It cempedak season. My patient brought a few cempedak fruits on Friday. I had one for dinner and lunch. The rest were given to the staff.
On Monday, she brought another few. I had one. Gave out the rest.
Today….
Cempedak
Who wants to go on a cempedak diet?
Her next follow up is on Thursday….
There are TWO ureters from the left kidney to the bladder. It’s called duplication of the ureter.
Let me show off my new operating theatre linen…
Nice?
Thanks, SN S.
Talking about young patients with colon cancer, here’s another young man with rectal cancer about a month ago… He is 33 years old.
A hard area on the inside lining of the rectum
He had passage of blood mixed in the motion for a few months. It was fortunate that he was seen early by a gastroenterologist who found a hard area in the rectum on finger examination and proceeded to colonoscopy. He was surprised to find that the pathology report was positive for cancer, but a repeat biopsy also yielded the same result. There were no polyps in the colon and rectum.
A low “anterior resection” (i.e. resection of the rectum but preserving the anus) was performed. Fortunately, this cancer was in an early stage, and he required no further therapy.
It is uncommon for the under 50 population to suffer from colorectal cancer, except in specific high-risk circumstances such as familial adenomatous polyposis (multiple polyps in the colon and rectum), hereditary non-polyposis colorectal cancer (very strong family history of colorectal cancer) and prolonged history of ulcerative colitis (a form of inflammatory bowel disease).
However, any patient who presents with rectal bleeding needs to be examined. Do not refuse a physical examination, at least a finger rectal examination : it helped save this young man.
