Kenneth Kee

Biography

Medical doctor since 1972.

Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.

Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.

Dr Kenneth Kee is still working as a family doctor at the age of 74

However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.

He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.

His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com

This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.

From which many free articles from the blog was taken and put together into 1000 eBooks.

He apologized for typos and spelling mistakes in his earlier books.

He will endeavor to improve the writing in futures.

Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.

He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.

The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.

He does not do any night duty since 2000 ever since Dr Tan had his second stroke.

His clinic is now relocated to the Buona Vista Community Centre.

The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.

He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.

The entire PC is upgraded by himself from XT to the present Pentium duo core.

The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.

He is also into DIY changing his own toilet cistern and other electric appliance.

His hunger for knowledge has not abated and he is a lifelong learner.

The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.

This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.

Dr Kee is the author of:

"A Family Doctor's Tale"

"Life Lessons Learned From The Study And Practice Of Medicine"

"Case Notes From A Family Doctor"

Smashwords Interview

Who are your favorite authors?
Charles Dickens, Mark Twain, Jules Verne, HG Wells, Zane Grey,
When did you first start writing?
I first started writing free blogs on medical conditions seen in the clinic in 2007 on http://kennethkee.blogspot.com.

My purpose in writing these simple guides was for the health education of my patients which is also the subject of my dissertation for his Ph.D (Healthcare Administration).
Read more of this interview.

