JOURNEY 8 : After balloon, induced with pill

Hi All

I apologise for the late update on Journey #8.

On the second day after balloon was inserted, there is not much different. The cervix opening remain at 2cm. Hence, the doctor decided to induce using a pill and we have to wait for another night to see the progress. My wife started to have more contraction and she was monitored closely for every 4 hours if i can recall. 

On the following day morning, the doctor came by to check and only found out the opening only move to 3cm. The doctor then give us option whether to opt for ceazer or wait for another 8 hours but there is no guarantee the cervix opening will be bigger.

After 30min of discussion, we then decided to go for ceazer. 

To be continued... 

Pengalaman Mengangung Type 1 Diabetic Kencing Manis

Assalamualaikum dan Hi semua

Ini pengalaman saya sebagai seorang suami. 

Isteri saya mempunyai kencing manis dari umur 9 tahun. Sejak kecil lagi. Jadi, insulin dan glucose meter memang tidak pernah lekang dari dia. 

Pengalaman isteri mengandung, memang penuh cabaran. Kes isteri saya memerlukan support dari dua doctor pakar iaitu Doctor O&G dan Doctor Medical (Diabetic). 

Sejak mengetahui isteri mengandung, perkara pertama yang saya lakukan bersama isteri adalah close monitoring on blood sugar. Kena check betul betul kandungan gula dalam darah. Saya membuat satu buku yang sangat tebal untuk tulis kan bacaan yang di ambil LAPAN kali setiap hari. 

Bangun pagi (fasting sugar) 

Sebelum breakfast

2 jam selepas breakfast 

Sebelum lunch

2 jam selepas lunch

Sebelum dinner

2 jam selepas dinner

Sebelum tidur

Ini semua berdasarkan pengalaman mengandung pertama yang tidak menjadi (disebabkan oleh bacaan gula yang tidak terkawal).

Di dalam buku ni, memang saya yang akan record kan sendiri bacaan. Waktu awal mengandung. Bacaan memang sangat terus. Tetapi, saya rajin membaca dan berbincang dengan doctor pakar apa yang terbaik untuk isteri saya. 

Ini adalah minggu mingu pertama bacaan. Warna hitam untuk bacaan tinggi

Warna merah untuk hypo atau bacaan gula rendah

Warna biru untuk bacaan gulu biasa within range

7 weeks pregnant 

Nanti saya share lagi pengalaman kami bersama ya. 

Kepada yang mengandung sama ada GDM atau Type1 Diabetic, tolong dengar nasihat dari doctor ya. 

Jumpa lagi next episode ya. 

JOURNEY 7 : Admitted to UMSC for Delivery

Assalamuaikum and Hi All, 

My wife was admitted to Universiti Malaya Specialist Center (UMSC) in her 37weeks 4 days of pregnancy.

Prior to that, we realize our fetal movement is not as usual. So we went twice to the hospital to check and do CTG. Alhamdullillah, the fetal looks good. 

37w4d

We actually came for a check-up at public PPUM clinic and was entertained by our doctor, Dr Rajeev. He communicated with Prof Siti and was advised to be admitted by today. 

Then, we went straight to Wad Dahlia. It is located at Level 3 of Kompleks Kesihatan Wanita dan Kanak-kanak PPUM. The first question asked by the staff nurse was "Prof Siti ask to admit today?"

And yes!

They immediately ushered us to the nice pinkish Labour Room. The room in Wad Dahlia UMSC is where you will stay for delivery and if it is normal delivery, you will deliver your baby in the same room. 

It is a nice room, but a little bit small as compared to other private hospital. Nonetheless, we have nothing to complain as everything was good for us. 

So the journey begun. We first was advised to wait for Dr Rajeev to come for the Balloon insertion procedures. Hence we took our own sweet time, and my wife did not even change her attires yet. Out of sudden around 12pm, Prof Siti came down and requested to the procedure immediately. 

It was very intense procedure, with full of pain. I could not bear to see my wife in pain, and wish if only i could take away all the pain with me. The main objective of having this balloon is to open up the cervix.

The journey started for the next 24 hours. 

To be continued............ 

JOURNEY 6 : 35weeks Pregnancy at UMSC

Hi All, 

During 35 weeks pregnancy, we went for a visit at UMSC. Prof Siti seems happy with the baby size and sees there is no urgency to deliver the baby at this point of time. 

However, we were asked to be admitted at 36weeks for monitoring and early delivery. 

Since the baby will be delivered early, the plan is to inject DEXA. Main objective is to make sure the baby's lung is matured enough once the baby is delivered. 

Glucose Reading Spike
The plan to inject Dexa had causing our Endo team worry. Based on their advise, Dexa injection would cause the glucose reading to go really high. Therefore, strict monitoring shall be done during the exercise. 

