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Spotting A Silent Killer, Cholangiocarcinoma



PUTRAJAYA, May 17 — In November 2020, Raj (not his real name) started feeling the symptoms of bile duct cancer or cholangiocarcinoma – light-headedness, heartburn and a sudden weight loss of almost 30kg – which forced him to quit his job as an electrical technician.

Receiving the cancer diagnosis after a health screening and computerised tomography (CT) scan felt like a bad dream for the 37-year-old father of two.

He was given urgent chemotherapy, but after two treatments, developed ascites and had to have a pigtail drain inserted to remove the fluid accumulated in his abdomen.

Following this, he received a platelet transfusion because he was critically low on platelets and   chemotherapy was discontinued.

A nurse and his wife are now providing him with palliative care because the cancer is inoperable.

According to Hospital Universiti Sains Malaysia (HUSM) Kubang Kerian hepatopancreaticobiliary specialist, Dr Ikhwan Sani Mohamad, the cancer can form in the bile duct within the liver (intrahepatic cholangiocarcinoma), at the base of the liver (hilar/proximal cholangiocarcinoma) or near the end part (distal cholangiocarcinoma).

He said it is a rare cancer that develops mainly in people aged 50 – 70, and men.

There is a 2 per cent incidence of bile duct cancer worldwide, or 1 case per 100,000 population, with hilar cholangiocarcinoma being the most common at almost 50 per cent.

“Patients are not usually diagnosed with bile duct cancer because the symptoms are nonspecific in the first two months of experiencing pain.

“The common complaint is stomach pain or a twisting pain which is often mistaken for gastritis.

“After two to three months, once the cancer has invaded the body, it can cause an obstruction in the bile duct. Usually jaundice develops, urine turns a teh O pekat (dark brown) colour and there’s body itching,” he told Bernama.

Dr Ikhwan, who is also a lecturer and surgical consultant, said the main symptom to watch out for is jaundice (yellow disease) in adults, which would be abnormal because it normally occurs in newborns.

He said only 20 – 30 per cent of patients with bile duct cancer recover after a delayed diagnosis, or put another way, two to three patients in 10 get treatment at the right time based on international data.

He said the risk factors include a congenital disorder like swelling of the bile duct, parasitic infection, hepatitis, cirrhosis, tobacco smoking and obesity.

He said only surgery can help a patient recover, but there are risks because it is a complex, five- to nine-hour procedure as the bile ducts are close to important organs like the liver, pancreas and duodenum.

“Patients judged as inoperable will have to accept palliative care or treatment to help ease symptoms – like jaundice or intolerable pain – for a better quality of life.

He said bile duct cancer patients should keep away from fatty and greasy food, as well as red meat and organ meat, to prevent overburdening the liver.

Conceding that cholangiocarcinoma awareness is lacking, Dr Ikhwan advises to seek treatment as soon as possible if suffering from constant stomach pain over two weeks or more, jaundice or see a change in urine colour.

“Patients and their family members should continue staying positive and benefiting from social support. Strengthen your faith and consider joining a cancer support group,” he urged as well.

Sources: BERNAMA

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Parents Seek Help For 11-Month-Old Baby With Heart Disease



IPOH, June 15  — It has been a struggle for survival for a married couple here, who currently has no source of income due to the implementation of the Movement Control Order (MCO).

Julia Mohd Ali, 34, who suffers from spinal cord disease, said she used to work as a security guard, but was forced to quit her job in last March as her health deteriorated.

The mother of five said life gets hard for her family after her husband Mohamad Syamrezlan Misak, 22, a contract labourer, could not go to work due to the implementation of the Enhanced Movement Control Order (EMCO) in Manjoi, from June 6 to 19.

To make matters worse for the couple, they have to take care of their two children who have health conditions and require help as well as treatment.

“I have four children from my previous marriage. Three of them live with my ex-husband, while my eldest son Nor Aiman ​​Fitri, 16, who has Dyslexia and learning disabilities is currently under my care,” she said when met by Bernama at his rented house in Kampung Tengku Hussein, Manjoi.