Where to buy in print

Books

A Simple Guide to Varicosity of Veins, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 22,380. Language: English. Published: November 30, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Surgery / vascular
This book describes Varicosity of Veins, Diagnosis and Treatment and Related Diseases Varicose veins are swollen, twisted, and enlarged veins that can be observed under the skin in the legs. Normally, one-way valves in the leg veins force blood to move up toward the heart. When the valves do not function properly, they allow blood to back up into the vein producing a swollen or varicose vein.
A Simple Guide to Venous Ulcers, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 18,240. Language: English. Published: November 25, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Dermatology
This book describes Venous Ulcers, Diagnosis and Treatment and Related Diseases Venous ulcers (venous stasis ulcers) are open wounds happening around the ankle or lower leg. They do not recover for weeks or months, and persist for longer. Venous ulcers are late markers of chronic venous insufficiency and venous hypertension. The worst venous ulcers are those from diabetes and varicose veins.
A Simple Guide to Benign Tremors, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 15,730. Language: English. Published: November 21, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Benign Tremors, Diagnosis and Treatment and Related Diseases Benign tremor (also called essential tremor) is an involuntary muscle movement, trembling, or shaking of the limbs, face, jaw and eyelid. It can affect almost any part of the body but the trembling happens most often in the hands when the patient do simple tasks such as drinking from a glass or tying shoelaces.
A Simple Guide to Sub-arachnoid Hemorrhage, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 22,570. Language: English. Published: November 18, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Sub-arachnoid Hemorrhage, Diagnosis and Treatment and Related Diseases A Sub-arachnoid Hemorrhage is bleeding into the cerebrospinal fluid filled space between the pial and arachnoid membrane of the brain. Most sub-arachnoid hemorrhages are caused by trauma. Aneurysm sub-arachnoid hemorrhage affects a small percentage of this patient population, but is the most troublesome type
A Simple Guide to Thoracic Aortic Aneurysm, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 26,390. Language: English. Published: November 14, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Cardiology
This book describes Thoracic Aortic Aneurysm, Diagnosis and Treatment and Related Diseases A thoracic aortic aneurysm (TAA) is a thin weakened area in the wall of the aorta that supplies blood to the body. When the aorta wall is weak, the pressure of the blood pushing against the vessel wall can induce it to bulge like a balloon (aneurysm). A contrast-enhanced CT scan is used to diagnose TAA.
A Simple Guide to Stroke, (Cerebrovascular Infarction) Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 20,400. Language: English. Published: November 12, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Stroke (Cerebrovascular Infarction), Diagnosis and Treatment and Related Diseases Stroke is fairly common nowadays even in younger people. It happens when the blood vessel to a part of the brain is blocked or burst. No matter how bad things are, they can always be worse. So what if my stroke left me with a speech impediment? Moses had one, and he did all right. Kirk Douglas
A Simple Guide to Cerebral Aneurysm, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 17,970. Language: English. Published: November 8, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Cerebral Aneurysm, Diagnosis and Treatment and Related Diseases My patient had what he describes as the ‘worst headache that he ever had followed by difficulty in swallowing’ He was sent for brain scan which shows bleeding from a swollen blood vessel in the brain. Luckily his bleeding was mild and he was able to fly back from China to Singapore for surgery to clip the aneurysm.
A Simple Guide to Abdominal Aortic Aneurysm, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 25,470. Language: English. Published: November 6, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Cardiology
This book describes Abdominal Aortic Aneurysm, Diagnosis and Treatment and Related Diseases Abdominal aortic aneurysm (AAA), an abnormal focal dilation of the abdominal aorta, is a life-threatening disease that needs monitoring or treatment depending upon the size of the aneurysm and symptoms Abdominal aortic aneurysm may be detected incidentally or at the time of rupture by ultrasound or CT scan
A Simple Guide to Chloasma, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 14,490. Language: English. Published: November 1, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Dermatology
This book describes Chloasma, Diagnosis and Treatment and Related Diseases I had a clinic assistant who had 2 pregnancies. With each pregnancy she develops large patches of chloasma all over her face. Besides pregnancy sun exposure and genetic predisposition plays a big part in causing chloasma Treatment is Chemical peels or topical steroid creams Laser and light treatment Avoid sunlight.
A Simple Guide to Vascular Diseases, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 25,340. Language: English. Published: October 29, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Hematology
This book describes Vascular Diseases, Diagnosis and Treatment and Related Diseases Vascular disease is any disorder that affects the network of the blood vessels. Vascular disease causes can be: 1. Atherosclerosis 2. Blockage in blood vessel 3. Inflammation of blood vessel 4. Trauma or injury to blood vessel Vascular disease causes serious disorders due to inadequate blood flow and blood clots.
A Simple Guide to Peripheral Vascular Disease, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 18,530. Language: English. Published: October 25, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Hematology
This book describes Peripheral Vascular Disease, Diagnosis and Treatment and Related Diseases Peripheral Vascular disease (PVD) is the narrowing, blockage or spasm of blood vessels in the arms, abdomen and legs (peripheral blood vessels). PVD normally produces pain and fatigue, often in the legs, and especially during exercise The pain normally improves with rest The main cause is arteriosclerosis
A Simple Guide to Blood Clot in Lungs, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 24,810. Language: English. Published: October 20, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Pulmonary & thoracic medicine
This book describes Blood Clot in Lungs, Diagnosis and Treatment and Related Diseases Blood Clot in the Lungs (Pulmonary embolism or PE) is a serious possibly life-threatening disorder due to sudden blockage in a lung artery. The blockage normally is produced by a blood clot that travels to the lung from a vein in the leg (DVT). Pulmonary embolism is a serious disorder that can cause death.
A Simple Guide to Pulmonary Infarction, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 15,700. Language: English. Published: October 17, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Pulmonary & thoracic medicine
This book describes Pulmonary Infarction, Diagnosis and Treatment and Related Diseases An infarction is the death of the body tissue. A myocardial infarction indicates the death of some heart muscle tissues causing a heart attack. A Pulmonary Infarction (PI) happens when a segment of lung tissue dies when its blood supply has become blocked. The most frequent cause of PI is pulmonary embolism.
A Simple Guide to Platelet Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,740. Language: English. Published: October 1, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Hematology
This book describes Platelet Disorders, Diagnosis and Treatment and Related Diseases Platelets have an important part in the recovery of all forms of injuries that cause bleeding. There are 3 types of disorders that affect the platelets in the body: 1. Thrombocytopenia: 450,000 3. Dysfunction Disorders: correct number of platelets but platelets are not functioning
A Simple Guide to Conduct Disorder, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 21,470. Language: English. Published: September 23, 2021. Categories: Nonfiction » Psychology » Psychological disorders
This book describes Conduct Disorder, Diagnosis and Treatment and Related Diseases Conduct disorder is a serious behavioral and emotional disorder that can happen in children and teens. A child with this disorder may exhibit a pattern of disruptive and violent behavior and have difficulties following regulations. The behavior is regarded as a conduct disorder when it lasts at least 12 months.
A Simple Guide to Auditory Processing Disorder, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 24,900. Language: English. Published: September 19, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Hearing & speech, Nonfiction » Health, wellbeing, & medicine » Diseases / nervous system (incl. brain)
This book describes Auditory Processing Disorder, Diagnosis and Treatment and Related Diseases An auditory processing disorder (APD) is a disorder that affects the way the brain hears and processes language. Due to this, they have problem comprehending and reacting to sounds in their environment. A person with APD may have normal hearing test but their brain will not always process the sounds.
A Simple Guide to Lows and Highs of Hearing Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 26,350. Language: English. Published: September 16, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Hearing & speech
This book describes the Lows and Highs of Hearing Disorders, Diagnosis and Treatment and Related Diseases Hearing is one of the most important human senses. People use the hearing to take in the information around them and learn from their experiences. To go through life without hearing (the Lows) is not easy Hypersensitivity to Sound is the Highs of hearing. Every sound becomes loud and painful.
A Simple Guide to Hyperacusis, (Hypersensitivity to Sound) diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 14,360. Language: English. Published: September 14, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Hearing & speech
This book describes Hyperacusis (Hypersensitivity to Sound), Diagnosis and Treatment and Related Diseases Hyperacusis is a hearing disorder that makes it difficult to manage everyday sounds. The patient might also called it sound or noise hypersensitivity. If the patient has it, certain sounds may appear unbearably loud even though people around the patient do not appear to notice them.
A Simple Guide to Misophonia, (Hatred of Sound) diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 12,870. Language: English. Published: September 12, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Hearing & speech
This book describes Misophonia (Hatred of Sound), Diagnosis and Treatment and Related Diseases Misophonia, also termed the “hatred or dislike of sound,” is featured by the sensitivity to specific sounds, followed by an unpleasant emotional and physical response.People with misophonia link the experience of the sound stimulus more closely to irritation, disgust, or pain, rather than anxiety or fear
A Simple Guide to Stress Management, Treatment and Related Diseases
Price: $2.99 USD. Words: 21,470. Language: English. Published: September 9, 2021. Categories: Nonfiction » Self-improvement » Stress Management
This book describes the Stress Management, Treatment and other Related Diseases Stress Management is a group of programs meant to assist people deal more effectively with stress in their lives by: 1. Analyzing the specific stress factors and 2. Taking positive actions to diminish their effects Popular programs of stress management are time management, meditation, psychotherapy, yoga and exercise
A Simple Guide to Anger Management, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 29,810. Language: English. Published: September 7, 2021. Categories: Nonfiction » Self-improvement » Anger management
This book describes Anger Management, Diagnosis and Treatment and Related Diseases Everyone gets angry at some time in their lives. Anger is a normal part of life. It can come on in response to small irritants or major events. Some others keep their anger inside and then explode like a volcano eruption. Ways to stop anger: Relaxation Cognitive Restructuring Better Communication Using Humor
A Simple Guide to Intermittent Explosive Disorder, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 17,160. Language: English. Published: September 2, 2021. Categories: Nonfiction » Psychology » Neuropsychology
This book describes Intermittent Explosive Disorder, Diagnosis and Treatment and Related Diseases If you have watched 'Jolt' a recent movie about a girl suffering from Intermittent Explosive Disorder. you would know how fast anger and violence can occur in the person once she is irritated. A similar character who becomes angry and violent easily is the Incredible Hulk, a Marvel comic character.
A Simple Guide to Pain Management, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 25,990. Language: English. Published: August 31, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Pain management
This book describes Pain Management, Diagnosis and Treatment and Related Diseases Pain is a symptom which appears as an unpleasant sensation in the human body in different degrees of severity as a result of injury, disease, or emotional disorder. Acute pain begins suddenly and only lasts for a short period e.g., injury. Chronic pain is pain that has persisted for longer than 6 months e.g., cancer
A Simple Guide to Pseudohypoparathyroidism, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 12,790. Language: English. Published: August 24, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Pseudohypoparathyroidism, Diagnosis and Treatment and Related Diseases Pseudohypoparathyroidism (PHP) is a genetic disorder in which the body fails to respond to parathyroid hormone. PHP causes low blood calcium levels and high blood phosphate levels. PHP is caused by abnormal genes. 1. PHP type 1a 2. PHP type 1b 3. PHP type 1c 4. PHP type 2 5. Pseudopseudohypoparathyroidism
A Simple Guide to Psychosis, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,920. Language: English. Published: August 23, 2021. Categories: Nonfiction » Psychology » Cognitive psychology
This book describes Psychosis, Diagnosis and Treatment and Related Diseases There was a time when the psychiatric world recognize 2 main illness: neurosis and psychosis Psycho the Hitchcock movie indicate a a deranged or psychopathic person. People who have psychosis are rarely violent. They are more often scared, mystified and downhearted because a voice keeps on telling them what to do.
