Thursday, September 13, 2012

Excellent Control.


I nearly missed the appointment with the Consultant Physician as l misplaced the appointment card before I left for Saudi Arabia mid July.

13 September 2012 was the appointed date and I was on time for the blood extraction, two (2) hours after lunch pre consultation.

The result was very encouraging, perhaps the one (1) month fasting during Ramadan was the contributing factor.

Blood pressure - 130/80   NORMAL.
Glucose – 5.5     (3.9 – 7.8).
Glucose (conventional – 99    (72 – 141).

Creatinine (urine) – 4605    (2652 – 11050).
Microalbumin – 22.8    (< 30.0).
Microalbumin / Creatinine Ratio – 4.95    (<3.40).

Glycated Haemoglobin – 6.8    (Satisfactory control – 6.5 – 7.5).
HbA1C – 51    (Satisfactory control - 48 – 58).

For a 66+ year old man, the above results should be considered AOK. I just have to further reduce the creatinine value in the urine to bring down the microalbumin / creatinine ratio reading. That is the most difficult part as I have to reduce the protein intake.

The next appointment would be on 06 December 2012.

Note to Readers who do not know what is Microalbumin / Creatinine Ratio.
A urine microalbumin test reveals important information about your kidneys. 

Healthy kidneys filter waste products from your blood. If your kidneys become damaged, some of these waste products may remain in your blood. At the same time, a type of protein called albumin (al-BU-min) — which should stay in your blood — leaks into your urine. The microalbumin test detects this protein. Often, an elevated microalbumin level is the first sign of kidney damage. 

Regular urine microalbumin tests are often recommended for people who have type 1 or type 2 diabetes. Urine microalbumin tests are also recommended for people who have high blood pressure (hypertension). Both diabetes and high blood pressure — among many possible causes — can damage the kidneys
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What It Is

A microalbumin-to-creatinine ratio urine test involves measuring the amount of a protein called albumin in the urine. The amount of urine albumin is compared with the quantity of a waste product in the urine called cretonne.

The body normally filters out creatinine in the urine at a steady rate, so comparing the ratio of urine albumin with creatinine in the same urine specimen helps determine if the body is excreting albumin at an increased rate. If this is occurring it may be the result of kidney disease.

In most healthy people, the kidneys prevent albumin and other proteins from entering the urine. However, if kidneys are damaged and start to allow proteins to pass from the blood into the urine, the first type of protein to appear in the urine is albumin. This is because albumin molecules are smaller than most other protein molecules.

The consistent presence of small amounts of albumin in the urine is called microalbuminuria and is associated with early-stage kidney disease. Once there are larger amounts of albumin in the urine it is called macroalbuminuria and it could indicate more severe kidney disease.

Tuesday, September 4, 2012

Picture speaks.


Picture speaks a thousand words. Evaluate yourself. I keep my opinion to myself.

Who is this Chinese Nyonya?

The Master.


The Grandmaster.



Sunday, September 2, 2012

Malaysia Merdeka......55 years.


It came on 31 August 2012, at 55 years of age. A person born on Merdeka day had reached retirement age. I was 10+ when Federation of Malaya achieved its independence. I am a pre Merdeka son. I had tasted life before Merdeka, Komunis Malaya era, after Merdeka, Indonesian Confrontation, May 13, New Economic Policy and surviving through six Prime Ministers. I had gone round the world but Malaysia is home. 

I vividly remember the very day when Malaya got its independence. I was in Ipoh and I witnessed the celebration at the Ipoh Club Padang. At night there were parades of floating chariots and bullock carts around town to celebrate the joyous occasion. I was part of it. At that time I was the future generation to uphold the country democratic system and independence. In the early 60s, soon after Merdeka, I took the challenge of Technical education and later worked at an American Petroleum Refinery. Being Malay, I took the challenge and opted something beyond normal where serving the Government is priority and most preferable. With the implementation of NEP, I served the British Plantation Conglomerate which later taken over by Malaysians. I never worked under any Malaysian Government entity. All the years until I retired I was in the private sectors but I contributed faithfully to the nation development and progress. I never hate the ruling government as majority had ruled. 

55 years later what I saw on the eve of 31 August 2012, astonished me. 

A Street Demonstrator as if shitting at PM portrait.


  



Some Malay Street Demonstrator showing off their new version of Malaysian Flag.


The pamphlet went round on the eve of Merdeka.

Is this what we want our future generation to be? Wonder how they were being brought up? Bloody insolent!! Their parents must be numbskulls as them. The Government built schools and Universities to educate them but what did they learnt? They dare want to change my nation sovereignty flag? This is definitely a WAR against the DYMM Yang Di Pertuan Agong and they deserve to be thrown out from this country. Yes…..we may have differences with our political ideologies but not to the extent of showing disrespect to our Nation’s Head and to our Nation. This has gone too far and far too much. Every loyal citizens of Malaysia is definitely boiling and hurt.


Anwar Ibrahim, Hadi Awang and Lim Kit Siang………you are responsible!!! Nik Aziz, you are not excluded. Ambiga and Samad Said – is this what Bersih all about? Bersih your assholes, first.  Start counting your days in office. I had reached to the optimum level. If you fail to control your goons, I am not surprise history may repeat. Loyal Malaysians want to put that day behind but the Opposition behavior is instigating it to reoccur. This time around, the Malays will be against not only the Chinese but the Malays and Indians as well. Mark my words. When the silent majority wakes up, the repercussion only Allah (God) will know. A nation can be destroyed within one day but it would take a long time to rebuild. Just remember that. 

I love Malaysia. This is my home, my country, my birth place and I will defend this nation to the last drop of my blood. If the goons want to stay peacefully in this country they better start behaving. The silent majority are watching them and we will retaliate when we tolerate no more. I remain a silent observer and Malaysia is tangible with my race and faith. Malay, Allah fearing Muslim and Malaysians.

 “Amuk” as in Oxford Dictionary accepted by the world, originated from the Malay race, in case some are not aware.