Salam semua... rasanya ramai dah tahu Talhah was very very sick before ni, and was admitted to Fremantle Hospital on 19/03/2008. At first, GP suggested to send him to Princess Margaret Hospital for Children (PMH), but we thought lebih mudah di Fremantle Hospital as ummi dan abi pun kerja di sana.
He was diagnosed with Streptococcal pneumonia with pleural effusion. It was a long admission, after an exhausted 18 days (for ummi and abi) baru doctor kasi discharge. He was presented with 8 days of cough, spiking fever and dehydration. Most of the signs of pneumonia ada pada Talhah (first few days memang ramai medical students datang to take history from ummi and examine him - so tiring talking about the same thing everyday

). So what are the clinical signs for pneumonia? - tracheal tug, subcostal and intercostal recession, decreased air entry and creps left to mid to lower zone with decreased expansion of left chest wall. Also dull to percussion on left lower and mid zones.
Talhah was placed on IV antibiotics ceft and fluclox, which was then changed to penicillin and vancomycin according to blood culture results. His pleural effusion was drained but TPA was given due to loculated effusion to break down the fibrous walls. The chest catheter was placed at PMH kat ICU, so Talhah was transferred by ambulance. He also required blood transfusion during admission secondary to haemolytic anaemia (Hb dropped to 44). He was slow to settle at first but his condition improved with the drainage of the pleural effusion, alhamdulillah. Tak silap 5 kali buat xray and 2 kali ultrasound during admission. IV cannula memang selalu replace, most parts of his body dah kena cucuk dengan doctors including his jugular vein.
Now he still on oral antibiotics for a total of 6 weeks (ada lagi 2 weeks) but that will depend on his repeat chest xray results in 2 weeks time. Plus paeds clinic review hujung this month, immunology and cardiology follow up soon.
Terima kasih kepada semua individu yang mendoakan kesihatan Talhah.. thanks for all the support, bantuan dan segalanya for our family.. hanya Allah dapat membalasnya..