A Personal Guide to Singapore History Part 4 (2015-2020)
Price: $2.99 USD. Words: 19,610. Language: English. Published: August 19, 2021. Categories: Nonfiction » Biography » Historical biography
This book describes to A Personal Guide to Singapore History Part 4 (2015 --2020) I have written 3 books detailing my personal history of Singapore since 1959. In this 4th book of Singapore History, the most important event is the death of the most famous person in Singapore Lee Kuan Yew, our former Prime Minister of Singapore. The other event is the Covid19 pandemic which cause havoc in the world
A Simple Guide to Neurotic Personality (Neuroticism), Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 15,500. Language: English. Published: August 15, 2021. Categories: Nonfiction » Psychology » Psychological disorders
This book describes Neurotic personality (Neuroticism), Diagnosis and Treatment and Related Diseases “The basis of neuroticism is the levels of anxiety and volatility.” “Doubt is to certainty as neurosis is to psychosis The neurotic is doubtful and fearful about persons and things; the psychotic has beliefs and claims about them In short, the neurotic has problems while the psychotic has solutions
A Simple Guide to Neurosis, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 22,690. Language: English. Published: August 10, 2021. Categories: Nonfiction » Psychology » Psychological disorders
This book describes Neurosis, Diagnosis and Treatment and Related Diseases There was a time when the psychiatric world recognize 2 main illness: neurosis and psychosis Since 1980 Neurosis has been removed as a single disorder by the Diagnostic and Statistical Manual of Mental Disorders and placed together with other anxiety disorders It is still utilized in the ICD-10 -Non-psychotic mental disease
A Simple Guide to Hypoxemia, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 12,710. Language: English. Published: August 3, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Pulmonary & thoracic medicine
This book describes Hypoxemia, Diagnosis and Treatment and Related Diseases Hypoxemia happens when there are low levels of oxygen in the blood. Hypoxia indicates the presence of low levels of oxygen in the tissues of the body. Normally, the presence of hypoxemia indicates hypoxia This makes sense since if blood oxygen levels are low, the tissues are probably not getting sufficient oxygen either.
A Simple Guide to Brain Hypoxia, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 12,970. Language: English. Published: July 30, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Pulmonary & thoracic medicine, Nonfiction » Health, wellbeing, & medicine » Diseases / nervous system (incl. brain)
This book describes Brain Hypoxia, Diagnosis and Treatment and Related Diseases Brain hypoxia is when the brain is not receiving enough oxygen. This can happen when someone is drowning, choking, suffocating or in cardiac arrest. Brain injury, stroke, and carbon monoxide poisoning are other sources of brain hypoxia. The disorder can be serious because brain cells need an uninterrupted oxygen supply
A Simple Guide to Oxygen Therapy, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 18,440. Language: English. Published: July 29, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Pulmonary & thoracic medicine
This book describes Oxygen Therapy, Diagnosis and Treatment and Related Diseases Much has been mentioned about many countries such as Indonesia, India, Myanmar and countries with high Covid-19 incidence running out of oxygen cylinders and oxygen treatment for their Covid-19 affected patients. Medical oxygen therapy is an important part of the treatment of patients with severe COVID-19 pneumonia.
A Simple Guide to Parathyroid Adenoma, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 13,610. Language: English. Published: July 21, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Parathyroid Adenoma, Diagnosis and Treatment and Related Diseases A parathyroid adenoma is a benign tumor present on one of the parathyroid glands sited near or at the back of the thyroid gland. They produce parathyroid hormone (PTH) that helps to control the quantity of calcium and phosphorus in the blood. Parathyroid adenoma can cause hyperparathyroidism and hypercalcemia.
A Simple Guide to Parathyroid Cancer, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 14,360. Language: English. Published: July 20, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Parathyroid Cancer, Diagnosis and Treatment and Related Diseases Parathyroid Cancer begins when healthy parathyroid cells change and grow out of control, forming a tumor. A tumor can be cancerous or benign. A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. It can cause hyperparathyroidism and hypercalcemia which can be life threatening.
A Simple Guide to Parathyroid Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,710. Language: English. Published: July 18, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Parathyroid Disorders, Diagnosis and Treatment and Related Diseases The 4 parathyroid glands, which are located at the back of thyroid in the neck, constantly monitor and control the amount of calcium, phosphorus and magnesium circulating in the blood. Treatment is normally removal of the parathyroid glands in hyperparathyroidism and parathyroid tumors or supplements of calcium
A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 17,470. Language: English. Published: July 2, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Gastroenterology
This book describes Cholecystitis, Diagnosis and Treatment and Related Diseases Cholecystitis is a medical disorder caused by acute or chronic inflammation of the gallbladder that causes severe abdominal pain Acute cholecystitis happens when bile becomes trapped in the gallbladder. Accumulation of trapped bile produces inflammation and pressure in gallbladder. Gallstones cause 95% of cholecystitis
A Simple Guide to Cholangitis, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 12,400. Language: English. Published: July 1, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Gastroenterology
This book describes Cholangitis, Diagnosis and Treatment and Related Diseases Acute cholangitis is normally produced by a bacterial infection of the bile duct happening from stagnation of the bile in the duct. The most common cause of cholangitis is infection of the bile ducts due to blockage by a gallstone Less often infections can happen caused by a stricture or narrowing of the duct by tumor.
A Simple Guide to Acalculous Cholecystopathy, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 13,140. Language: English. Published: June 30, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Gastroenterology
This book describes Acalculous Cholecystopathy, Diagnosis and Treatment and Related Diseases Acalculous cholecystopathy (cholecystitis present without gallstones) is a disorder of the gallbladder that causes pain in the upper right abdomen. Acalculous cholecystopathy is also as known as Biliary Dyskinesia (abnormal movement of bile) The prefix “dys” means abnormal and “kinesia” refers to movement
A Simple Guide to Gallbladder Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 21,520. Language: English. Published: June 28, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Gastroenterology
This book describes Gallbladder Disorders, Diagnosis and Treatment and Related Disorders The gall bladder is a small sac on the underside of the liver that is used to store bile. Bile is produced in the liver and kept in the gall bladder until it is needed to help the digestion of fat. The most frequent reason for gallbladder disorder is gallstones, followed by cholecystitis and cholangitis.
A Simple Guide to Pancreas Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 30,550. Language: English. Published: June 28, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Gastroenterology
This book describes Pancreas Disorders, Diagnosis and Treatment and Related Diseases The pancreas is a small organ in the digestive system and endocrine system: 1.Endocrine gland (Islet cell 1%) producing several important hormones such as insulin, glucagon, somatostatin and pancreatic polypeptide 2.Digestive organ (Ductal Cell 99%), secreting pancreatic juice with digestive enzymes to digest food
A Simple Guide to Extensor Tendonitis, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,200. Language: English. Published: June 24, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Diseases / musculoskeletal
This book describes Extensor Tendonitis, Diagnosis and Treatment and Related Diseases Today I have a 60 year old lady who consulted me about pain on top of her left foot for the past 1 month She complained pain in the 1st tendon of her right foot which was also swollen and hard. It was a clear case of extensor tendonitis of the foot. Extensor tendonitis is a painful inflammation of a foot tendon.
A Family Doctor’s Tale (Updated 2021)
Price: $3.99 USD. Words: 27,330. Language: English. Published: June 22, 2021. Categories: Nonfiction » Biography » Autobiographies & Memoirs
This book is a true story based on my journey as a medical student to become a Family Doctor and the medical illnesses that were seen during my practice This is the first book that I wrote in 2012 about my journey as a medical student to be a family doctor. It is not a story about becoming a rich doctor but a doctor who is involved in the community, working for the community and helping the poor.
A Simple Guide to Multiple Sclerosis (Updated), Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 22,510. Language: English. Published: June 20, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Multiple Sclerosis (Updated), Diagnosis and Treatment and Related Diseases Multiple Sclerosis is a progressive autoimmune degenerative disease MS results in the body nerve cell myelin destruction Recent study showed that a vaccine for MS can be developed similar to mRNA technology of Covid19 vaccine to treat and prevent MS. This gives hope to MS people for a symptom-free future
A Simple Guide to Myasthenia Gravis (Updated), Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 29,460. Language: English. Published: June 16, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Neurology
This book describes Myasthenia Gravis (Updated), Diagnosis and Treatment and Related Diseases The knowledge of myasthenia gravis has greatly increased in recent years Myasthenia gravis is a rare chronic autoimmune neuromuscular disease The muscle weakness usually increases during periods of activity There is weakness of the eye, neck, limbs Thymectomy reduces symptoms in more than 70% of patients
A Simple Guide to Thymus Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 31,420. Language: English. Published: June 9, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Immunology
This book describes Thymus Disorders, Diagnosis and Treatment and Related Diseases The thymus is made up of 2 identical lobes and is sited in the anterior superior mediastinum, in front of the heart and behind the sternum. The thymus is a transient organ with immune and endocrine function. It extends to its largest size at the time of puberty when it stops to grow, shrinks and almost disappears.
A Simple Guide to Empty Sella Syndrome, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 10,270. Language: English. Published: June 4, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Empty Sella Syndrome, Diagnosis and Treatment and Related Diseases Empty sella syndrome is a rare disorder linked to a part of the skull called the sella turcica. When the pituitary gland becomes smaller or flattened, it cannot be visualized on an MRI scan. This makes the pituitary gland appear "empty." The sella is not really empty and contains a full volume of CSF fluid.
A Simple Guide to Pituitary Disorders, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 21,720. Language: English. Published: June 3, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Pituitary Disorders, Diagnosis and Treatment and Related Diseases The pituitary gland is an endocrine gland sited in the brain. This small gland produces chemicals called hormones. Hormones are chemical messengers which assist different organs in the body correspond with each other. It is the the master gland that regulate the functions of the other endocrine glands and organs.
A Simple Guide to Levator Ani Syndrome, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 25,560. Language: English. Published: June 2, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Orthopedics
This book describes Levator Ani Syndrome, Diagnosis and Treatment and Related Diseases Levator ani Syndrome is an episodic rectal pain produced by the spasms of the rectal muscle, called the levator ani. This syndrome comprises: 1. Pain, 2. Gluteal discomfort and 3. Distress in the rectal area, There is both nerve and muscle injury. Diagnosis is the severe tenderness of levator ani when palpated.
A Simple Guide to Waterhouse-Friderichsen Syndrome, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 15,650. Language: English. Published: May 31, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Waterhouse-Friderichsen Syndrome, Diagnosis and Treatment and Related Diseases Waterhouse-Friderichsen syndrome (WFS) is a cluster of symptoms happening from the failure of the adrenal glands to function normally as a effect of bleeding into the gland. WFS is caused by serious infection with meningococcus bacteria or other bacteria such as Group B streptococcus, Pseudomonas
Adrenal Hemorrhage, a Simple Guide to the Condition, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,940. Language: English. Published: May 30, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Adrenal Hemorrhage, Diagnosis and Treatment and Related Diseases An adrenal hemorrhage is bleeding within the adrenal gland. Adrenal hemorrhage also termed adrenal apoplexy is a relatively rare disorder with an inconsistent and nonspecific manifestation that may cause acute adrenal crisis, shock and death unless it is diagnosed promptly and treated appropriately.
A Simple Guide to Congenital Adrenal Hyperplasia, Diagnosis, Treatment and Related Conditions
Price: $2.99 USD. Words: 19,590. Language: English. Published: May 26, 2021. Categories: Nonfiction » Health, wellbeing, & medicine » Medicine » Endocrinology & metabolism
This book describes Congenital Adrenal Hyperplasia, Diagnosis and Treatment and Related Diseases Congenital adrenal hyperplasia (CAH) is a cluster of hereditary disorders that have an effect on the adrenal glands. CAH is produced by genetic defects that stop these glands from producing the hormones: Cortisol Aldosterone It produces too much androgen CAH is an autosomal recessive disorder.
Back to profile overview

