was allowed to go home and be referred to a cardiologist. Since my husband prospective doctor and my office friends so my doctor also asked me to record the results of their heart, they said it was just a regular tachycardia. Just after that, I often experience the same thing (which later often I experienced and I know the symptoms as manifestations of the disease gerd).

Right in January, after a few days of my events inside the ER, that day I was not feeling well, but I think it was because of exhaustion alone. At noon I eat spicy food as usual, but the added weight koq not comfortable yes, suddenly I heard the news of my office friends who died suddenly of a heart .... blurp .... I was scared to death because I remember the incident night time entering the emergency room and I was also afraid of getting heart disease especially I thought if I were not also check to cardiologists. In the midst of malaise and the fear I felt my body shaking, until my hands like tremors. Alhamdulillah'm no doctor in the office, I reported directly deh .... and I also immediately taken to the hospital (which Alhmdulillahnya again its RS-exist in the complex where I work). Until the hospital I was immediately recorded heart, calculated pulse and ditensi, tensinya heart was normal but record results bo 'mengezutkan .... my pulse rate up to 200 beats / min and the results expressed Atrial fibrillation heart record. I immediately put ICCU ... (WOW..banget right ...) and treated with Cordarone. After a few hours, my heart rate back to normal. The next day I was also in the ECHO and check blood ... blood test results ECHO and declare me no problems with the heart, so my second day in the ICCU I've been allowed to go home without having first observed in sal care. Heart doctor just said if I strained my heart excessive and somewhat sensitive, so it is prohibited mangnindari stress and adrenaline trigger foods such as tea, coffee and chocolate.

Since out of the ICCU I often feel unwell and dizzy exceptional, be I also consult a doctor nerves. I expressed the same neurologist wrote tension headaches and treated with antidepressant medication classes and groups such as mefenamic acid, but the dizziness koq not go away.

Duh dizzy deh ... a few months since I entered ICCU incident that my health declined rapidly .... I like to feel dizzy, weak, palpitations and cold. I often woke up and felt like going to die. But my husband and my company doctor insisted that I was healthy and my heart is not problematic and expressed only stress alone (duh pack doc .... but right .... my ngerasainnnnn ... not you ..., so I donk reply better know what was real sick stress talaga .... because I'm used to the activity which stresfull ... but do not ever feel segininya koq). I so rarely ngantor and loves to go home in the middle of working hours. Happens was really troublesome husband who must often anther my pick. Husband finally gave up too and would drive me consul to cardiologists, if yesterday consul to SpJP, this time to the doctor SPPD KKV, so maybe there is another opinion (and can gretong also because the doctor was her professor husband, xixixixi, not bad ... once can check millions of bo ... because they must in ECHO and record the heart). The results of the medical examination KKV more mengezutkan again .... because I cause me pounding it because my blood thick ... seen from the results of my blood flow ECHOnya ... slow so heavy heart work. But I am even happy dapet diagnosis so as it means I won from my husband because of health problems during this time because it is "nothing", unlike her husband and doctor assumption for this company, if I was healthy and stress just wrote. I am also happy because it means I so know my real illness ... coupled with the words of consolation from the KKV doctor if my disease is curable and can be cured. KKV the same doctor I was treated with the drug pradaxa for 1 month, followed by clopidogrel for half a month. I also do blood tests for items fibrinogen and D-dimer to see if my blood thick. I'm supposed to do blood tests before and after taking the drugs, but unfortunately I just sempet blood check after a week of taking the drug, and the results are good all and in the normal range.

Two weeks after I take the medicine, my pain is not too severe abiding mined instead. Be my control back to the KKV doctor, and again I declared excess stress (gubrak ... duh..koq I say stress continues to hell ... I was really seriously feel my body was not already known flavor) and I instructed to continue the drug therapy. Turns eh ... it's very hard drugs because of side effects 33% will hurt my stomach (percentage figures are quite remarkable tablets effect, which artinya..orang that taking the drug 33% of it will be exposed to diseases of the stomach) and worse Again, take the medicine can not dibarengin to drink as PPI PPI drug class will inhibit the action of the drug.

