Spontaneous Pneumathorax

this is the first time i was admitted to hospital and done a procedure live at myself.. sry the story very long but i just nid to tell the whole story here... hehe. if u wan to know the summary just ask me la. =.="

well, as some of u have known that i had pneumathorax last few days and i have been complaining about chest and body ache as well as muscle pain.. it started on a saturday nite at home before i was going to bed.. well, i tot is just another muscle cramp or wat... but it was quite serious and painful.. so i tot is just nothing...

the next day, the pain goes on until nite.. i sense that it is just nothing really normal anymore... so i plan to go for a doctor check later at nite at HUKM.. caleb brought me there and really thank him that he would still willing to fetch me though it is his sunday which is his day off... =)

However, took me around 1 and a half hour to go through everything.. and the doctor oni says that is just muscle cramp... so i just took an injection intramuscularly at my BUTT. i was given voltaren IM + tablets + antacids + muscle relaxant. i was thinking that it will be fine after that. however, i was wrong...

the next day, there is still pain at my chest area. i knew i was not convince with the doctor's check anymore... thank God for It seang which offer that he will be doing a medical check up on that day. so, me, it seang n jonanthan all 3 went for a medical check up... it seang is for his check up for his flu condition, jonanthan is for his stomach problem...

we went to register at the public clinic and i was checked by Dr wong. she was quite patient and busy at the same time because of loaded of patients...i told her my condition and she was worrying that i would be diagnose of PNEUMOTHORAX. but she need a X-ray for comfirmation. however, it was almost their (the nurses) time to go back due to puasa. they (the nurses) have to go back on time. i quickly went to the X ray room but it was closed so i was ordered to take a x-ray at the A&E (accident and emergency) department.

the x-ray was quite high tech.. it oni take me few seconds just to take a shot from the back of my chest area. one thing i am quite impressed is that everything is computerise already.. or may be im too outdated. haha. i dont need to bring anything but just myself back to the clinic and they will be able to see my scan everywhere in the hospital as long as they have my patient ID. cool rite?

after went back to Dr Wong, i was diagnose as pneumothorax as she show me my left lung was slightly collapse... about less than 20%. she explained to me that it is not serious but however they will need to do some procedure to take the air out of the pleural cavity between my lungs and my rips. it may take sometime. immediately, i was asked to step out and wait for my "SPECIAL" treatment to be wheelchaired to the A&E department for treatment. haha. it was quite an experience. i would have to be wheelchaired because normally pneumothorax patient are not able to walk and breath properly.. however, my case was mild..

as i was entering the A&E, i was brought into the operation theather on a bed and it was scary to see alot of sick people with different sickness and all the people just scares u. i was not sure wat i saw but alot of things just flash through my mind and i was quite nervous. it was my first time entering. then, the doctor came up to me and check my breathing and lungs. he explained to me again my situation and wat they going to do. he try to calm me down but however, i get even nervous when another young doctor tries to puncture my veins for blood test and drips at my left hand.

the first trial for the veins was not successfull and he would have to take the second time... i was totally freak out as it was quite hurtful. i would oni bear it and tell myself... just hold on...the worse thing is that he did a mistake and he have to puncture my veins again...and my hands was tied with the surgical glove and starting to turn purple.. he let go and tries again after my hand turns red again...this time it hurts even more... =.=" however, he succeed...

then i was left there for around 1 hour. the doctor came back with few more doctors and ask me some questions like "how are u feeling? are u feeling breathless? is it painful when u breath... etc etc" as i was bearing the pain on my left hand... LOL i was given the oxygen mask n required to take oxygen throughout the procedure. then they went off and discuss just about 10m away in front of the computer with my lung x-ray. i tink they were discussing how to puncture my lungs and wat method to do. at the same time, they were discussing with the specialist on phone.

after a while, the nurse come with the ECG and took off my shirt for stick some of the ECG thg on my chest and put something on my finger which i didnt like the feeling. i didnt know wat is that but watever. then i was feeling very very nervous and chill as the air con was really cold.. and i am half naked over there.

then, there is 2 trainees gurls (one malay, one chinese) came over to ask my condition as they are doing their practical perhaps. they were 4th year medical student in the A&E department. they came to observe the condition. it was at least i get to talk to someone to calm me down as i was almost going to freak out in that condition. but i get more calm after some time...

very scary instead... the doctor came back after around 1 hour and going to start the procedure. he gave me sign a letter of aggreement. then he came back with a big needle and escorted by another woman doctor. both of them seems to be the senior doctors and the 2 trainees. on my left is still the young chinese doctor who poke wrongly at my left hand.. haha.. he assist the senior doctor in the puncture of the lung..

