7 WONDERS IN MAN

Man is aware about his inevitable death, yet he indulges in laughter and merriment.Knowing that this world will come to an end, man still hankers after it.Man knows that everything has been predestined yet he laments over the loss of something.Man has been warned and has the full knowledge about the fire of hell but he continues to sin.Man believes in the Reckoning of the hereafter but still he persists in amassing wealth.Declaring his belief in the Unity and Oneness of Allah, yet man remembers others besides Allah.Man believes in Jannah but still finds pleasure in the idle pursuit of this fleeting world.

Source: ‘DEATH’ by Husainiyah Publications Estcourt

CKD patients excess mineral alert

Phosphate

1. Phosphate is common in food, especially dairy products. Healthy kidneys remove the extra phosphate. Chronic kidney disease causes phosphate concentrations to increase. 
2. A high phosphate concentration can make the skin itchy. It is also a partial cause of bone and blood vessel disease.

Calcium

3. Calcium is important for healthy bones. A raised calcium concentration may cause headaches, nausea, sore eyes, aching teeth, itchy skin, mood changes and confusion.

Potassium

4. Potassium is found in many foods – particularly fruit and chocolate. Most excess potassium is normally removed from the body by the kidneys. Potassium is important for your general health and for the proper function of muscles and nerves
5. Too much potassium can upset the electrical impulses that control the beating of the heart and sometimes even cause the heart to stop.

Haemoglobin

6. People with CKD often have low haemoglobin levels: they have low red cell counts in their blood. This means they are anaemic. The anaemia is usually caused by a lack of erythropoietin (EPO), a hormone made by the kidneys. 

7. In other cases it may be caused by low iron stores, which may be caused by blood loss

Wake Up chronic disease patients

1. Contracting any chronic diseases does not only concern about yourself. People within your circle, also effected that need your intention like children , spouses and other family members.
2. Its not solely everything about your health. Reaching out your family and make them feel taken care of even with your predicament conditions are the best way to bind the relationship.
3. Spouse and children may feel that they the only one have to understand your situation and left their psychology needs in abandon. The prolong of this dilemma or communication is detrimental and leading to to hopeless and giving up of the caregiver.
4. It is suggest and encourage , the way to healing , chronic patients have to wake up their mind on how to contribute in the family and avoid being selfish and seek sympathy due to his or her condition. The best cure is to move on  try to act as if you are normal and healthy person.
5. If your are the leader of the family, forbear and pushed as far to play your roles and responsibilities. Hide all the shortcomings and never show weaknesses to others.

Nusa intan- 30 aug 19

Urea and creatinine part 2

1.Urea is the main waste product from the body’s intake of protein. 

2.Creatinine is a waste product from muscle. 

3. Creatinine and urea are carried in the bloodstream to the kidneys to be removed. 

4.High concentrations of creatinine or urea in the blood usually mean a reduced rate of filtration of urea or creatinine from the blood into the urine. 

5. It is important to note that urea and creatinine are not ‘poisons’ – they are simply convenient markers of the degree of abnormality of kidney function.

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Urea vs creatinine -explained

Two important biochemical parameters that are measured in blood in order to assess the function of the kidney are blood urea and creatinine. Blood urea is synthesized in the liver from the ammonia produced in the intestinal tract as a by product for the digestion of protein. So, ammonia produced in the intestinal tract

is transported to the liver and then converted into urea.The urea is excreted through the kidney. So, this why blood urea is used as a test for the function of the kidney.

The second parameter is creatinine. Creatinine is a metabolic product produced from the muscles. First, creatine is synthesized in the liver and then transported to the muscles, combined with phosphorus and result in the formation of phosphocreatine

and then, when the body needs energy,the phosphorus is used for synthesis and the creatine is converted into creatinine. The creatinine produced from the muscles is excreted only through the kidney. So, here, these two parameters excreted through the kidney and this is why used to assess the function of the kidney.

However, urea is considered sensitive for renal diseases

but not specific. Creatinine is considered specific but not sensitive.So, the presence of mild renal disease, will result in increase the level of urea in the blood.Why urea is considered none specific for renal diseases is because urea is affected by the levels of proteins produced in the intestinal tract when large amount of protein produced. This means that more ammonia is produced and transported to the liver and will result in increase the level of urea which is not related to a disease in the kidney.

