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[Tempatan]
Adib di bunuh di IJN ? UPDATE akta "assault" di spin AG ..dari post #
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Apa maksud patah dalaman? |
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Edited by cairel_azlie at 25-3-2019 09:18 PM
takkan nak guna ECMO pun kena bajet2 maksimum 30 hari kot  |
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blastoff replied at 25-3-2019 08:20 AM
Punyaaa ramai pelawat sekali masuk .....I thought dlm ICU kalau org biasa2 tak bol ...
Sepatutnya KKM kena kuatkuasakan sepenuhnya ttg lawatan2 VIP ni. Bodyguard, pengiring dan lain2 tu tunggu je kat luar. Bknnya ada sesiapa boleh menggugat keselamatan VIP ni semua bila dalam ICU. Masuk sekali doktor yg akan brief kat vip tu aje. Banyak kot kuman yg masuk sekali dgn setiap org yg menziarah. Bayangkan kalau lima enam org tu masuk.. |
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blastoff replied at 25-3-2019 08:28 AM
Weyy, dlm ICU mana boleh masuk ramai2......
tengok kat website hospital pantai nih, 2 org je bol ...
Kan.. Should be applied to all. Kesihatan pesakit yg sepatutnya diutamakan. |
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FanTasyCreaTioN replied at 25-3-2019 08:37 AM
Dalam gambar ni nampak dah ok sangat ..
Lebih - lebih lagi bila baca artikel dia mintak handphone. ...
Kan.. Suruh jawab soalan2 pelawat tu boleh pulak.. |
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NURMIMIE replied at 25-3-2019 03:10 PM
makin lama makin merepek jua kau tt..
walau ada sikit2 make sense lah apa kau cakap.. cuma belum ...
Aku setuju dgn blassoff untuk kali ni, dia hanya bertanyakan soalan yg logic pada aku dan tak ada pihak or authority yg jelaskan (mungkin inquest belum selesai) spt contoh kenapa ecmo tidak diteruskan, kenapa SJMC kata ada 4 ribs adib patah then bila kat IJN dah meningkat pulak bilangan yg patah tu, then kenapa bilamana FRU nak bertindak tapi OCPD tak bg isyarat utk bertindak dan sbg nya.....ini yg perlu diketahui, dan kenapa nurse tu kata sebelum ni doc kata ada kesan pukulan then tetiba tukar kenyataan yg kata mungkin kena langgar, so ini kes serius dan aku dah nampak yg kes ni punya way forward seolah2 nak lindungi sesuatu sebab takut sesuatu tit for tat yg akan berlaku sekiranya 'kebenaran' muncul.....kes ni ibarat tarik rambut dalam tepung tapi tepung tak berselerak rambut tak putus....kalau ko paham apa maksud aku paham lah kalau tak ko abaikan je.... |
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Edited by botol_tritan at 27-3-2019 01:43 PM
TT, firstly, i nak tanya, how good your knowledge regarding medical/basic biology ye? sbb semua info u, dapat dari google, without any basic knowledge.
sebelum nak masuk ke topic lagi dalam, kena tahu apa tu ECMO. Extracorporeal membrane oxygenator is one of the modalities in extracorporeal life support, which mean life support 'outside the body-from word 'extracorporeal''.
ECMO is the 'salvage therapy', not 'healing device', maksudnya, ia CUMA akan digunakan apabila semua method dlm respiratory assitive device gagal. untuk menggunakan ECMO pulak, bkn semua kes boleh guna, ada kriteria yg tertentu, bergantung pada either respiratory failure or cardiac failure.
1. treatable underlying repiratory condition
2. absence of contra-indications (severe liver/brain injury)
3. requirement for unsafe ventilation
4. with hypoxaemia
5. rate of lung injury progression.
-list yang lain boleh rujuk di sini ye- https://www.ncbi.nlm.nih.gov/pubmed/23594433
Since ECMO is salvage therapy, bila condition Arwah Adib getting better, Dr offkan penggunaan, tapi continues ventilator n dialysis machine.
He no longer requires the Veno-Venous Extracorporeal Membrane Oxygenation (vv-ECMO) machine to aid his breathing.
