Sunday 29 June 2014

Blood Test Report & Creatinine {Update#3} (验血报告&肌氨酸酐)

Blood Test Report & Creatinine {Update#3} (验血报告&肌氨酸)
1.5 Months since my surgery, let’s review my Cyclosporine Peak test result, also known as C2 (峰值), and Creatinine (肌氨酸).  Relevant actions had taken place after the results.
Date
Peak (UG/L)
Creatinine
Cyclosporine Taken
17 June 2014
1704
108
175 mg - OM
150 mg – ON
(reduction in ON)
13 June 2014
667
112
175 mg - OM
175 mg – ON
(No actions taken)
9 June 2014
1274
113
175 mg - OM
175 mg – ON
(reduction in ON)
3 June 2014
Not Tested
108
Existing Dosage:
200 mg - OM
175 mg – ON

I did not do anything unusual in the manner of taking my drugs as compare to my earlier post “Post-Transplant Medications” (我没有做什么异常以服我的药方):
1.     I always take my drugs on time (我总是准时服我的)
2.     I take my drugs with HL milk for better absorption and for my daily calcium intake (我使HL牛奶服药达更好的吸收和完部分每日钙的需)

Do take note that renal doctor DID NOT adjust the dosage on the basis of test results alone.  There are other indicators that he will review before making the final and crucial decision. (注意à 肾脏医生没有根据单独测试结果调整剂量。他在做出最后和关键的决定前将回顾的其他显示)

C2 was taken on 21 June and will be taking on 30 June.  I will post the results after my review with the renal doctor. (C2被采取了621日,并且被采取630日。我在与肾脏医生回顾以后将张贴结)

FDA Approves Afrezza to Treat Diabetes

FDA Approves Afrezza to Treat Diabetes
"Afrezza is a new treatment option for patients with diabetes requiring mealtime insulin," said Jean-Marc Guettier, M.D., director of the Division of Metabolism and Endocrinology Products in the FDA’s Center for Drug Evaluation and Research.


CLICK HERE for the original article.

Friday 27 June 2014

My Diets (我的饮食)

My Diets (我的饮)
I was consulted whether I can share my seven days diets for the benefits of others who had a transplant recently.  I am gladly to do so.

Days / Meals
Breakfast
Lunch
Dinner
Monday
·   2 slices of bread with cheese
·      2 egg white
·      One Apple
·      Brown rice
·      Steamed fish
·      Vegetables
·      Brown rice
·      Kai lan and tau kwa boil with ikan bilis soup
·      Half a dragon fruit
Tuesday
·  Bee hoon with  fish cake and tau kwa
·      Banana
·      Yong tau fu with bee hoon, dried without any sweet source
·      Brown rice
·      Fish head with vegetables soup
·      Orange
Wednesday
·   2 slices of bread with tuna
·      2 egg white
·      Banana
·      Brown rice
·      Steamed fish with broad beans
· Oatmeal with spinach
·      1 orange
Thursday
·      2 slices of bread with cheese
·      1 banana
·      Yong tau fu and  bee hoon soup
·      Chunk fish with leeks and carrot soup
·      1 apple
Friday
·      2 slices of bread with tuna
·      2 egg whites
·      1 banana
·      Brown rice
·      Sardines and vegetables
·      Bee hoon with slice fish and cabbage
·      1 apple
Saturday
·      2 slices of bread with cheese
·      1 apple
·      Brown rice
·      Fish head soup with black eye beans (good source of protein)
·      Brown rice
·      Steamed fish
·      Chye Sim
·      1 orange
Sunday
·      2 slices of bread with tuna
·      2 egg white
·      1 banana
·      Brown rice
·      Steamed fish in salted beans
·      It’s Sunday – why not you create your own menu
·      Just avoid high fat / sugar / carbohydrates items

I do munch on peanuts / almond / black beans / macadamia nuts between meals.  They are roasted and neither sweetened nor salted.  Limit yourself to a small little bowl.


Matters to Note (应注义事项):
1.     I only take either multigrain or wholemeal bread
2.     If your Potassium is high and out of the acceptable range, please soak your green vegetables in water for few hours prior to cooking
3.     Many ways to cook the fish – Use natural ingredients such as garlic, onion and ginger for favoring so to avoid using too much salt
4.     If you are taking high dosage of Prednisolones in the first few months, strictly no pre-cooked foods such as econ rice as the immune system is at its lowest.
5.     Not taking red meats is a matter of personal choice and not medical related

6.     Have you ever tried steam salmon?  If you haven’t, why not give it a try.

Thursday 26 June 2014

Urine with Bubbles {Update#1} (持有泡沫的尿)

Urine with Bubbles {Update#1} (泡沫的尿)
I was consulted why whenever a person urinates and there are a lot of bubbles or foam left in the toilet bowl (我被咨询为什么,每当人小便,在马桶有泡沫或很多泡).

Drawn on my personal experience, I suspect he may have kidney failures (我的个人经验,我怀疑他也许有肾衰).  Before drawing conclusion, I decided to further research the topic (在结论前,我决定进一步研究题).

The experts presented following scenarios for this issue:
1.     Dehydration ()
A person may be dehydrated if he has not been drinking sufficient fluids after exercising or during an illness from diarrhea and vomiting.  Thus, passing out concentrated urine
2.     Protein Leakage (蛋白质漏)
There could be protein leaking into the urine implying possible kidney disease.
3.     Infectious ()
There may be a urinary tract infection which may associat with other symptoms.
4.     Diabetes (糖尿)
The person may have diabetes.  Another indication is whether many ants surrounding the toilet bowl after urinating.  Other indications of diabetes include excess thirsty and drowsiness (人也许有糖尿病。另一个征兆是否是许多蚂蚁围拢马桶在小便以后。糖尿病的其他征兆包括额外口渴和睡)

I am not an expert and I suggest seeking for consultation soonest possible to identity the reason and seeking for treatments immediately to prevent further deterioration.  (我不是专家,我建议寻找专家为咨询因和立刻寻求治疗防止进一步恶化)


UPDATE: I brought my sons for the urine test.  Test results were presented to me in medical terms.  Here is a good Reference Site for you to interpret the test results.