hi mummies, I received this from my friend and I'm sharing it with you as it doesn't seem like a chain letter. Besides, we're having sort of a Dengue crisis so you might want to know abt this.
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Dear friends
You may have read the report on Pg 4 of today's Straits Times entitled "Sportsman, 26, may be 4th to die of dengue". This young man is my husband's nephew. From the info I've gathered, Ian's death is a tragedy that could have been prevented and I'm writing this email to warn you, my dear friends, to be more pro-active when dengue strikes a family member or loved one.
Last Wednesday, Ian came down with a fever. He went to see a GP who gave him a blood test which turned out to be normal. Being in the adventure sports business, he was not one to take a fever lying down, literally and figuratively speaking. So he was up working at his projects whenever the fever subsided. By Friday evening and early Saturday morning, he was so sick that he called an ambulance at 6.30am to take him to SGH. He waited at the A&E for more than 3 hours, in an observation ward, before he was warded at 10am. (Another friend of mine, who went to SGH on Tuesday night and was discharged on the morning that Ian was admitted, waited 9 hours for a bed. During this period, no one came to check on her or give her water. Fortunately, she recovered after her platelet count went to as low as 21K, ie, 21000).
Based on what I learnt from a neighbour and a relative who had dengue years ago, once the platelet count dropped below 25K, platelet transfusion was given. However, when the friend whose platelet count dropped to 21K asked the nurses, she was told that she would only be given a blood platelet transfusion when the count drops below 10K. The normal level is 140K.
Ian's mum and brother went to see him and found out that his platelet count was only 13K. Throughout Ian's stay in the general ward, he had severe abdominal pain and went to the toilet to pass motion so often that he became very weak. He was only given blood transfusion at about 12.30am . He was only sent to ICU at about 11.30pm because there was no bed in ICU earlier on when the doctor determined that he needed intensive care. He was on the drip but the amount of saline solution given him was insufficient for his severely dehydrated condition and his blood
pressure dropped to a below recordable level. When the rate of flow was doubled, his blood pressure went back up to normal. At 2am, he sat up in bed and siad he was fine but cold and wanted to sleep. At 3am, he suddenly woke up with chest pain and
almost immediately his heart stopped beating. The hospital staff tried to revive him over the next 90 mins but to no avail.
And that's how the family lost a grandson, son, brother, nephew, grand-nephew and cousin. Here are the lessons I have drawn from this tragic episode:
1. Listen to your body - when you have fever, drink plenty of fluids and have plenty of rest.
2. When the platelet count is so low as to be less than 10% of normal, insist on blood platelet transfusion. Have complete bed rest.
3. I don't understand how the blood pressure could have dropped so drastically. Did the staff take the bp regularly enough? Maybe we should invest in a blood pressure monitor to monitor the pressure of the patient ourselves.
4. Severe abdominal pain is a red flag in the management of dengue cases. The patient may be about to go into shock. Inform the doctor and do not use the toilet but stay in bed. Do everything in bed and drink lots of fluids. You can read more about this in the documents at "
http://www.cfps.org.sg/pdfs/DengueAdvisory.pdf" and
"
http://www.epid.gov.lk/pdf/Guidelines on clinical management of DFDHF.pdf" .
5. Buy medical insurance so that you can afford higher quality care.
DON"T TAKE DENGUE FEVER LIGHTLY. GET PLENTY OF REST AND DRINK PLENTY OF FLUIDS. IF YOU FALL WHEN YOU HAVE A LOW PLATELET COUNT, INTERNAL BLEEDING CAN HAPPEN. PLEASE DO ALL YOU CAN TO MAKE YOUR SURROUNDINGS MOSQUITO-FREE.
God Bless You
LiSa Ng-Tay Lee Siang
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