National Heart Institute (IJN) in a statement said the doctors had removed the machine at noon Tuesday (Dec 11) after viewing the fireman's progressive development and clinical improvement.
"He has made great strides and progress over the past 72 hours. He is able to communicate via a white board with his family and healthcare providers.
"(However) Muhammad Adib currently continues to require respiratory support with a ventilator and a dialysis machine. His rehabilitation exercises will be intensified to improve his muscle power and strength for his upper and lower limbs," the IJN statement said.
source: https://www.thestar.com.my/news/ ... ng-support-machine/
dan bila 15hb, keadaan Adib deteriorated, baru team IJN pasang balik ECMO tu,
Dr Suneta said despite showing progress during treatment, Adib’s condition deteriorated on Dec 14 when he failed to maintain his oxygenation and was short of breath.
“The carbon dioxide in his blood was increasing and the blood PH level was low (bila pH low, maksudnya darah arwah acidic disebabkan high level of CO2, carbon is acidic, ni basic chemistry) , which led us to perform a bronchoscopy (an examination of the airway) but only minimal blood clots were detected.”
She said Adib’s condition deteriorated even further on Dec 15. The team had decided to redeploy the ECMO machine to stabilise his oxygen level and blood pressure.
Zhafran: What happened on Dec 15?
Dr Suneta: We redeployed the ECMO and increased his medication due to unstable blood pressure and an increase of oxygen concentration. A blood test also revealed there was an abnormality in the liver. An ultrasound of lungs performed showed both lungs were consolidated (became hard) as there was little air in the lungs.
She said Adib’s condition stabilised on Dec 16 but his abdomen remained distended, with doctors continuing with antibiotic and dialysis treatment.
“However, later that day, his blood gas showed an increase of lactate level which indicated inadequate blood flow to the body.
“We also informed his family before his condition become more unstable,” she said.
Dr Suneta said that on Dec 17, Adib’s condition continued to deteriorate rapidly despite medication. His lactate level continued to rise while both of his lungs had hardened with multiple small lung abscesses spotted.
She said Adib was pronounced dead on Dec 17 at 9.41pm due to Acute Respiratory Distress Syndrome (ARDS) and multiple organ failure.
source: https://www.nst.com.my/news/crim ... t-browsing-internet
I tak nmpak masalahnya dgn decision penggunaan ECMO oleh IJN. menjawab persoalan u:
"Adakah dari 28 nov - 11 dis tu, dlm masa 2 minggu je tu, bruising dlm paru2 dia boleh sembuh ?"
jawapan i, ECMO BUKAN menyembuhkan, dia digunakan sementara sebagai 'bridge' untuk biological lung sembuh. 'biological lung' di sini merujuk kepada paru2 arwah. in proper sentense: 'it is used as respiratory assistive device to allow time for the biological lung to heal by reducing mechanical ventilation setting'. Bila keadaan arwah dah ada good progression, itulah sebabnya ECMO di cabut dan digantikan dengan ventilator. and bila keadaan terus balik, team IJN redeployed ECMO. pengerasan paru2 arwah xde kaitan dengan ECMO ye, ia tanda2 ARDS. Harap tak salah info.
Menjawab persoalan u,boleh sampai 6 bulan penggunaan ECMO. TT, ECMO tersangatlah complicated with high frequency of complication. tu sebab dia digunakan sebagai 'salvage therapy'.
ECMO is 'highly cost to operate, too complicated and patient is prone to suffer from heavy bleeding and blood trauma'. Inilah sebabnya kenapa dekat IJN je (area KL/selangor) yg ada ECMO.
Untuk journal/case report yg senaraikan complication due to ECMO, boleh tgk kat journal2 berkaitan:
https://www.ncbi.nlm.nih.gov/pubmed/23944202
https://www.annalsthoracicsurgery.org/article/S0003-4975(13)02005-5/pdf
https://www.ncbi.nlm.nih.gov/pubmed/23594433
semua complications ni berkaitan dgn 'RISK-BENEFIT ANALYSIS' yang hanya PAKAR sahaja boleh decide. so kalau setakat 'DR GOOGLE', x perlulah nak menuduh macam2. kesian dekat org lain yg misleaded.
