Assalamualaikum wbt
Since last Friday, me and another 2 doctors were assigned to clerk on a patient with viral hepatitis. We went to a men’s department for viral hepatitis which actually there is no department for women. In summary to let you all understand, there are 2 types of hepatitis that is being classified based on route of transmission.
For Hepatitis A and Hepatitis E, the route is fecal-oral. Meaning, we can get infected by consuming contaminated food or water. Mostly in suburban area, in country side and the endemic area. For Hepatitis B, Hepatitis C and Hepatitis D, the route is parenteral either by sexual contact, sharing contaminated needle for drug addict people, blood transfusion, mother-to-child during labor and a few more which related with blood exchange.
I’ve been assigned to a 25-year-old male who is handsome and very good looking young Russian guy. We performed the general clerking from top to toe as the basis to make the preliminary diagnosis. He was quite refusing to respond well. There were 2 possibilities of such behavior. Firstly because of his general condition which was quite bad at that moment, with very yellow skin, sclera and mucous membrane (jaundice). And the second reason maybe because of his social history which is the reason for this disease that made him embarrassed. What was the thing? Well, he is actually a drug addict. He takes drugs since 2 years ago and consistently uses it up till now. For Hepatitis C, the more frequent reason is because of sharing contaminated needle for drug addicts. And for Hepatitis B, the more frequent reason is because of sexual contact especially in homosexual homo sapiens as known as the gays.
So, my preliminary diagnosis for him was Acute Viral Hepatitis C, moderate stage, icteric (jaundice) course. As we went through his case report, he actually has Acute Hepatitis B and Hepatitis C together.
On Monday, we went meeting him again. He’s active, friendly and the condition was better than before. He responded very, very good to our questions and he seemed interested to know the reasons of this and that. He asked about the pain in his right upper quadrant, the discomfortness in abdominal region and all when I performed the percussion of the liver, spleen and the palpation of the abdomen. He laughed and smiled too with us.
After leaving the hospital, my partner, Dr. Pari said: Ish. What a waste of men. Those handsome and charming guys either there are Hepatitis B or Hepatits C. Then Dr. Farah asked back: Wasting what? Then Dr. Pari explained: Those with Hepatitis B are mostly gays. And those with Hepatitis C are mostly drug addicts. The rest who are healthy are just the leftover type.
Ok. We laughed. The leftover type. At least these leftover-type young men are healthy and disease free.
The conclusion, please dear friends, get yourself free from drug and homosexualism or promiscuous free sex. Islam is too perfect for has forbidding these to let us live in harmony and healthy. Think twice to be wise.
Info: Acute is considered if the duration of disease is less than 6 months and chronic is said if the disease prolongs more than 6 months with further development of symptoms and syndromes. Acute and chronic also can be differentiated regarding the markers of specific antigens and antibodies found in the blood. Later on, those with chronic Heptitis B,C and D can develop Liver Cirrhosis, Hepatocellular Carcinoma and may also result in death. But those with Hepatitis A and E will never develop chronic stage. After all, vaccinations against viral hepatitis are now available with 3-jabs course within 6 months.
Russia is celebrating The Men’s Day today. I wish Happy Men’s Day to all XY chromosomes belongers out there. Be a good beneficial man to the world. Don’t get involved with above problems ok 🙂 To the world, you are someone. To someone, you are the world…