Also, in presence of abnormalities in protein metabolism

will result in reduction in the production of ammonia

and affect the level of urea in the blood. The presence of disease in the liver will affect the production of urea and may result in

reduction in the level of urea in the blood. 

Another factor that affect the level of urea in the blood is dehydration. Urea increased in the blood circulation in cases of dehydration So, cases associated with diarrhea or vomiting

or any other causes of dehydration will result in elevation of urea level in the blood.  So, renal disease is not the only cause for elevation of urea. However, if we excluded other causes that will result in elevation of urea, the kidney will be the cause, at that time.So, urea is considered sensitive it increase in mild renal diseases but, urea is not specific, because there are other factors

affect the level of urea in the blood.

Regarding creatinine, It produced in muscles.

However, creatinine excreted only through the kidney . Creatinine is not affected by the diet. Creatinine is not increased in cases of dehydration. So, creatinine is specific for kidney diseases

but, it increased in late renal diseases.Not like urea, it is specific. Once creatinine increased, the renal disease is confirmed. 

Usually increase of creatinine is associated with elevation of blood urea. However, elevation of blood urea is not

is not essentially associated with elevation of creatinine levels in the blood.  Creatinine level in the blood can decrease in cases of wasting of, in cases of emaciation or wasting of muscles due to the decrease the muscle mass that will result in decrease the production of creatinine and affect the level of creatinine in the blood. So, creatinine level can be decreased in cases of liver diseases or in case of wasting condition, or decrease the muscle mass in the body.

Okinawa Diet

In okinawa, japan, the people are believe to live longer or had  high longevity rate bcause of their diet culture. Here are some of the common practices

- eat herbs and spices 

- eat edamame beans and put calories at mibimum.

- only use salt and sugar sparingly ( 50%)

-  eat 5 different fruits and vegetables ( like color of rainbow)

- eat plain rice and noodless

- eat small portions, use small plate, fill stomach 80% and leave some speace for hungry.

In 1963, Hawking contracted motor neurone disease and was given two years to live. Yet he went on to Cambridge to become a brilliant researcher and Professorial Fellow at Gonville and Caius College. From 1979 to 2009 he held the post of Lucasian Professor at Cambridge, the chair held by Isaac Newton in 1663. Professor Hawking received over a dozen honorary degrees and was awarded the CBE in 1982. He was a fellow of the Royal Society and a member of the US National Academy of Science. Stephen Hawking is regarded as one of the most brilliant theoretical physicists since Einstein.

Tracing his development as a thinker, he explains how the prospect of an early death urged him onward through numerous intellectual breakthroughs, and talks about the genesis of his masterpiece A Brief History of Time – o

# physical  impaired may closed you down, but not the power of your mind. As long as your mind still working,  keep on thinking and imagine, no one can stop you to live ...

Malam Berdua

Sajak 3

Sajak 3 ; itu saja

Kinj  hanya satu ku pinta

Baki masa utk membersihkan dosa

Sbelum dijemput Pulang.

Itu saja.

Htjseremban.

Terlantar di Hospital

Terlantar di hospital

Ketika terlatar di hospital, ku dilihatkan 

- empat troli mayat roda berkeriuk berdentum diusung keluar wad

• insan -insan di hujung nyawa menggapai-gapai mencari nafas terakhir di katil perbaringan
• Air-air mata yang mengalir, bergenang sebak lalu dikesat-kesat..
• Melihat kasih sorang bonda sentiasa erat di sisi anak sebilang masa
• Para doktor dedaksi diskusi mundar mandir sambil ditangan tulis mencatat dan mencakar solusi
• Mulut mulut berkumat kamit melafaz istghfar sambil tangan menadah dan mulut terngadah

..dan seorang aku sedang termanggu memikir satu persatu apa yang bakal berlaku. Menunggu , merenung longgokan dosa yang bakal dihitungkan.

Hospital seremban 31-7ogos 2019

Long Months

First admision, tampin hospital

KPJ specialist..seremban

My second home, Nefro Clinics.

Alternative treatment, KB , 8-16 jul

 Seremban Hospital, blood tranfuse, renal biopsy, 31 jul -11 ogos 19.

First Haemodilisis HTJ.

2nd dialisis, pilah hospital. 10 ogos 19.

Greatness and glory to Most High Allah SWT make all this long months possible, guide and safe guard me along the way. YOU call unto me, and unveil new meaning.. End me with acceptance of obedience servant. Amin

3 days before diagnose CKD