I spent 3 years investigate pasal ECMO, since my PhD is regarding this device, n authored a few ISI articles tentang ECLS. tapi i sendiri x berani nak judge hanya berdasarkan article surat khabar yg kebanyakan penulis/wartawan tu xde basic knowledge pun pasal benda ni. dalam interview, org yg diinterview cakap beribu perkataan/explaination, tapi penulisan wartawan cuma limited, due to allowable space dlm surat khabar tu. bila ada specific term, ada possibility tak tersalah/misleading? i selalu terfikir pasal ni.
pasal benda lain, tu hak u nak 'berteori konspirasi'. .
tapi kalau nak ckp penggunaan ECMO yg salah oleh Dr, ia sangatlah unfair.
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untuk mengelakkan daripada 'tit for tat' tu i agak bersetuju, seperti bilangan rib yg patah n such.
tapi kalau ckp dibunuh di IJN sbb ECMO, i x setuju, sbb ECMO tu sendiri dah complicated.
N yg si VVIP sibuk je nak melawat ramai2 pun i dah rasa mcm stupid sgt. 
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botol_tritan replied at 26-3-2019 03:33 PM
TT, firstly, i nak tanya, how good your knowledge regarding medical/basic biology ye? sbb semua in ...
Aku nak reply mcm ni kat tt tapi xde ilmu mcm hang cuma selalu tgk medical drama jepun n korea je sbb tu paham ecmo ni benda yg complicated bukan senang2 pasang n buka.. tq sbb share ilmu utk kefahaman org lain sbb mmg layak n pakar bidang tu bukan level gosip acik bawang copy paste dari google. |
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Kan.. sbb in medical, diagnosis/treatment decision making mmg highly depend pada kepakaran Dr & team. N agak x fair kalau terus conclude as 'dibunuh'. I study pasal ECMO, tapi in engineering punya aspect. mmg banyak sgt complications. I suggest TT kena banyakkan membaca 'case report' pasal ECMO utk lebih faham penggunaan ECMO ni 
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macam yang ai cakap sebelum2 ini.. ai juga mengiyakan apa yang tt cakap.. sesetengah tu make sense..
cuma apabila melarat2 ke perkara2 yang tak pasti sebab ada keterangan yang kita tak dengar atau belum dengar, bunyik mcm mengarut..
soalan2 kita nih semua sama aje, senada!!
arwah ada wakil peguam dia di sana.. menteri perumahan tempatan tuh pun ada hantar peguam pemerhati dan ada tempat untuk bertanya macam2 sekiranya ada keraguan keterangan pada pihak saksi2..
nape dorang tak tanya pula?.. dorang tuh dibayar kan?.. atau belum tanya? atau belum masanya tanya?..
yang pasal nurse tuh, dia tak cakap pun doktor tuh ada mention ada bekas pukulan sebelum ini.. dia cuma tak puas hati keterangan doktor tuh masa jadi saksi.. kalau aku tak silap laa.. (kau nampak tak kat sini pun banyak perkara antara kau atau aku yang salah faham) sebab pada pendapat nurse tuh, dia berpendapat adib mmg kena pukul..
nak speku lebih2, bukan kah lebih baik kita tunggu full info dulu? soalan balas pun belum ada.. (atau belum masa?) pening kepala je memikirkan benda yang entah ada entah kan tidak..
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well said bro..
mod,
bagi la tacang banyak sikit..
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Sblom baca komen sis ni ..
FC dah bagi tacang .. nasib baik hati nak jenguk jenguk tengok ada gaduh gaduh ke tak.
Kadang takde masa nak membaca melihat semua komen.
Mohon nanti - nanti .. kalau terbaca komen yang bagus .. tekan butang Report yer sis .
Terimakasih 
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Edited by blastoff at 27-3-2019 04:43 AM
Jawapan aku dlm font warna biru dan merah . ..........sebagai respon aku pada reply kau yg dlm font warna hitam . Enjoyy.