Our Endo Hospital Putrajaya team then wrote a referral letter to UMSC and UMMC Endo team for next course of action. We were referred to PROF. DR. SHIREENE RATNA. She is really good and motherly as well. 

Admitted at 36weeks
On 36weeks, my wife was admitted for Dexa injection and prepare for early delivery. Instead of being admitted to UMSC, she was admitted at PPUM (UMMC). The reason being is because Prof Siti would her team to closely monitor her. 

On the 3rd day of admission, she was brought to another scan done by one of the consultant. The Prof recommended there is no urgency for early delivery. 

Discharge from UMMC
Since we have got a new recommendation, Prof Siti came by and advise my wife to return home and wait until 38weeks. 

:)

JOURNEY 5 : UMSC Prof Datuk Dr Siti Zawiah Omar

Hi All, 

Since we had "not so good" experience with FPP Hospital Putrajaya, we have then decided to look for other possible option. 

We googled multiples hospitals and found out one of the best specialist / consultant / Doctor who can manage High Risk Pregnancy is Prof Datuk Dr Siti Zawiah Omar from Universiti Malaya Specialist Centre.

Visit her Profile here: https://umsc.my/?umsc_doctor=siti-zawiah-omar

She is very motherly, indeed. 

We first met her back in 2018 when we lost our first. We sought for treatment and opinion to plan for our next pregnancy.  

30weeks
We managed to see her after 32weeks, that was after we were released from FPP Hospital Putrajaya. 

When we met her, one of our first question was whether she could accept my wife or not. And SHE SAID YES!

We were so happy that time and since them we follow up both at Hospital Putrajaya (Public Clinic) and UMSC under Prof Siti Zawiah. 

34weeks
At 34weeks, we went for visit at Hospital Putrajaya public clinic. The doctor scan the baby and found the size is slightly big at 3.4kg. Therefore, they advise us to be admitted immediately for monitoring and early delivery. 

We then inform the Doctor that we would like to deliver at UMSC, and a referral was given. We immediately consulted with Prof Siti and was advised to only see her the following week. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

To be continued...

JOURNEY 4 : Experience with FPP Hospital Putrajaya

Hi All, 

This episode, i would like to talk about our experience with FPP Hospital Putrajaya. 

Insurance
Since my company covers maternity cost, we have opted to go for FPP - O&G. 

First Visit
We have registered an appointment to meet with the one and only women Doctor for FPP at Hospital Putrajaya, for now we will call her The Doctor. Well known for her kindness and specialties, we unfortunately had a bad experience with her. 

During our first visit, she was accompanied by another MO, i would name her as Dr S. 

Dr S had mistakenly advise The Doctor that my wife had DKA during pregnancy. After a minute only she realize that the DKA happened long back when my wife was first diagnosed with diabetic type1 (20 years ago!). 

The whole thing changed. "The Doctor" then review my wife glucose monitoring logbook and she started to mumbling about the glucose reading without even trying to understand her condition and recommendation provided by Endo team. She immediately tell my wife to be admitted for strict control. 

When we discussed this with our endo doctors, they are not surprise with it considering there are not many doctors whom aware of insulin pump. 

Since then, we realize that she might not be the best for our case. It seems, this is her first time to seeing Type1 Diabetic patient with Insulin Pump. 

I remember she said, "Owh, this is how the insulin pump looks like. Come Dr S, look at this" 
p/s: Dr S ignore her. 

Lastly, we agreed with "The Doctor" to release my wife to normal clinic. The reason is because of the cost which we feels nothing about it as we both know that we can afford it. 

My wife cried so badly after leaving the room. We both understand her concern on both baby and mother health, but jumping into conclusion without trying to understand the background, that was wrong. 

After all, we both happy with our decision to be released into normal clinic instead of FPP. Probably, they are best in normal case but not for special case like ours. 

Nonetheless, i hope this experience would not hinder you from seeing them. Their services are still the best, indeed. 

:) 

JOURNEY 3 : Glucose Continuous Monitoring - Freestyle Libre

Hi All, 

This episode, i would like to talk about Freestyle Libre. 

It is a glucose continuous monitoring (GCM) and very useful for type1 diabetic as well as patient with insulin pump. When we were with Hospital Putrajaya, the doctor requested my wife to use Libre for 2 weeks. 

Unfortunately in Malaysia, this product is not yet released. Hence, it is only available at Hospital Putrajaya, prescribe by the doctor. Othrewise, you would not be able to purchase this anywhere in Malaysia. 

The nearest available country selling this product is at Singapore. Sadly, we tried to communicate with the agent in Malaysia, they unable to sell it to us. 

Nevertheless, if you have extra budget, you may request your friend to purchase this for you from Singapore. 

Please visit this link for more info. 

https://www.freestylelibre.us/

:)