Buerger's Disease

Also known as Thromboangiitis Obliterans, is an inflammatory thrombosis of small and medium sized arteries in hands and legs. this disease is highly related to SMOKING (almost 100%), predominantly effects men aged 20-40. the first symptom, you'll sometime see small blister on your skin, red and sometimes painful. this is called superficial thrombophlebitis which the small vein near to your skin has been inflamed.

superficial phlebitis

as the disease progress (depends on your tobacco consumption), more arteries blocked and less foods and oxygen can reach to your distal extremities, causing more tissues to die. at this point your extremities will feel cold, painful at rest, lessen when you hang your leg at the edge of the bed, the skin color may change from pale to bluish or even darkened (gangrene). pulse at the extremities affected can be weakened or can be no pulse at all. once it become gangrened, it's irreversible. the death tissue will be a favorable place for the bacteria to develop causing infection. since no blood can reach there so your body defense mechanism cannot reach and kill the bacterias. infection will be worse and can be life-threatening. once the leg is unusable and endanger, the only way out is AMPUTATION.

Gangrene

now, to avoid this, prevention steps must be taken. if you are a smoker, STOP SMOKING. a predisposition factor must be eliminated such as high cholesterol, Diabetes Mellitus and stress. so life modification is important. starting by quit smoking, eating healthy food, avoid high cholesterol food and too much salts. eat more fibers, exercise frequently, treat your foot well (a reason for mani/pedicure :p) and SMILE.

When im bored

i was so bored at home, i didn't know what to do. so i grabbed my make up set, took out all the dresses from my wardrobe and put on some show. theeehehe

i edited this

no flash, i look bluish

my boyfriend edited this

he did this one too which happens to be my fav. thanks sweetie. :*

Khitan Bersama Pundi Amal SCTV

Sunday, 27th March 2011


we were very excited to join this event (at least i was). borrowed manual from junior the day before to study on circumcision techniques, even watched the video several times. total patients for the day was 150. there were 15 residents and 20 of us, so each one of us shall get plenty of patient to sharpen our skills. anna and i were the first one to arrive (at 7.30 in the morning), singed attendance, had breakfast and waited for others to arrive. around 10 am the event started. we divide each person to each bed, assisting a resident. (i couldn't remember who did i assist, sorry dr). after assisting 5 patients i asked him to let me do it by myself. he hesitated at first afraid that it would take time. he gave it to me after all, and whada ya know, i was quite skillful. haha. after that, he asked me to take turn with him. overall, i assisted 7 circumcisions and did 5 by myself. not bad huh? we finished at 2pm, had lunch, took some pictures for memory, and went back. and there goes our sunday. there were some performances by some indonesian artist earlier that morning but we didn't get see them. everybody was too excited to circumcise. haha. but, i got to know some of them which later offer me to join some Sunsilk competition. (which i discover soon he had other purpose, yearks!)

My Station

Mera, Anna and Diane

Dr. Nadia (:p)

Anna, Myself, Diane. We had Fun!