Kenneth Kee's tag cloud

6 criteria to diagnose misophonia are anticipation avoidance of possible sound trigger loss of selfcontrol significant distress excessive reaction not due to another disorder    a aortic dissection is a tear in the wall of the aorta that induces lifethreatening bleeding or sudden death    a cerebral aneurysm termed a brain aneurysm is a weak or thin spot on an artery in the brain that balloons or bulges out and becomes fill with blood    a contrastenhanced ct scan is the most often used imaging technique to diagnose thoracic aortic aneurysms    a digestive organ ductal cell 99 secreting pancreatic juice containing digestive enzymes that help the absorption of nutrients    a family doctor is sometimes part of a family of patients treating four generations sharing their concerns    a full blood count fbc that gives details of the number of blood cells including platelet counts    a healthy human pancreas contains about three million of these islet cells but their total weight is only 1 of the weight of the pancreas    a hereditary or inherited disorder termed multiple endocrine neoplasia may raise a persons risk for benign parathyroid tumors    a hida scan is done to assess gallbladder abnormalities when no gallstones are observed on ultrasound    a hida scan with the use of a harmless radioactive substance examines the duct system within the gallbladder and liver    a new treatment for pvd is the use of growth factor genes proteins and cell therapy    a normal manifesting symptom is a thunderclap headache linked with nausea vomiting and diplopia and meningeal signs    a number of factors can raise the risk of developing a venous leg ulcer such as obesity previous deep vein thrombosis previous injury or surgery to the leg and age    a parathyroid adenoma is a benign tumor present on one of the parathyroid glands    a parathyroid cancer is malignant meaning it can grow and spread to other parts of the body    a personal history of singapore from 2015 to 2021    a platelet disorder indicates that injured blood vessels will not clot rapidly bleed more than normal and also recover more slowly    a pulmonary infarction or lung infarction happens when a segment of lung tissue dies when its blood supply has become blocked    a ruptured cerebral aneurysm can produce serious health disorders such as hemorrhagic stroke brain damage coma and even death    a severe headache may be followed by a brief loss of consciousness neck stiffness nausea and vomiting    a stepwise approach to pain management begins with nonopioids nsaidsthen progress to a weak opioid codeine before changing to a strong opioid fentanyl    a stress journal can help the person identifies the regular stressors in the life and the way the person deals with them    a study of misophonia also found an increased myelination in the grey matter of a region known as the ventromedial prefrontal cortex    a subarachnoid hemorrhage is bleeding into the cerebrospinal fluid filled space between the pial and arachnoid membrane of the brain    a thoracic aortic aneurysm is a thin weakened area in the wall of a major blood vessel aorta that supplies blood to the body    a vaccine for ms using mrna technology used in covid19 vaccine is develop to treat ms for a symptomfree future    abdominal aortic aneurysm aaa an abnormal focal dilation of the abdominal aorta is a lifethreatening disorder that necessitates monitoring or treatment    abdominal aortic aneurysm may be detected incidentally or at the time of rupture    abnormal movement of bile is unable to keep up with the demands of food digestion and absorption    about 22 of persons die before reaching the hospital during a thoracic aortic aneurysm complication    acalculous cholecystopathy causes the symptoms of cholecystitis without gallstones as the source    acalculous cholecystopathy is a disorder of the gallbladder that causes pain in the upper right abdomen    acalculous cholecystopathy is also as known as biliary dyskinesia meaning abnormal movement of bile    acute cholangitis happens suddenly and cause symptoms over a short time period    acute cholangitis is normally produced by a bacterial infection of the bile duct happening from stagnation of the bile in the duct    acute cholecystitis happens when bile becomes trapped in the gallbladder    acute cholecystitis is an acute inflammation of the gallbladder that causes severe abdominal pain    admission to hospital is necessary to determine the cause of the stroke and the extent of damage to the brain using mri of the brain    adrenal hemorrhage also termed adrenal apoplexy is a relatively rare disorder that may cause acute adrenal crisis shock and death    adrenal insufficiency due to bilateral extensive hemorrhage should be treated with corticosteroids and replacement of fluid and electrolytes    albright hereditary osteodystrophy php 1a causes short stature round face obesity developmental delay and short hand bones    an adrenal hemorrhage is bleeding within the adrenal gland the triangularshaped gland on top of each kidney    an angiogram can be both diagnostic and therapeutic in vascular disease    an angiogram can help the doctor confirm whether there are varicose veins or another disorder    an auditory processing disorder apd is a disorder that affects the way the brain hears and processes language    an endocrine gland islet cell 1 producing several important hormones such as insulin glucagon somatostatin and pancreatic polypeptide    an ultrasound can evaluate the gallbladder for the presence of gallstones thickened walls polyps or masses    anesthetic medicines may be injected in or around a nerve to block pain signals from the nerves    aneurysm subarachnoid hemorrhage affects a small percentage of this patient population but is the most troublesome type    anger becomes a problem only when the person does not manage it in a healthy way    anger is a negative emotion which is experienced by children and adults alike as a normal reaction to irritation by others    anger management is devised to help the person work out their anger    anger management methods are developed to help an angry person return to a healthy normal existence    angioplasty is when the doctor inserts a catheter with a balloon on the tip of the catheter can dilate and widen the artery    another healthy anger management tactic is to look back on those circumstances that upset the person and try to find ways to make changes    another source of inflammation of the bile ducts happens in diseases of altered immunity called autoimmune diseases    antibiotics are given right away to treat the bacterial infection of waterhousefriderichsen syndrome    antibodies blocks the neurotransmitter junction causing the receptors unable to generate a muscle contraction in myasthenia gravis    anxiety medicine decreases anxiety while antidepressants decrease symptoms of depression    any one who have gone though the tinnitus disorder with its constant ringing in the ears will know how irritating the sound is    anyone who develops an event where they are not getting enough oxygen is at risk for brain hypoxia such as mountain climbing head injury sports    apd is not hearing loss or a learning disorder but indicates the brain does not hear sounds in the normal way    apd often begins in childhood but some people experience the disorder later    auditory processing disorder is not present in the diagnostic statistical manual dsm 5 of mental health disorders    auto immune hypoparathyroidism occurs where the immune system develops antibodies against the parathyroid glands    being angry can help the person display the persons concerns and prevent others from taking advantage of the person    benign pituitary tumors are the main source of pituitary disorders    benign tremor also called essential tremor is an involuntary muscle movement trembling or shaking of the limbs face jaw eyelids    benign tremor is normally not a serious disorder but it normally becomes worse over time and can be severe in some people    benign tremor normally manifests as a bilateral postural 6 to 12 hz tremor of the hands accompanied by a active and resting component    benzodiazepines work quickly so it is given first followed by antidepressants    besides a venous ulcer the patient may also have symptoms swollen ankles discoloration and darkening of the skin around ulcer    bile is produced in the liver and kept in the gall bladder until it is needed to help the digestion of fat    biofeedback has been found to be very effective and a better treatment for levator ani syndrome    bleeding in the eye and the injection into the eye    blood clot in the lungs pulmonary embolism or pe is a serious possibly lifethreatening disorder due to sudden blockage in a lung artery    botox injections might be useful in treating some types of tremors mainly head and voice tremors    brain hypoxia can be serious because brain cells need an uninterrupted flow of oxygen to function properly    brain hypoxia can happen when someone is drowning choking suffocating or in cardiac arrest    brain hypoxia is when the brain is not receiving enough oxygen    brain hypoxia necessitates immediate treatment to restore the flow of oxygen to the brain    brain injury stroke and carbon monoxide poisoning are other possible sources of brain hypoxia    buspirone is a nonbenzodiazepine which does not induce addiction    carotid artery disease or stroke happen when the main blood vessels to the brain are blocked by an accumulation of plaque produced by atherosclerosis    causes for the failure of the valves in the veins are hereditary prolonged standing pregnancy obesity pelvic tumors    cerebral aneurysms can happen anywhere in the brain but most develop in the major arteries along the base of the skull    chloasma also termed melasma or mask of pregnancy is a medical disorder featured by symmetrical dark patches with irregular borders on the face    chloasma is a frequent pigmentary skin disorder that can happen at any time in life more in women of child bearing age    chloasma is often linked with the female hormone estrogen and progesterone in pregnant women women taking oral contraceptives hormone replacement therapy    cholangitis is an infection of the common bile duct cbd the tube that carries bile from the liver to the gallbladder and intestines    cholecystitis is a medical disorder produced by acute or chronic inflammation of the gallbladder    cholecystitis may clear with medical treatment but surgery to remove the gallbladder is needed when gallstones are present    chronic cholangitis happens slowly over time and can cause symptoms over 5 to 20 years    chronic cholangitis