TT, firstly, i nak tanya, how good your knowledge regarding medical/basic biology ye? sbb semua info u, dapat dari google, without any basic knowledge.
kau pun google gak ....tengok je la source kau tuh..... web address berderetan dari internet je punggg  ... so kau buat ok, org lain buat tak ok lah ni , cakap tarak serupa bikin nampak. ....forum bukan biology class yg aku perlu beri info basic plak . Nak basic pi cari sendiri lah , aku discus apa yg relevan dgn topik dan isu yg aku kemuka kan sajalah .
sebelum nak masuk ke topic lagi dalam, kena tahu apa tu ECMO. Extracorporeal membrane oxygenator is one of the modalities in extracorporeal life support, which mean life support 'outside the body-from word 'extracorporeal''.
Kau kenal aku sedalam mana tu utk tahu dgn pasti knowledge aku takat mana mengenai ECMO ? Boleh explain camna kau boleh senang2 plak jump to that conclusion yg aku tak tahu pepe mengenai ECMO langsung ?  Based on what yg kau buat judgement terhadap aku tu ? Aku harap kau boleh bagi yg ilmiah lah ye, takkan ambik PhD pun nak main teka rambang je kot org lain ada knowledge ke idak kannn.
ECMO is the 'salvage therapy', not 'healing device', maksudnya, ia CUMA akan digunakan apabila semua method dlm respiratory assitive device gagal. untuk menggunakan ECMO pulak, bkn semua kes boleh guna, ada kriteria yg tertentu, bergantung pada either respiratory failure or cardiac failure.
Errr bila masa aku kata ECMO healing device ? Don't simply put words in ppl's mouth.
1. treatable underlying repiratory condition
2. absence of contra-indications (severe liver/brain injury)
3. requirement for unsafe ventilation
4. with hypoxaemia
5. rate of lung injury progression.
-list yang lain boleh rujuk di sini ye- https://www.ncbi.nlm.nih.gov/pubmed/23594433
there you go , google gak laaa ye , boleh aku panggil kau plak Dr. Google sebagaimana kau panggil aku dgn gelaran tuh ?  It's only fair right ?
Since ECMO is salvage therapy, bila condition Arwah Adib getting better, Dr offkan penggunaan, tapi continues ventilator n dialysis machine.
Nampak nih reason terpaksa guna semula ECMO di beri .......paru2 mengeras lalu sukar menerima oksigen berpunca dari cedera teruk di paru2 sejak AWAL ....itu tunjukkan paru2 dia not getting better lah tu . Kalau tidak nak pakai semula kejadah ECMO tu .
Institut Jantung Negara (IJN) dalam satu kenyataan berkata, Muhammad Adib terpaksa menggunakan semula mesin ECMO kira-kira pukul 9 malam tadi selepas penilaian mendapati paru-parunya mengeras. “Akibat paru-paru mengeras Muhammad Adib sukar mene­rima oksigen dan ini berpunca daripada kecederaan teruk di bahagian paru-parunya sejak awal
He no longer requires the Veno-Venous Extracorporeal Membrane Oxygenation (vv-ECMO) machine to aid his breathing.
National Heart Institute (IJN) in a statement said the doctors had removed the machine at noon Tuesday (Dec 11) after viewing the fireman's progressive development and clinical improvement.
"He has made great strides and progress over the past 72 hours. He is able to communicate via a white board with his family and healthcare providers.
"(However) Muhammad Adib currently continues to require respiratory support with a ventilator and a dialysis machine. His rehabilitation exercises will be intensified to improve his muscle power and strength for his upper and lower limbs," the IJN statement said.
source: https://www.thestar.com.my/news/ ... ng-support-machine/
Yg dia dikatakan aktif serta boleh berkomunikasi tu ketika dia diboh ECMO , bukan setelah cabut ECMO , Dr. Suneta nih explain dari 4 hb - 11 hb adib nak buat itu dan ini dgn guna phone. So improvement memberangsangkan berlaku selama 14 hari beb ketika di boh ECMO
National Heart Institute (IJN) intensive care unit director Datuk Dr Suneta Sulaiman gestures as she arrives at the Shah Alam Court Complex. - NSTP/INTAN NUR ELLIANA ZAKARIA
By Rahmat Khairulrijal - February 26, 2019 @ 6:10pm
SHAH ALAM: Firefighter Muhammad Adib Mohd Kassim was advised not to browse the Internet on his mobile phone as he might encounter reports on events which had led to his hospitalisation.