the senior doctor came back and explain to me about the safety triangle which is between the anterior and posterior region of the rips and there is less blood vessels and nerve tissue at that area. which is suitable to be puncture. if i would be punctured anteriorly or posteriorly it will hurt alot... however, he did it at the side below my armpit... thank God i got countable rips that he can count my rips between the 4th and 5th rips and he apply some Local anaesthetic

the begin by giving me the local anaesthetic and the needle was HUGE!! my eyes nearly pop out when i see that.. but i didnt want to see when he poke me.. but i could feel it but immediately the anaesthetic effect was there and i could feel the numbness. then the young doctor began to give me saline at the drips area and it was quite painful at 1st but the second shot he gave was too fast and really hurts... he said sorry but i replied... "is.... o..... k...." then the senior doctor began to puncture the lungs and i couldnt see it.. but he keep asking me "do u feel the prick?do u feel the prick? do u feel the prick?" my eyes closed and not thinking of anything.. of cuz i wouldnt reply him.. =.="

but when i open my eyes n look.. the needle + a valve + big syringe + big tube connected to a big beg... i nearly pengsan looking at it.. it was pretty scary when u see someone poking ur lung with a big needle beside u and he started to pull the syringe... i was breathing very fast and i could feel something sucking towards my right when u pull the syringe... it was pretty scary... i could oni closed my eyes and say "God, HELP ME..!!!!"

he continue to pull the let go the syringer as he take 50, 100, 150ml out of the lung... and he took too much at 1st.. around 300+ then he n the woman senior doctor saw some rashes starting to form at my chest area and they keep asking me "are u allergic to anything?" i just could say "no" because i really duno wat i am allergic to... so they started to panic and the doctor check my pulse with stethoscope and stop the puncturing...

but then, the senior doctor say continue and the release to 150+ then the rashes gone.. so he say too low.. he took another higher up... and there is resistance.. due to the pressure of the lung then the syringer POP OFF!!! i was so freak out... "WHAT!!!" and i could oni remember the woman doctor say "ok is enough is enough..." the senior doctor say "nono.. let me try 1 more time..let go... and pull in and let go and pull in.." the young doctor oni help him to pull the valve in and out in and out... i was so scary after that incident that i could oni pray that i would be fine after this procedure... but i could still feel the strange feeling when he suck the air out... is like a balloon screwed to the right... if u understand wat i mean...

then he ask me, are u feeling ok? that time, my face was totally blueish and i nearly pengsan... seriously.. i wan to pengsan there... =.=" then, after it is done, he seal the place where he puncture with a plactic cover and went off to discuss... then i was left to talk to the 2 trainees... i was talking deep breath and lazy to talk but they were kindly to stay back n comfort me.. haha... 2 pretty gurls.. =P

they did another x-ray for me after that and left me alone for around 1 to 2 hours... =.="

anyway, they came back and explain that the thg was successful but however there is still mild pneumothorax in the lungs but it will recover by itself. i was asked to stay overnight with given high concentrated oxygen. it was pretty uncomfortable cause i was not used to the condition of taking high conc oxygen.. but however, it seang n jonanthan came in to see me and get me some stuff to eat before they went back with han boon n chon hong came back with the other stuff... but warded in the observation ward was not fun at all.. i hated that place... i couldnt sleep well but i was too tired but i nid to slp... so i took some slp throughout.. but the nurse was very kind to stay up late to take care of the few patients... however, many patients coming in n out that time even til midnite... i was not bothered to reply msgs because i was too tired... (SRY GUYS...)

then the next day i was feeling much better but i got a fever due to the bacteria infection during the injection. but i recover quite fast... then i was taken few BP and they fluactuate quite frequent from 126/55 to 136/65 and back to 124/55....however, i was schedule on friday for the next x-ray and the doctor says that im ok to leave and there is no medication given. it is very fun and at the same time scary experience... lolx..

after discharging, i was not restricted to eat anything but i cant fly or scuba dive or do any heavy exercise or any activity that will excite my lungs so that it will not recurrent again. so, i nid to take care of my body more and well, GAIN WEIGHT.. haha..

i guess thats all for my experience as a pneumathorax in UMMC... it was great and i would really thank all my frens who help me and send sms to me to encourage me throughout this time. well, it will surely be unforgetable and wonderful experience.. but i dont want to be hospital bed-riden again.. LOL... lastly, i will really thank God for everything and to recover fast... unless thankful and greatness to Him. =) i will always know he will be with me... anyway, thats all for now.. chaoz.. =)