may be an autoimmune disease where the bodys own immune system mistakenly attacks the bile ducts    chronic cholecystitis induces inflammation and swelling of the gallbladder that persists over time    chronic pain is also linked to depression anxiety sleeping disorders    chronic pain is normally due to a prolonged cause such as cancer or arthritis and can go on for weeks months or even years    classical congenital adrenal hyperplasia is responsible for around 95 of all cah cases    cognitive behavioral therapy focuses to reshape the childs thinking to improve problem solving skills anger management moral reasoning and impulse control    cognitivebehavioral therapy cbt is one of the most effective parts of hyperacusis therapy together with counseling and education    colorflow duplex ultrasound is another noncostly noninvasive and highly informative diagnostic test especially useful for superficial vein assessment    computed tomography and magnetic resonance imaging are favored for deeper vessels since they are often more difficult to assess    conduct disorder is a serious behavioral and emotional disorder that can happen in children and teens    conduct disorder is due to a combination of biological genetic environmental psychological and social factors    congenital adrenal hyperplasia cah is a cluster of hereditary disorders that have an effect on the adrenal glands    congenital adrenal hyperplasia is an autosomal recessive disorder    congenital adrenal hyperplasia is produced by genetic defects that stop these glands from producing these 2 hormones either completely or at normal rates    constriction of arteries and veins leads to artery disease which produces less oxygenated blood to flow to the different parts of the body leading to cell or tissue death    covid 19 pandemic 2020 to 2021    covid19 in singapore and 2020 elections and staycations    ct findings of pulmonary infarction are a feeding vessel or vessel sign central lucency and a semicircular shape    ct scan is often the first test a doctor will order to determine if blood has leaked into the brain from a ruptured cerebral aneurysm    ct scan is required to determine the precise location size and involvement of other vessels as the imaging of choice in symptomatic patients    ct scans or mri scans of the brain can determine whether the patient has partial or total empty sella syndrome    death of lee kuan yew the former prime minister who brought singapore from a thirld world nation to first world    depending on the size and growth rate of the thoracic aortic aneurysm treatment may vary from watchful waiting medicine and surgery    diagnosis is detecting raised pth or calcium in the blood and doing a cat scan of parathyroids    diagnosis of chloasma is made mainly on medical features and a skin biopsy is not necessary    diagnosis of hypoxemia needs pulse oximetry and arterial blood gas test to measure blood oxygen levels    diagnosis of levator ani syndrome happens when there is severe tenderness when the levator muscle is touched    discoloration of the skin in the area around the varicose vein painful achy or heavy legs and mild swelling of feet or ankles may be present    disease of the arteries in the heart can be prone to blood clots which may cause a heart attack or coronary artery disease    due to the high success rate and fast recovery time endovenous laser ablation is slowly becoming the most efficient method for treatment of varicose veins    during the acute phase of subarachnoid hemorrhage a clear airway must be maintained adequate fluid and electrolyte intake maintained adequate nutrition    dysfunction disorders happens when there is the correct number of platelets in circulation but these platelets are not functioning properly    early diagnosis and treatment of hyperparathyroidism may prevent hypercalcemia    empty sella syndrome is a rare disorder linked to a saddleshaped depression in the sphenoid bone at the base of the skull that holds the pituitary gland    endoscopic retrograde cholangiopancreatography ercp is a very invasive but rather useful test because it can remove any blockage during this procedure    endoscopic vein surgery normally is used only in severe cases when varicose veins are producing skin ulcers    endovascular repair from a femoral arterial technique is now applied for most repairs mostly in older and higherrisk patients    endovenous ablation therapy makes use of lasers or radiowaves to produce heat to close off a varicose vein    enzymes are secreted from the small glands in the pancreas into the small ducts and finally into the main pancreatic duct to be passed into the duodenum    even if the patient has empty sella syndrome the sella turcica is not really empty    extensor tendonitis is a frequent disorder that produces pain across the top of the foot    extensor tendonitis is most often caused by spending a lot of time standing occupational hazard    extensor tendonitis may be caused by altered biomechanics of the foot such as flat feet or high foot arch    extensor tendonitis may be caused by change in training methods or running on slippery surfaces    extensor tendonitis may be caused by trauma or injury in an accident or dropping something heavy on the foot    extreme anxiety and worry for at least six months restlessness sleep disturbance    family therapy can help family members communicate more effectively and help parents learn methods for deescalating conflict with their child    first t cells undergo positive selection and are destroyed with no interaction    firstline treatment normally involves lifestyle modifications such as avoiding smoking walking a balanced diet and losing weight    for other patients doctors may prescribe calcimimetics drugs that can decrease the secretion of pth    frequently there are no symptoms or even failure of pituitary function    gallbladder polyps and cancers are rare disorders    gallbladder surgery continues to be the most effective method for treating active gallbladder disorder    genetic syndromes like ehlersdanlos and polycystic kidney disease are causes of subarachnoid hemorrhage    glatiramer natalizumab and fingolimod are the main medications used to suppress ms    glucocorticoid medicines will also be given to treat any adrenal gland insufficiency    group therapy with the child or teens peers is sometimes used to help them develop interpersonal skills and behaviors that foster empathy    hearing is one of the most important human senses    hearing loss which is the lows of hearing is treatable but the sooner it is treated the better    heightened sensitivity to sounds is frequent among persons with ocd anxiety and tourettes syndrome indicating possible overlap in neuropathology    hormone replacement therapy may be useful for postmenopausal women whose bone density poses a concern    hyperacusis is a disorder of loudness perception where sounds that are ordinarily considered normal become intolerable    hyperacusis is the sound sensitivity developing from within the auditory system and can be activated by any generic lowintensity sound    hyperacusis patients may feel this sensation as painful frightening unpleasant or excessively loud    hyperparathyroidism jaw tumor is produced by mutations or alterations to the cdc73 gene and places people at a greater risk of developing parathyroid cancer    hypoparathyroid disease is usually related to surgical resection of the thyroid during which partial to total removal of the parathyroid gland occurs    hypoxemia happens when there are low levels of oxygen in the blood    hypoxia indicates the presence of low levels of oxygen in the tissues of the body    ied spells or attacks often happen with little to no warning but are shortlived rarely persisting longer than half an hour    if a blood clot is massive or if there are many blood clots pulmonary embolism can cause death    if an underlying disordersuch as asthma or pneumoniais producing the hypoxemia the doctor will work to treat that disorder with medicines    if the blood vessel is blocked due to a blood clot or narrowing an anticoagulant like heparin can be given to dissolve the blood clot    if the disorder is mild the doctor might simply watch and monitor the tumor    if the doctor suspects the infection is produced by meningococcus bacteria other tests are lumbar puncture to get a sample of spinal fluid for culture skin biopsy and gram stain test of sample    if the lungs are not healthy ie if they are infected congested or has insufficient air supply then lung infarctions can happen after the blockage of a blood vessel    if the patient can control the anxiety and stress it may help stop the neurotic behaviors    if the patient has php the body produces the right amount of pth but is resistant to its effect    if the person has other symptoms then he or she may have a different disorder example shuffling of feet rigidity of the arms legs in parkinson    if the valve in the vein does not succeed in preventing from going downwards blood begins to collect and stagnate in the veins causing ballooning and dilation of the varicose veins    immediate treatment with medicines usually anticoagulant blood circulation nerve vitamins is important in treating stroke    immunosuppressive drugs such as prednisone cyclosporine and azathioprine reduces the symptoms of myasthenia gravis    in 20 per cent of cases the inflamed gallbladder may also become infected by bacteria    in 95 per cent of cases acute cholecystitis is induced by gallstones in the gallbladder    in acalculous cholecystopathy there is no actual obstruction and it is more of an impairment of the usual motility of the biliary tree in response to a fatty meal    in acute pain the pain normally disappears once the disorder is treated    in more serious cases the patient needs emergency care that places the patient on a ventilator breathing machine to obtain oxygen    in short the neurotic has problems while the psychotic has solutions    inflammation of gallbladder and bile duct may ultimately lead to empyema pus formation or necrosis tissue destruction or gangrene    intermittent explosive disorder ied is a medical disorder that involves sudden outbursts of rage aggression or violence    interventions may require placement of a stent graft and a filter to prevent blood clot    involution of the thymus gland may be a form of programmed aging with the involution being the stimulus for the deterioration of the immune system with age    it is not a story about becoming a rich doctor but a doctor who is involved in the community working for the community and helping the poor    it is not obvious if the muscle dysfunction in levator ani syndrome