National Heart Institute (IJN) intensive care unit director Datuk Dr Suneta Sulaiman, speaking at the inquest into Adib’s death at the coroner’s court on Tuesday, said the medical staff had agreed to grant Adib’s request to use his phone, albeit with several conditions.
He said Adib was only able to communicate via sign language and by writing on a white board. He wrote “Nak phone” on the board and also gestured with his hand.
“I asked him ‘Adib nak phone?’ (Adib, you want your phone?) and he nodded.
“I discussed with my team, and we all agreed to give his phone back but with conditions,” she said when questioned by deputy public prosecutor Zhafran Rahim Hamzah.
She said Adib had agreed to the conditions and the team gave Adib his phone on several occasions. Apart from telling Adib to refrain from browsing the internet, Adib was told he could use his phone to contact his fiancee and immediate family members such as his parents and siblings.
Dr Suneta said this exchange occurred between Dec 4 and 11, when Adib was still attached to the Extracorporeal Membrane Oxygenation (ECMO) machine.
https://www.nst.com.my/news/crime-courts/2019/02/463948/ijn-doctors-advised-adib-against-browsing-internet
dan bila 14hb, keadaan Adib deteriorated, baru team IJN pasang balik ECMO tu,
Mana plak 14 hb pasang balik .... kau baca news pun kantoi , errr camna buat PhD boleh kantoi bab memahami news yg simple tu ? 14 hb dia jadi sesak nafas, tapi depa tunggu sampai lagi teruk sesak nafas dia pada 15 hb baru depa pasang semula ECMO ... kenapa tunggu seharian biar dia sesak nafas lagi teruk ? ICU bukan ke perlu bersegera respon kalau tengok pesakit dok sesak nafas ?
Dr Suneta said despite showing progress during treatment, Adib’s condition deteriorated on Dec 14 when he failed to maintain his oxygenation and was short of breath.
“The carbon dioxide in his blood was increasing and the blood PH level was low (bila pH low, maksudnya darah arwah acidic disebabkan high level of CO2, carbon is acidic, ni basic chemistry) , which led us to perform a bronchoscopy (an examination of the airway) but only minimal blood clots were detected.”
She said Adib’s condition deteriorated even further on Dec 15. The team had decided to redeploy the ECMO machine to stabilise his oxygen level and blood pressure.
Zhafran: What happened on Dec 15?
Dr Suneta: We redeployed the ECMO and increased his medication due to unstable blood pressure and an increase of oxygen concentration. A blood test also revealed there was an abnormality in the liver. An ultrasound of lungs performed showed both lungs were consolidated (became hard) as there was little air in the lungs.
She said Adib’s condition stabilised on Dec 16 but his abdomen remained distended, with doctors continuing with antibiotic and dialysis treatment.
“However, later that day, his blood gas showed an increase of lactate level which indicated inadequate blood flow to the body.
“We also informed his family before his condition become more unstable,” she said.
Dr Suneta said that on Dec 17, Adib’s condition continued to deteriorate rapidly despite medication. His lactate level continued to rise while both of his lungs had hardened with multiple small lung abscesses spotted.
She said Adib was pronounced dead on Dec 17 at 9.41pm due to Acute Respiratory Distress Syndrome (ARDS) and multiple organ failure.
source: https://www.nst.com.my/news/crim ... t-browsing-internet
I tak nmpak masalahnya dgn decision penggunaan ECMO oleh IJN.
Tunggu seharian dlm keadaan pesakit terseksa sesak nafas tercungap2 walau ECMO depan mata boleh pasang dlm 20 minit je bukan masaalah ? Kau suka tengok pesakit ICU menderita seharian sesak nafas kenapa ?
menjawab persoalan u:
"Adakah dari 28 nov - 11 dis tu, dlm masa 2 minggu je tu, bruising dlm paru2 dia boleh sembuh ?"
jawapan i, ECMO BUKAN menyembuhkan, dia digunakan sementara sebagai 'bridge' untuk biological lung sembuh. 'biological lung' di sini merujuk kepada paru2 arwah. in proper sentense: 'it is used as respiratory assistive device to allow time for the biological lung to heal by reducing mechanical ventilation setting'. Bila keadaan arwah dah ada good progression, itulah sebabnya ECMO di cabut dan digantikan dengan ventilator. and bila keadaan terus balik, team IJN redeployed ECMO. pengerasan paru2 arwah xde kaitan dengan ECMO ye, ia tanda2 ARDS. Harap tak salah info.