After I finished the blood drug therapy is no longer experiencing palpitations, but remarkable chills, weakness, dizziness and not comfortable body continues plus often really burp. If my husband said the heck, I hit ulcer due to the influence of these drugs. So I treated with ulcer drugs such as lansoprazole, antacids and ulsicral but month after month passed not too there is a change, but in addition to drug therapy, I also eat porridge and avoid foods trigger. Finally I was referred for hospitalization go again, by showing my medical history (from the medical records), his doctor not comment anything (this time treated at a specialist gastro). Three days of treatment, I was allowed to go home (oya ... I sempet abdominal ultrasound, and the results are good). Body is fixed rather preferably all, but only lasted for a week, then .... I actually worsen pain feels. Finally I tried with various traditional medicines, such as turmeric juice, papaya and bitter herbs, cassava .... but still not a significant result. Finally I could only eat baby food and milk diet (I can not drink milk anymore since this sickly, if I were to drink milk diarrhea and nausea, which later I know that milk is also included one of the foods to avoid patients with gerd).

Not satisfied because I do not heal sickness and disease coupled with fear gore (which results from reading my layman's disease if it is really very dangerous), I consult a specialist doctor blood. By doctors sp blood, based on the results of laboratory tests that I could not otherwise suffer gore, let alone based on the ECHO (Alhmdulillah O God ..... not imagine if I was of diagnostic gore right, I have to take medication for life and ... and ... and ... I certainly can not get pregnant). I also consult a neurologist back, but again the neurologist told me if I am stressed and I wondered if I was him I refer to CT contrast (hehehe ... again I was happy because I was really curious at the contents of my head that often really dizzy, but her husband forbade hard because a lot of side effects).

One morning, I felt dizzy and weak (again), there happens to be my diet milk vanilla flavor runs out, so I try to drink milk chocolate ... O God .... suddenly after drinking milk ... heart I re-pounding, legs and hands as pale as a corpse and my body felt numb. Quickly I call brother-in-law who happened that day was in the house (sister-in-law is also a doctor). Equally, he was ordered to take a break because of the possibility of lack of fluids wrote, but ... koq even worse until I could not breath and kesemutannya it loh. I really fear .... was really unto death ... (I was afraid I was really going to have a stroke and die). Until the hospital I installed oxygen and recorded heart, the results also show if there is tachycardia, but once installed oxygen kesemutannya lost. After a few hours later I was vomiting, any food that makes sure dimuntahin. Finally I was treated again and this time my husband and I will ensure that I suffered illness, we will Consult my illness related to various doctors. The main doctor who took care of me is sepesialis gastro doctor (not a gastro doctor once, soale doctor once reserved bangeeett confused until I want consul), from doctors we get a lot of light on the crux of my illness. The first thing to do is perform endoscopy (actually a doctor not nganjurin anyway because this examination not make patients feel comfortable, but again I tetep kekeuh of curiosity. But eventually nyesel also ... because was really created severe stomach churned days after diendoskopi). Results endoscopy showed if I hit gerd and chronic gastritis, but not severe stage because there is only 1/3 hyperemia in the distal esophagus. For heart disease does not exist because if I hit Atrial fibrillation on admission ICCU first, then my heart will not respond when treated with Cordarone, and to the strong blood may not only be diagnosed through ECHO and results of blood tests (fibrinogen and D dimer) shows great results. But why the effect is all that enormity huh? That GERD, symptoms are like heart disease. After the illness tau tau too bad because ... because how treatmenya same gerd heartburn think wrote Sami mawon, but treatmentnya somewhat different.

After being treated .... I am sick tetep not go away, even vomit even more so .... really .... body rasany lemeeeeeeeeeeesss husband finally took the initiative to change my meds with the patent. Group pantozol PPI use, and antasidanya use famacrol. Weis ... so taking this medication, I who had severe vomiting ... after a few hours of taking this medication so preferably, not nyampe 1 month of therapy cure .... uh ... I even conceded (Praise be more precise) pregnant, so therapy has not been completed. During pregnancy, I dare not take the medication, although sometimes also disease relapse, but Alhamdulillah not as severe as before. Due to feel somewhat preferably coupled with mebuncah appetite during pregnancy, would I like to not brake eat. After giving birth was not Alhamdulillah ya disease relapse, until I not use abstinence event memantang again.

Well ... the freedom to eat I finally bear the pain anymore ... 3 months after giving birth, I relapsed disease .... hikssssssssss (crying Gerung Gerung). Sakarang until my stomach was still still sangaaaaaaaaaaaaaat sensitive, one meal a little already deh nausea, vomiting lemes not ketulungan (and back like palpitations and shortness of breath). But from this moment ... I promise (ceileeeeee .....) to be treated seriously until thoroughly bag bag bag.