HaPpiNesS is BeiNg AppReciATed.

A bouquet of yellow flowers



This morning most of the patients I attended to suffered from chronic diseases such as hypertension and diabetes. some were newly-detected cases whereas others had been on my regular follow-up.

One of my regular patient is an obese Account Executive in her late forties. A very pleasant lady who is anxious to cooperate to stabilise her hypertension. she has been hypertensive for the last 10 years following her last pregnancy. The last blood test done showed that she is also suffering from high cholesterol, high uric acid, high triglyceride ( another form of lipid)... signs of a metabolic syndrome so typical of this type of patients.

Her blood pressure had been resistant to treatment so I decided to check her urine and found that she had high level of blood and protein (which should not be present if the kidneys are normal). Fearing that it could be stones in her kidneys, I ordered a KUB, an x-ray of the kidneys,urinary tract and bladder. There was no stone noted but her left kidney appeared shrunken. I repeated her urine test and the level of protein and blood remained the same.

The radiological and laboratory pictures indicate that she is suffering from renal nephropathy ( microscopic malfunction of the kidneys), no wonder her blood pressure had been recalcitrant! I immediately informed her that I would refer her to the Nephrologist ( kidney disease specialist) at the general hospital for specific management and follow-up. The condition can deteriorate to chronic renal failure.









This morning she came with a gift of yellow flowers for me, I was quite touched by her simple gesture of appreciation. It was nothing but the thought that counts. How I wished that the condition could be cured for her sake...but I know that it is just a wishful thinking.

I am happy to be appreciated, but really, I am just passionately doing my work.