is what led to nerve damage or the other way around    it is possible to achieve the cure for both hyperacusis and misophonia with tinnitus retraining therapy and sound desensitization    it should not be mistaken for neuroticism a fundamental personality trait indicated in the big five personality traits theory    less often infections can happen caused by a stricture or narrowing of the duct itself by injury or tumor    levator ani syndrome comprises pain gluteal discomfort and distress in the rectal area    levator ani syndrome is a pelvic floor dysfunction where the muscles are not relaxed or too tight    levator ani syndrome is an episodic rectal pain produced by the spasms of the rectal muscle called the levator ani    levator ani syndrome on the other hand is a combination of neuropathic and muscular pain which makes it much harder to tease out from other types of pain    magnetic resonance cholangiopancreatography mrcp can detect gallbladder and bile duct disorders    magnetic resonance imaging is the most accurate diagnostic method for adrenal hemorrhage    male gender older age hypertension chronic obstructive pulmonary disease coronary artery disease smoking and previous aortic dissection are some risk factors of taa    many patients with a parathyroid adenoma have no symptoms with hypercalcemia incidentally found on routine laboratory work    many vascular disorders are now very treatable with medicines and surgery    mechanical ventilation and iv fluids may be used for more severe forms of hypoxemia    medical conditions such as asthma hypotension stroke amyotrophic lateral sclerosis can reduce oxygen supply to brain    medical oxygen therapy is an important part of the treatment of patients with severe covid19    medical treatment is needed to reduce high blood calcium which poses a life threatening emergency    medicines may be given to treat any abnormal hormone levels    minor surgery wound debridement or vein ablation is used to remove any nonliving tissue that stops a wound from healing properly    misophonia also termed the hatred of sound is featured by the sensitivity to specific sounds followed by an unpleasant emotional and physical response    misophonia hatred of sound is an adverse response to sound at any volume    misophonia is a brainbased disorder with a disruption in the connectivity in components of the brain that process both sound stimulation and the fightorflight response    modern treatment of myasthenia gravis is highly effective with a death rate of almost zero    monitoring requires regular doctors checkups and imaging tests to determine if the aneurysm is growing and to treat other disorders such as high blood pressure    most aneurysms in the thoracic aorta happen in the root or ascending aorta followed by descending aorta and rarely happen in the arch    most cerebral aneurysms are acquired diseases in patients with certain risk factors such as advanced age hypertension smoking alcohol abuse atherosclerosis    most cerebral aneurysms are saccular berry appearance which is linked with a thin or absent tunica media and an absent or seriously fragmented internal elastic lamina    most important to managing anger is to admit that there is a problem    most of the abdominal aortic aneurysms have no symptoms until they rupture    most people with parathyroid cancer produce too much pth that results in too much calcium in the blood called hypercalcemia    most subarachnoid hemorrhages are caused by trauma and injury to the brain    mri can give a better image of the tendons muscles and other soft tissue    mri scan can search for changes within the brain peculiar to multiple sclerosis    multiple sclerosis is classified with other autoimmune diseases but it is also a neurological disorder since the central nervous system is the focus of the inflammatory immune response    multiple sclerosis is not curable but can be suppressed    multiple sclerosis ms is a progressive degenerative disease of the central nervous system with recurrent episodes of neurological dysfunction    multiple sclerosis results in the body nerve cell myelin destruction and weakness of the muscles    muscle relaxants help decrease pain and muscle spasms while steroids decrease inflammation    my wife knee operation or knee replacement surgery    myasthenia gravis is a rare chronic autoimmune neuromuscular disease    neurosis is a disorder where negative or obsessive thoughts tend to dominate the mind causing the behavior to be drastic and irrational    neurosis may be treated using behavior modification therapies and pharmacological treatments    neurosis should not be mistaken for psychosis which indicates a loss of touch with reality    neurotic personality is one of the traits that make up the big fivefactor model of personality alongside extroversion agreeability conscientiousness and openness    neuroticism is a longterm tendency to be in a neurotic or anxious emotional state    newer treatments of chloasma are microneedling device that destroy dermal blood vessels intralesional or oral tranexamic acid    nontraumatic subarachnoid hemorrhage happens when there is high blood pressure or brain infection    normally the presence of hypoxemia indicates hypoxia since low blood oxygen levels induces low oxygen levels in tissues    on abdominal examination abdominal rigidity or rebound tenderness may be evident in patients with waterhouse friderichsen syndrome    once the ied attack is over these persons may feel upset regretful or ashamed of their behavior    once the subarachnoid hemorrhage is treated the subarachnoid hemorrhage patient is started on a rehabilitation program exercises to strengthen his muscles speech training    open surgical repair by transabdominal or retroperitoneal method has been the gold standard    oral cholecystogram and ultrasound is 95 accurate    other treatments for levator ani syndrome are trigger point injections which may be with a corticosteroid or botulinum toxin or nerve blocks    other treatments of pe are mechanical thrombolysis surgical treatment embolectomy vena cava filters compression stockings    oxygen therapy is a treatment that supplies the patient with extra oxygen to breathe in    oxygen therapy is the administration of oxygen at a concentration of pressure higher than that present in the environmental atmosphere    pain is a symptom that occurs in the human body in different degrees of severity as a result of injury disease or emotional disorder    pain is an unpleasantsensation which starts in the nervous system and hurts the body    pain management involves medicines and treatments to treat pain from a surgery injury or illness    palpation of the abdomen normally demonstrates a nontender pulsatile abdominal mass caused by the aneurysm    parathyroid adenoma can cause hyperparathyroidism and hypercalcemia which can be life threatening    parathyroid adenoma induces the affected gland to release more pth than it should    parathyroid cancer begins when healthy parathyroid cells change and grow out of control forming a mass called a tumor    parathyroid disorders often present with serum calcium abnormalities    parathyroid scan sestamibi spect scan is a ct scan that shows if the parathyroid makes too much pth    parathyroid tumor begins when healthy parathyroid cells change and grow out of control forming a cancerous or benign tumor    parent management training pmt teaches parents ways to positively change their childs behavior at home    patients with adrenal hemorrhage may die due to underlying disease or diseases linked with adrenal hemorrhage in spite of treatment with stressdose glucocorticoids    patients with adrenal hemorrhage must be diagnosed promptly and treated properly    patients with waterhouse friderichsen syndrome manifest with sepsis    people are more likely to develop psychosis if they also have a close family member such as a parent or sibling who has a history of psychotic disorder    people are not typically born with hyperacusis which normally results from certain diseases or health disorders    people can all benefit from identifying their stress and managing it better    people use the hearing to take in the information around them and learn from their experiences    people who are treated with oxygen therapy often show improved energy levels and sleep and better quality of life    people who have psychosis are rarely violent but are more often scared mystified and downhearted    people who have recently been treated for cancer or who have a central venous catheter are more prone to develop dvt which increases their risk for pe    people with apd have a difficulty with the processing of sound amd have problem comprehending and reacting to sounds    people with auditory processing disorder apd have a difficult time hearing and processing small sound differences in words    people with empty sella syndrome also have smaller pituitary glands that do not appear on imaging studies    peripheral arterial disease pad is produced only in the arteries which transport oxygenrich blood away from the heart    peripheral vascular disease can be caused by arteriosclerosis or by blood vessel spasms blocking the blood flow    peripheral vascular disease pvd is the narrowing blockage or spasm of blood vessels in the arms abdomen and legs peripheral blood vessels    persons who have some form of hearing loss and those with certain mental disorders may be at a higher risk for developing misophonia    pharmacological treatments are antidepressants especially selective serotonin reuptake inhibitor and benzodiazepine and buspirone    php causes low blood calcium levels and high blood phosphate levels    php is caused by abnormal genes and are normally diagnosed in childhood    plasmapheresis and intravenous immune globulin removes the abnormal antibodies in myasthenia gravis rapidly    platelet aggregation studies will be done to examine how sticky the platelets are    platelet disorders are normally inherited but they can also be acquired due to some health disorders certain medicines and some foods    platelets also called thrombocytes act together with proteins called clotting factors to help the body stop bleeding at an injury location    popular programs of stress management are time management meditation psychotherapy yoga and exercise    portable types of the tanks and oxygen concentrators can make it easier for the patient to move around while using the therapy    positive murphys sign is when the affected upper right part of abdomen is extremely tender and breathing deeply makes it worse    present treatments are chemical peels or topical steroid creams laser and light treatment    prolonged