Julia said her child from the current marriage, Raisha Aleeya, 11 months, was diagnosed with clogged arteries three months ago.

“Every six weeks, I have to take my baby who also suffers from epilepsy to the Raja Permaisuri Bainun Hospital for examination. She is also scheduled to undergo a Magnetic Resonance Imaging (MRI) scan this August,” she said.

Despite the hardship, Julia said she was very grateful for the concern demonstrated by a non-governmental organisation which has agreed to help her in paying the house rental which costs her RM300 a month for three months.

Meanwhile, Kinta district Social Welfare officer Shamsudin Osman said the Social Welfare Department (JKM) would look at the suitable assistance that could be channelled to the family.

“We will visit them to provide the food box aid. We will provide the necessary assistance to the family accoding to their needs,” he said when contacted by Bernama.

Sources: BERNAMA

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Besides Christian Eriksen, These Are 5 Other Footballers Who Have Collapsed On The Field



Recently, the sports world has been bearing shocking news when an unconscious Christian Eriksen received CPR on the turf of Parken Stadium. The incident in which his teammates attempting to form a protective ring to keep his motionless body out of sight really makes everyone worried. It really made everyone worries as seasoned football fans have seen this in the past and the outcome has almost never been nice.

Luckily, the condition of Christian Eriksen is now stabilized. He is under the best possible medical care and most importantly, alive. Other than this particular incident, there are also some other footballers who have collapsed on the field. These are 5 of the most remembered incident that has ever happened before.

1) Fabrice Muamba

Picture: Bleacher Report

The Bolton Wanderers midfielder collapsed on the pitch in an FA Cup match in 2012 due to a cardiac arrest and was technically “dead” for 78 minutes before he was revived. The former England under-21 midfielder had to retire soon after at the age of 24.

2) Marc-Vivien Foe

Picture: Pinterest

The Cameroon midfielder collapsed during a Confederations Cup match in 2003. Medical staff attempted to resuscitate the 28-year-old on the pitch before taking him off on a stretcher. However, they failed in their attempts to restart his heart and he was pronounced dead.

3) Cheick Tiote

Picture: Bleacher Report

Four months after leaving Newcastle United, the midfielder fainted during a training session with Chinese club Beijing Enterprises. The 30-year-old Ivorian died in hospital.

4) Bafetimbi Gomis

Picture: World Football Index

The French striker has collapsed several times on the pitch due to a medical condition that causes him to faint. He has collapsed playing for Swansea City, Galatasaray, and Al-Hilal.

5) Miklos Feher

Picture: Sportskeeda

The Hungary striker was playing for Portuguese side Benfica against Vitoria Guimaraes in January 2004 when he keeled over in pain before falling backward onto the pitch after a heart attack. Medics attempted to resuscitate the unconscious 24-year-old before he was taken off on a stretcher and rushed to the hospital. Doctors tried to revive him for nearly 90 minutes before he was pronounced dead.

Sources: The Straits Times.

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1,357,966 Individuals Fully Vaccinated As of Yesterday – Dr Adham



KUALA LUMPUR, June 14 — A total of 1,357,966 individuals have completed the two-dose vaccination under the National COVID-19 Immunisation Programme as of yesterday, said Health Minister Datuk Seri Dr Adham Baba.

Dr Adham in a Twitter posting said, 3,132,304 individuals received the first dose, bringing the number of doses administered in Malaysia so far to 4,490,270.

The five states with the highest number of two-dose vaccinations are Selangor with 174,302 doses followed by Sarawak (149,227); Perak (131,350); Johor (130,202); and Kuala Lumpur (122,810).

As of yesterday, 56.80 per cent or 13,789,736 individuals have registered for the vaccination with Selangor leading the sign-up for jabs at 3,508,098 people followed by Johor (1,720,532), Sarawak (1,320,513) and Kuala Lumpur (1,166,135).

Sources: BERNAMA

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