Hidup mulia

Currently I’m in the pediatric ward, and this week, I’ve seen a few rare cases but serious and life threatening… The first case was a 5 years old Malay boy named Sani (not his true name) who just graduated from his kindergarten and was awarded best student among his peers.. He came with 2 weeks history of vomiting associated with lost of stability and 5 days history of unable to close his right eye, drooling of saliva from his right mouth angle and loss of hearing from his right ear.. He was such a bride and cheerful kid and very cooperative when I examine him.. His farther who is and army officer was also calm speaking to me with a Kedah dialect. There was no sign of infection and no history of ear pain. His blood pressure and his blood glucose level were also normal… It didn’t strike me initially but the actual first important sign was vomiting… During my examination, there were loss of frowning at the right side of his forehead when I ask him to look up, and when I ask to see his teeth the right side of his mouth was sagging or look like the mouth of “Two Face” played by Tommy Lee Jones in the movie Batman …His father told me, at night he had to put his palm on Sani’s right eye because Sani can’t sleep as he can’t close his eye.. This condition is commonly seen among adult and we call it 7th cranial nerve lesion. It is due to either bleeding or ischemia of the left side of the brain or probably any cause of nerve damage along the 7th cranial nerve commonly seen among hypertensive and diabetic patient.. This boy is 5 years old.. So it’s like being Dr. House I was trying to identify the problem by asking his father few relevant question which I myself was unsure what I was looking for… While I was talking to him, then finally all the ward houseman, medical officer, specialist and head department came and I had to move a side as they wanted to examine Sani and talk to his father.. I was unaware that a CT brain of the boy was done and they already find out the diagnosis.. It appears that there was a tumor growing at the cerebello-pontine angle of the brain and the growing tumor has increase the pressure inside his skull causing vomiting… The cerebellum involve in stabilizing our movement and the 7th and 8th cranial nerve goes trough the cerebello-pontine angle hence causing the presentation Sani’s experiencing .. I felt so sad and felt sorry for him, the kid has a brain tumor and needed a brain surgery to remove the growth… We call Hospital Kuala Lumpur and they requested that Sani is to be transferred to HKL first thing in the morning … After all of them had moved away, I continue speaking with Sani’s father.. I felt so guilty for laughing and joking with him previously. He still remain calm,but I can see that he was trying to control himself and if left alone there be tears falling from his eye… It’s a man ego I guess… He understood his son’s condition and I told him that it’s going to be a long recovery period with physiotherapy… I wish him all the best before I leave for the next session…