lowlevel noise exposure has been proven to have a reversing effect on the enhanced neural gain believed to be the underlying mechanism of hyperacusis    propranolol and primidone are given as fine line medical therapy for benign tremor    pseudohypoparathyroidism is indicated by the presence of hypocalcemia hyperphosphatemia normal 25 hydroxyvitamin d and elevated parathyroid hormone levels    pseudohypoparathyroidism php is a genetic disorder in which the body fails to respond to parathyroid hormone    psychosis is featured by an impaired relationship with reality    psychosis is not a disorder on its own but a symptom that is evident in a range of mental health disorders traumatic injuries or substance use    pulmonary angiography is the criterion standard for diagnosing pulmonary embolism when multidetectorrow cta is not available    pvd normally produces pain and fatigue often in the legs and especially during exercise and improves with rest    radiation therapy may help decrease the risk of parathyroid cancer recurring in the neck    relaxation cognitive restructuring better communication using humor changing the environment change the thinking work to solve problems    repetitive exposure of the stress reaction on people can lead to psychological and physical health disorders such as cardiovascular disease depression    risk factors for stroke are determined and treated diabetes high blood pressure aneurysm etc    rupture of an abdominal aortic aneurysm is lifethreatening with hypotensive shock often with diffuse abdominal pain and distension    school support is a very important component of treatment to help the child with conduct disorder    second the t cell undergoes negative selection with removal of those t cells with high affinity interaction    serious effects of vascular disease are leg ischemia gangrene deep vein thrombosis pulmonary embolus kidney failure stroke heart attack    since 1980 neurosis has been removed as a single disorder by the diagnostic and statistical manual of mental disorders and placed together with other anxiety disorders    since hypoxemia involves low blood oxygen levels the purpose of treatment is to try to elevate blood oxygen levels back to normal    since pth helps control the calcium and phosphorus abnormal levels of those minerals in the blood may also indicate that the patient has parathyroid adenoma    small unruptured cerebral aneurysms may be safely left alone and monitored with ct scan    some behaviors that might be signs of ied are temper tantrums road rage fights or brawls    some disorders that can cause venous ulcers are blood clots or poor circulation diabetes and infection    some people with breathing disorders cannot obtain sufficient oxygen naturally and need oxygen therapy    some people with psychosis may also develop loss of motivation and social withdrawal    someone with hypoxemia may develop these symptoms shortness of breath coughing or wheezing headache    stress acted as a protective mechanism that warned people of danger called the fight or flight response    stress is an unavoidable human response that people all experience from time to time    stress management analyzes the specific stress factors and takes positive actions to diminish their effect    stress management is a group of programs meant to assist people deal more effectively with stress    stress management starts with identifying the causes of stress in the life    stroke happens when the blood vessel to a part of the brain is blocked due to a blood clot or burst    stroke is fairly common nowadays even in younger people with normally someone suffering from one every minute    studies suggest that repeated impulsive and aggressive behavior is linked with low serotonin levels in the brain    subarachnoid hemorrhage is an emergency which require saving of life limit the amount of brain damage and lessen disability    sun exposure is also a very strong triggering factor in development of chloasma    supplemental oxygen therapy can be given to treat hypoxemia    supportive measures are bed rest proper diet and speech therapy    supportive treatments will be required for other symptoms such as hypoglycemia    surgery is done to prevent csf from leaking out of the nose    surgery is essential to stop bleeding or remove a blood clot in the brain after the stroke    surgery is the most frequent and effective treatment for parathyroid cancer    surgery may be necessary and comprises embolectomy and surgical placement of vena caval filters    surgical clipping or endovascular coiling or a flow diverter can be used to seal off a brain aneurysm and help prevent a future rupture    surgical methods are deep brain stimulation focused ultrasound or gamma knife thalamotomy    surgical treatment of vascular disease may require removal of plaques blood clots and injured part of blood vessel    symptoms are large veins under the surface of the skin and smaller veins seen on the surface of the skin or spider veins    symptoms are related to a low level of calcium and are cataracts dental problems numbness seizures tetany    symptoms may be hemoptysis severe dyspnea fever chest pain    symptoms of adrenal hemorrhage are nonspecific such as abdominal lumbar pelvic or thoracic pain and adrenal insufficiency such as fatigue anorexia nausea    symptoms of conduct disorder are divided into aggressive behavior destructive behavior deceitful behavior violation of rules    symptoms of pulmonary embolism pe are unexplained shortness of breath problems breathing chest pain sudden cough possibly coughing up blood    taking a timeout is believed to be a healthy anger management tactic    tendonitis of the extensor tendons happens caused by repeated friction across the top of the foot or excessive pressure from a poorlyfitting shoe    the 3 symptoms present in about 70 of patients with cholangitis are abdominal pain fever and jaundice and are known as charcots triad    the 4 parathyroid glands which are located at the back of thyroid in the neck constantly monitor and control the amount of calcium phosphorus and magnesium    the angry person will most probably experience loss of their family their job and their own identity    the basis of neuroticism is the levels of anxiety and volatility    the behavior is regarded as a conduct disorder when it is longlasting at least 12 months and when it infringes the rights of others    the bleeding may be present only in one adrenal gland unilateral or on both sides bilateral    the blockage could also be from a blood clot which has developed in the blood vessel itself and continues to stay at the site where it was formed    the blockage normally is produced by a blood clot embolus that travels to the lung from a vein in the leg deep vein thrombosis    the blood is made up of different kinds of cells including red blood cells white blood cells and platelets    the brain cells in that part affected by stroke cannot get the oxygen and nutrients so they are damaged and unable to function    the cause is probably a combination of several factors such as genetic physical and environmental factors    the cause of deficit or reduced blood flow is normally an obstruction in a blood vessel which supplies the lung    the constant intake of fatty food compels the gallbladder to contract continuously    the delusions and hallucinations can be frightening and may also cause people who are having psychosis to hurt themselves or others    the diagnosis of hyperacusis involves determining ldl using puretone audiometry and questionnaires to determine disease severity    the diagnosis of ied is based on dsm5 criteria    the diagnosis of myasthenia gravis is mostly based on the results of the test for the antibody against achr and the neurophysiological tests    the disability of the biliary tree to contract effectively is apparent in old age where most body functions are decreased    the doctor may conduct a special maneuver during the abdominal examination to find what is termed as murphys sign to detect inflammation of gallbladder    the early evaluation of a patient suspected of having a subarachnoid hemorrhage should involve head computed tomogram    the extra oxygen from oxygen therapy is inhaled in along with normal air    the future of singapore and the new generations of singaporeans    the gall bladder is a small sac on the underside of the liver that is used to store bile    the hearing is used to listen to music talk to people around the person and assess social and environmental situations    the highs of hearing is the hypersensitivity to sound which can cause so much pain irritation and anger    the hormone imbalance most often observed in congenital adrenal hyperplasia is too little of a substance called 21hydroxylase    the hypothalamus has special cells which obtain information from the body indicating how much of each hormone is evident in the bloodstream    the hypothalamus in the brain does this by sending its own hormones to communicate with the pituitary gland    the islets of langerhans produce hormones insulin glucagons somatostatin that help to control levels of sugar glucose in the blood    the main enzymes are amylase for digesting carbohydrates trypsin for digesting proteins and lipase for digesting fats    the main purposes of treating blood clots in the lungs are to stop the blood clot from getting bigger and keep new clots from forming    the main symptoms of psychosis are delusions and hallucinations    the main treatment for vus depends on two methods compression therapy and direct wound management    the major symptom is pain in the upper right quadrant or upper middle portion of the abdomen    the medical experience of communication with the senior doctors and the patients is one of the most important learning journey in a young doctors life    the mind will also be affected with some stroke patients having severe depression and some loss of function of the brain    the most common cause of cholangitis is infection of the bile ducts due to blockage by a gallstone    the most frequent cause is the overuse of the muscles bones and extensor tendons in the feet    the most frequent cause of hyperacusis is high noise exposure without hearing protection    the most frequent cause of pulmonary infarction is from a pulmonary embolus    the most frequent reason for gallbladder disorder is gallstones followed by cholecystitis and cholangitis inflammation of gallbladder and bile duct    the most frequent symptom of pvd and pad is intermittent claudication which is lower limb muscle pain when walking    the most frequent treatment is desmopressin followed by platelet transfusions and stem cell transplant if severe    the