Paru2 dia cedera teruk , ECMO cuma take over tugas berat yg sepatutnya di buat oleh paru2 tu je agar paru2 tu boleh rehat secukupnya lah utk melalui proses penyembuhan dgn mudah, bukannya ECMO tu yg sembuhkan bruising di paru2 tu , ada faham ?
Nak mudah faham macam contoh: tukang cuci yg lebam kaki lalu direhatkannya dgn ambil sorang lagi tukang cuci lain utk buat segala tugas berat yg sebelum ni dia dok buat, jadi mudahlah kaki dia tu sembuh lebam tu apabila tak di perosah buat itu ini utk elak bentan ......bukan tukang cuci baru tu yg sembuhkan kaki tukang cuci lama hokayy.
Menjawab persoalan u,boleh sampai 6 bulan penggunaan ECMO. TT, ECMO tersangatlah complicated with high frequency of complication. tu sebab dia digunakan sebagai 'salvage therapy'.
6 bulan budak tu tak alami apa2 komplikasi pun..... setelah cabut ECMO je dia tak dapat survive sebab paru2 dia memang fail tak mampu berfungsi sendiri tu je....tapi dia dari koma kepada boleh berjalan dlm 6 bulan tu kira improvement kaw kaw lah . Mati lepas tu kira dahpuas usaha lah lalu mati jugak memang tak boleh nak kata apa laaa, ini baru 2 minggu dah kalut cabut lepas tu lambat boh balik segala...mana boleh kata puas berusaha lagi tuuuu
ECMO is 'highly cost to operate, too complicated and patient is prone to suffer from heavy bleeding and blood trauma'. Inilah sebabnya kenapa dekat IJN je (area KL/selangor) yg ada ECMO.
Adib dah memang teruk kecederaan paru2nya....complicated tara mana pun ECMO tu tak jadi isu haih apabila depa bawak dia ke IJN pun utk guna ECMO ...so pehal kalut nak cabut dah tujuan utama dia ke situ pun utk gunanya ?
Tak munasabah laaa dok bangkitkan mahal kos la komplikasi laa padahal depa yg nak dia pakai mende tu in the first place lepas tu dah cabut kalut boh balik plakkk, makna harga dan komplikasi kerana pakai bukan isu lah tuuu. Yg jadi isu adalah komplikasi apabila di cabuttt ECMO lah tuuu .
Untuk journal/case report yg senaraikan complication due to ECMO, boleh tgk kat journal2 berkaitan:
https://www.ncbi.nlm.nih.gov/pubmed/23944202
https://www.annalsthoracicsurgery.org/article/S0003-4975(13)02005-5/pdf
https://www.ncbi.nlm.nih.gov/pubmed/23594433
Ye right DR. google woiii. News pn kau fail nak faham lagi mau refer journal kaaa
semua complications ni berkaitan dgn 'RISK-BENEFIT ANALYSIS' yang hanya PAKAR sahaja boleh decide. so kalau setakat 'DR GOOGLE', x perlulah nak menuduh macam2. kesian dekat org lain yg misleaded.
I spent 3 years investigate pasal ECMO, since my PhD is regarding this device, n authored a few ISI articles tentang ECLS. tapi i sendiri x berani nak judge hanya berdasarkan article surat khabar yg kebanyakan penulis/wartawan tu xde basic knowledge pun pasal benda ni. dalam interview, org yg diinterview cakap beribu perkataan/explaination, tapi penulisan wartawan cuma limited, due to allowable space dlm surat khabar tu. bila ada specific term, ada possibility tak tersalah/misleading? i selalu terfikir pasal ni
Macam mana kau tahu wartawan tu tarak basic knowledge mende tu ? Kau masuk dlm hidup depa ke, masuk dlm diri depa ke, masuk dlm kepala hotak depa camna tu utk kau judge depa sebagai tarak knowledge ?
