Thursday, August 18, 2005

Science Update: " Eh..that SMS girl Yau Jia Xin got what disease har?"

Disclaimer: The following post should not be seen as a 'rice-bowl snatching' from medical doctors. The blogger has used his best effort of his biomedical knowledge to provide information that is up-to-date and accurate. However, as medical science is constantly changing and human error is always possible, the blogger do not warrant the information in this article is accurate or complete, nor are they responsible for omissions or errors in the article or for the results of using this information. The reader should confirm the information in this article from other sources prior to use. Always seek further advice from a doctor if you need further information on this. Thank you.

In case you haven't know this due to your laziness reading newspapers and not bothered to click the links in my previous post, let me clarify you on this. She was having atrial myxoma. But the papers said that she kena stroke/angin ahmar/'pau huit koon' woh? Why so young also kena stroke leh?

For further information, check it out here or always do a Google search on 'atrial myxoma' you lazy bump! Some of the excerpts of the article:

Background: Atrial myxomas are the most common primary heart tumors. Symptoms are frequently nonspecific, which makes early diagnosis challenging. Most atrial myxomas are benign and can be removed by surgical resection. Two-dimensional echocardiography is the diagnostic procedure of choice.

Pathophysiology: Myxomas account for 40-50% of primary cardiac tumors. Approximately 90% are solitary and pedunculated, and 75-85% occur in the left atrial cavity. Up to 25% of cases are found in the right atrium. Most cases are sporadic. Approximately 10% are familial and are transmitted in an autosomal dominant mode. Multiple tumors occur in approximately 50% of familial cases and are more frequently located in the ventricle (13% vs 2% in sporadic cases).

Myxomas are polypoid, round, or oval. They are gelatinous with a smooth or lobulated surface and usually are white, yellowish, or brown. The most common site of attachment is at the border of the fossa ovalis in the left atrium, although myxomas can also originate from the posterior atrial wall, the anterior atrial wall, or the atrial appendage. The mobility of the tumor depends upon the extent of attachment to the interatrial septum and the length of the stalk.

Although atrial myxomas are typically benign, local recurrence due to inadequate resection or malignant change has been reported. Occasionally, atrial myxomas recur at a distant site because of intravascular tumor embolization. The risk of recurrence is higher in the familial myxoma syndrome.

Symptoms are produced by mechanical interference with cardiac function or embolization. Because they are intravascular and friable, myxomas account for most cases of tumor embolism. Embolism occurs in about 30-40% of patients. The site of embolism is dependent upon the location (left or right atrium) and the presence of an intracardiac shunt.

So, why was she having a heart tumour and a stroke at the same time? Here, I try to attempt to explain this in laymans term or in Benglish terms.

Haiya...the small girl got heart (jantung, not hati har..the one that goes blup blup blup blup leh in case u dunno leh) cancer loh. But this type of cancer har, is not that cancer that type you see in Healing Hands/ER/*insert your favourite medical drama series*, where peeple lose hair ar, skin all wrinkled ar, bed-ridden ar, peeple crying 'want live want die' ar...Nope. Because this type of cancer is a mainly benign one har (less serious lar or Semuanya OK cancer). So normally do X-X-Ray and scan-scan and operate should be OK liao. But why happened to this poor girl har? Some say exact cause not known woh (But IMHO, every disease except trauma has a genetic origin and could not just simply labelled as 'unknown cause' and it is up to scientists to find them out). Some say genetic loh. You know, appa amma pass to you one leh.

But why stroke leh? I tot only happen to those old-old peeple? Aiya..becuase she got lump in her heart mah. So the lump can fall out from her heart and go into the blood pipe loh. U know...those 'Kum Kuai Fei' ( a herb health product) adverts tell you want ar...ur blood goes round your body one leh...So this lump fall out liao end up in her brain blood pipe blood traffic jam up there, her brain kenot get oxygen, so stroke lar...So, she masuk hospital and doctor operate her lar to clear the lump, you know...operation must use blood one mar...u sembelih of course keluar blood one lar...must haf same type of blood to replace back one mar...Duh!

Hope that you have some rough idea now on what was going on with this poor little girl. Always read the disclaimer again if you have any doubts about my explanation.

So, shame on those again blindly forwarding those SMS; not finding out the real reason behind her hospitalisation and her need for blood before that.

And finally, if any of Jia Xin's family and her friends and relatives happened to read my blog and felt offended by it, I sincerely apologise here. My heart goes out to her and hope that she can get well soon and be a scientist in future, (not a doctor :P) finding out the cause of her 'unknown' disease.

Get well soon, Jia Xin! With best regards, The Sensintrovert

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