muscle weakness in myasthenia gravis usually increases during periods of activity    the neurotic is doubtful and is fearful about persons and things the psychotic has beliefs and makes claims about them    the only symptom present in benign or essential tremor is the mild shaking of the hands tremor    the pancreas is a firm gland firmly tucked in the back of the abdominal cavity behind the stomach    the pancreas is a small organ in the digestive system and endocrine system    the patient is supplied oxygen through oxygen cylinders of gas and liquid or oxygen concentrator which draws oxygen out of the air    the patient may also require medication such asblood pressure drugs cholesterol medication drugs to prevent blood clots    the patient might often feel anxious angry sad guilty worried hostile selfconsciousness vulnerable    the patient will be delivered the oxygen through a nose tube cannula a mask or a tent    the person having psychosis may also have thoughts or delusions that are different from actual evidence    the person sees everyday circumstances as far worse than they really are and then blame himself or herself for the excessive pessimism and negativity    the pituitary gland has 2 main components the pituitary gland at the front called the anterior pituitary and the pituitary gland at the back called the posterior pituitary    the pituitary gland is an endocrine gland sited in the brain producing chemicals called hormones    the pituitary gland is the master gland since it regulate the functions of the other endocrine glands and organs    the pituitary gland is very close to another important part of the brain termed the hypothalamus    the prognosis for chloasma is excellent since chloasma has no linked mortality or morbidity    the purpose of abdominal aortic aneurysm treatment is to prevent an aneurysm from rupturing    the purpose of treatment is to prevent the aneurysm from growing and to treat it before it dissects or ruptures    the sound of fire alarms a telephone ringing or a car horn can all be very important in a dangerous situation    the thymus gland extends to its largest size at the time of puberty when it stops to grow slowly shrinks and almost disappears    the thymus is a transient organ with immune and endocrine function part of endocrine system that produces hormones    the thymus is made up of 2 identical lobes and is sited anatomically in the anterior superior mediastinum in front of the heart and behind the sternum    the thymus may spread to the neck region where it is linked to the thyroid gland    the thymus teaches the tlymphocytes to fight against invaders of the body    the thymus thump can help to neutralize negative energy produce calm revitalize energy support vibrant health and boost the immune system    the treatment comprises early cardiopulmonary support with anticoagulants thrombolysis mechanical ventilation packed rbc transfusion    the treatment involves medicines and psychotherapy to help the patient control the aggressive impulse of ied    the treatment normally requires a surgical removal of the parathyroid adenoma    the treatment of acalculous cholecystopathy is removal of the gallbladder also called a cholecystectomy after analgesics and antibiotics are given    the treatment of pituitary disorders will be dependent upon the cause either hormone replacement or pituitary surgery    the treatments for congenital adrenal hyperplasia are medicines and surgery and psychological support    the use of oral calcium and calcitriol is the main treatment and should be started in every patient with a diagnosis of php    the worst venous ulcers that i have seen are those from diabetes and varicose veins    there are 5 types of pseudohypoparathyroidism php1a php1b php1c php2 pseudopseudohypoparathyroidism    there is a higher autonomic reaction to sound triggers in people with misophonia when compared to those who are not affected    there is an overactive anterior insular cortex in people with misophonia as a function of altered connectivity pattern of the frontal lobe of the brain    there is no cure for apd but there are treatments that can help the person to learn how to better process sounds    there is no single treatment that is best for everyone with intermittent explosive disorder    there is no treatment if pituitary function is normal    there is weakness of the eye neck limbs and slurred speech and difficulty in swallowing    there was a time when the psychiatric world recognize 2 main illness neurosis and psychosis    these disruptive thoughts and sensory experiences in psychosis cause a disconnection from reality and a struggle in differentiating what is real from what is not    this book is a true story based on my journey as a medical student to become a family doctor and the medical illnesses that were seen during my practice    this form of foot tendonitis is produced by inflammation or irritation of the tendons that pull the toes up    thoracic aortic aneurysm happens when the normal diameter of the artery rises by 50 per cent more than 6cm in diameter    thoracic aortic aneurysms taa seldom manifest with symptoms and about 95 per cent of the patients have no symptoms    thrombocythemia more than 450000 happens where there are too many platelets in circulation    thrombocytopenia less than 150000 happens when there are too few platelets in circulation    thymectomy reduces symptoms in more than 70 percent of myasthenia gravis patients surgically    thymopoietin and thymulin are hormones that help in the process where t cells differentiate into different types    tinnitus retraining therapy trt involves educating the hyperacusis patient about their disorder alongside gradual sound enrichment    to evaluate the tremor itself the doctor may ask the patient to drink from a glass hold the arms outstretched write draw a spiral    to go through life without hearing is not easy but possible especially with use of sign language    to test for apd the person may be asked to listen to speech with background noise and spot small changes in sounds    too little aldosterone reduce the proper level of sodium salt and water and decrease the blood pressure    too little cortisol has an effect on energy levels blood sugar levels blood pressure    too much androgen induces masculine features to happen in girls and develop early in boys    treatment can assist the person to make changes to the learning or working environment to better manage the apd disorder    treatment for myasthenia gravis is with anticholinesterase agents such as neostigmine    treatment for the misophonia disorder requires adopting coping mechanisms and medicines    treatment is normally removal of the parathyroid glands in hyperparathyroidism and parathyroid tumors    treatment is proper rest ice massage nsaid steroid injection plateletrich plasma prp treatment shock wave therapy tenex procedure    treatment is the use of supplements of calcium and vitamin d in hypoparathyroidism    treatment is usually not a cure but suppression of symptoms    treatment may be difficult since children are often not cooperative and distrustful of adults    treatment may involve medicines to thin the blood and slow its ability to clot medicines to dissolve blood clot    treatment of ied is attempted through cognitive behavioral therapy and psychotropic medication regimes and the pharmaceutical methods    treatments can help teach the person skills to help compensate for the apd    treatments for levator ani syndrome are physical therapy including massage heat and biofeedback with a therapist trained in pelvic floor dysfunction    treatments for levator ani syndrome pain are prescription muscle relaxants or pain medicine such as gabapentin and pregabalin    trip to alaska the land of glaciers and arctic ice    trip to jerusalem in the footsteps of jesus christ    unilateral adrenal hemorrhage most often is produced by blunt abdominal trauma traumatic adrenal rupture    varicose veins can be treated with lifestyle alterations and medical treatments such as injection of sclerosants and laser therapy    vascular disease is any disorder that affects the network of the blood vessels consisting of artery vein capillary    vascular surgery permits blood to bypass the narrow area through vein grafting    venous duplex scans are utilized to examine vessels and blood flow in the abdomen and lower extremity    venous ulcers also termed venous stasis ulcers or nonhealing wounds are open wounds happening around the ankle or lower leg    venous ulcers vus are late markers of chronic venous insufficiency cvi and venous hypertension    waterhousefriderichsen syndrome was first mentioned in cases of neisseria meningitidis sepsis    waterhousefriderichsen syndrome wfs is the failure of the adrenal glands to function normally as a effect of bleeding into the gland    ways to manage stress are time management mindfulness meditation cognitive restructuring positive affirmations and imagery    wfs linked with meningococcemia typically shows petechial rash disseminated intravascular coagulation purpura fulminans fever and chills joint and muscle pain    when a persons immune system mistakenly attacks itself as in ms it can cause debilitating symptoms    when bleeding happens on one side the other gland is able to balance with production and secretion of the necessary adrenal hormones    when cerebral aneurysms are ruptured they often present with a sudden onset of severe headache reported as the worse headache of my life    when these hormones fall below a particular level this activates the hypothalamus to secrete hormones to stmulate the pituitary gland to secrete more hormones    while mostly a cosmetic disorder chloasma can be psychologically distressing to affected persons and can negatively affect self esteem    with age the incidence of neuroticism drops    with empty sella syndrome csf has seeped out into the sella turcica adding pressure on the pituitary inducing the gland to reduce in size or flatten    woods lamp examination is useful finding the level of pigment deposition in all patients especially epidermal chloasma    working in hospitals during my housemanship medical intern was challenging especially when it involved many night duties and insufficient beds to sleep in    you are happy when they recover from their illness when they thought that there is no hope    you learn to be humble when you see how the poorer community lives and still remains happy despite their low income    you see the gratitude in their faces when you provide them with medicines and free milk powder for their children    young girls near puberty are found to be affected the most by this misophonia