Not all of us can do great things during our lifetime, but we can surely do many small things with great passion and love.

Sunday, March 30, 2008

24th Update – The Tenth Month

43 weeks after Knee ACI

No progress report on the knee, but I did not have any serious buckling or locking during the month. Went to physiotherapy session only once earlier in the month and had to cancel all appointments for the rest of this month.

On Sat 15 Mar afternoon, I was quite energetic and decided to replace a faulty wall fan. Suddenly, I felt giddy, followed by fever. I went to bed early. Woke up on Sunday morning feeling well, but the fever returned in the evening, reaching a high of 39.5 C. That evening, I went to the neighbourhood clinic and the doctor said I had throat inflammation and prescribed antibiotic and lozenges. As the fever did not subside and I also had gastric pain, muscle and joints aches, I went to the same clinic again on Wed morning – another doctor changed the medicine to a stronger antibiotic. He also took blood samples for tests – but ruled out dengue, as my blood palette count was normal. However, my haemoglobin was abnormally low and white blood cells high. He warned that if fever still do not subside in another 2 days - to go to hospital. Couldn't sleep the whole of Wednesday & Thursday owing to severe back pain, fever and some breathlessness. On Good Friday, 21 Mar, I went to NUH’s A&E and was kept inside an isolation room. Portable x-ray and ECG machines were pushed into the room for my examination. Later in the afternoon, the duty doctor informed me that I had pneumonia and took blood samples for testing. I was subsequently hospitalized in an Isolation Ward for 3 days. Here, everyone who visited me, including doctors, nurses, visitors and even the cleaners have to wear mask when entering my room. Three young doctors came in on Sat morning and observed that I looked well with no fever, and asked whether I want to be discharged. Told them my symptoms of recurring fever in the afternoon and they told me to stay another day. True enough, the fever returned that afternoon. My consultant doctor, who is a Prof, visited me on Sunday and said my condition has stabilized and prescribed a strong antibiotic. I told him I also had blood in my sputum, but he said it is normal and should go away after a few days. He said I could stay until Monday or I could also be discharged and rest at home – I went home on Sunday and the doctor warned that I should stay home for the next 7 days and finished the full course of antibiotic and cough medicines.

My fever has subsided since Sat, but the coughing is still bad, although there is no more blood in the sputum. I still felt weak, after two weeks of illness, but is anxious to return back to work tomorrow. Hope everythings turn out well...

Saturday, March 01, 2008

23rd Update – The Ninth Month

39 weeks after Knee ACI

I’ve to ease off some of the intensive physiotherapy exercises owing to the increased frequency of knee buckling and locking. Sometimes I also felt some low dull pain. Went for MRI with injection of radio opaque dye in mid February. The Doctor attempted to inject about 10 ml of dye into the knee with some difficulty as I felt extreme pain in the knee. In the end she did not use up all the dye. I was scanned twice, once with dye and another after the injection of the dye, a procedure called arthrography.


Saw my orthopaedic Prof the following week, and reviewed the results of the MRI scan. The good news is that it showed a newly regenerated cartilage layer covering the femoral knee bone. However, some lighter-shaded spots can be seen, indicating the lack of a uniformly smooth layer normally found in healthy knee. There were also some sign of over-growth at the edges, but the doctor is not too worried about it. The Prof said this is still early stage of recovery, being only 8 months plus. The uneven cartilage surface probably caused the occasional locking and buckling of the knee. The scan fortunately, did not show any injury in the meniscus cartilage which one of my physio suspected I might have. The Prof prescribed another 3 months’ supply of glucosamine pills to be taken trice daily.