kisah remedy.. =)

Clinic: Low frequency SNHL

berdetap detup jantung.. bila dapat info yg kena remedy klinik

konfius, down, demotivated, confident totally crush.. n so.. n so..

each n every negative particles flow along my blood

but the gud things.. I already at home... dapat tgk muka ibu.. cium tangan abah.. riuh riang gembira adik2.. its nourishing! terisi jiwa, terubat luka...and yes,, hidup aku.. hnya ada keluarga...

itu cerita lain.. 

perihal kisah ini...

Case History:

56/ Male, came with complaint about ear pain at both ear, when using cellphones. the problem only noted when using it. He had consumed multiple drugs for his multiple disease, such as hypertension, diabetes, GERD, prostate problem, and other.. no other related problems.

Audiological Findings

Otoscopic Examination: Clear EAC, TM intact, no collapsing ear canal

Tympanometry: Type A bilaterally

Acustic Reflex: showed left probe effect pattern

Pta: mild- moderate SNHL at Lf bilaterally..

Management:

ENT referral, for ear pain

Issues

Lf SNHL usually cause by what? in my head.. it is only Meniere's Disease. but, since im smart to notice that there're no other significant problems that usually related with this, i did not deliver to patient about it.. if i do so, i can cause misdiagnosis.. n so? jahanamla!!!

after a while, i do find out what are the other causes that can cause Lf SNHL? it may caused by 1) genetic mutation, 2) secondhand smokers........... 

and then.. i realize.... how my case, should be SIMPLE!!!!