Errr 3 tahun kau investigate pasai ECMO kau tak berani nak judge , tup tup kau tak pernah investigate pepe pun mengenai kehidupan wartawan2 tu apa yg depa buat day in day out dlm setiap saat hidup depa boleh plak kau judge depa sebagai tak tau pepe mengenai mende tu .... kau guna jln pintas nak judge org sampai lagu tu naa, errr PhD pun kau guna jalan pintas ke utk dapat ? Beli online ? Camna kau nak buktikan kat sini yg kau tak beli PhD kau tu ? Dari cara kau fail dah tu dlm memahami sesimple mende mcm news tu , errr camna kau nak boleh buat PhD tu ?
pasal benda lain, tu hak u nak 'berteori konspirasi'. .
tapi kalau nak ckp penggunaan ECMO yg salah oleh Dr, ia sangatlah unfair.
Let's see , 3 tahun investigate mengenai ECMO malah ada PhD pun masih tak mampu judge, hingga jadi unfair nak cakap penggunaan ECMO oleh dr...bermakna ECMO is the perfect weapon to kill people lah kerana tak boleh di hakimi dan tak boleh di perkatakan pungg penggunaannya.....
hakim , peguam , prosecutor semua mana sempat nak ambik PhD dan mana sempat nak spent investigate ECMO bertahun2 kannn lalu pakat2 tak boleh judge lah doktor2 tu ....bermakna senang2 boleh terlepas hukuman lah kalau doktor bunuh org guna ECMO ..no wonder laa adib di bunuh cara tu sebab boleh guna alasan tu senang2 utk elak dari di judge dan di pertikaikan so automatik boleh kaver laa pembunuhan itteww .
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Edited by blastoff at 27-3-2019 04:41 AM
aku suggest kau tak payah dok judge org la sebagai dr google la tak tahu mende la ....buktikan dulu la kau tak beli PhD online aku tunggu nih nak tengok camna kau nak buktikannya, heyy kau yg dok riuh habaq ada PhD so kau nak org percaya buta tuli je ke yg kau ada PhD ? It's only fair kau perlu provide proof lah kan kan kan
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Edited by blastoff at 27-3-2019 04:48 AM
mcm menteri2 fake degree ler bukan main riuh bertahun2 dok canang ada degree la PhD la tup tup fake. Org yg ada betoi2 ori tak kalut nak riuh pun .
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blastoff replied at 27-3-2019 03:56 AM
Jawapan aku dlm font warna biru dan merah . ..........sebagai respon aku pada reply kau yg dlm fon ...
Tepat
Walaupun ecmo sbg so called bridge to heal, kire healing device le tu. Sbb finishing line dia ttp heal
Y i rage, kenapa so called cerdik pandai dalam med bole buat decision nak cabut ecmo tu atas dasar "oh peparu dia ok dahh..bole bnapas dh nii" tp endup pasang balik lepas tu sbb peparu doa still xok
Why on earth kau bole ade judgement mcm tu at the first place! |
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Dokto y cakap dia bukan kene pukul tu, senteng pemikiran
Kau pnh tgk ke org kene pukul 30-100 org remuk badan mcm mana?
Setakat kau tgk kt hosp cedera kes gaduh laki bini, gaduh berebut awek luka luka still nk ckp ni bukan cedera kene pukul?
Kalau dah pecahkan, pukul, ketuk, baling objek kt emrs dan frs smpai kemek dn pecah, kau rasa anggota bomba tu dorg xkn pukul ke?
Oh..kite ketuk rosakkan kenderaan je, anggota bomba marilah kita jamu dgn putu mayam sekopi dua
Nonsense |
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kann, berapa manyak kejadian pukul org ketika rusuhan yg di handle oleh doktor2 kat malaysia nih yg menyebabkan dia boleh tahu dgn pasti plak perlu lebam kat mana perlu patah kat mana segala.... ini lah pertama kali pun jadi kes camni ....so tak logik laa pakar forensik tu nak buat judgement perkara yg dia pertama kali je pun dihadapkan tuh tambah2 dia pun tarak kat tempat kejadian sendiri .
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Post time 25-3-2019 09:58 PM
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