Selamat tinggal Winarsih

..[20/2, 4:20 PM] Lindamatters: Semalam pembantu kami Winarsih sudah selamat pulang ke rumah nya di Surabaya. Work Permit sudah dibatalkan. Kami  amat berterima kasih kepada segala khidmat dan pertolongan nya menjaga arwah Nenek. 💕

[20/2, 4:38 PM] C Ara 12Jun63: Alhamdulillah Winar dh selamat sampai kepangkuan keluarga. Jasa mu tetap kami kenang hingga akhir hayat😘😍❤

[20/2, 4:47 PM] C Aim: Moga2 Allah memberkahi kamu Winarsih sekeluarga

As salam

Family love

Kami semakin erat kerana mu Nenek. Bersama, kami hadiah bacaan Quran dan tahlil untuk mu dan yang lain yang telah pergi sebelum mu. Setlah itu ada jamuan makan yang sangat mewah.

Kami juga mengucapkan selamat ulang tahun kepada mereka yang menyambut di bulan Jan & Feb. Alhamdulillah..

Nenek has left us

25Jan2018

Morning at 8.20am I got a missed call from Hadirah. I called her back and she said Nenek was looking pale after the morning change of diapers, she had called for Hafiz but he was in reservists. So I  told her to advice the visiting nurse Vicky to check her blood pressuree and feedback she is eatimg mush lesser now. also to hasten the next doctor appointment. at 1pm Hadirah text me to say Nurse Vicky came and check her temp at 38deg but could not confirm her blood pressure as she was restless. Vicky also could not check on next doctor appt. she said if fever persist we should bring Nenek to doctor. so i texted Azura to help check and hasten on next doctor appointment. 

I couldnt finish this.. here I am typing again on 9Jan2019.

accordingto my call log winarsih (helper) called me on 25Jan2018 3.49pm & 3.51pm. That call she franticly tell me Nenek is not doing well, she is not breathing! she tells to call a doctor quick. she is in a panic and dunno what to do. I put down the phone. I then called for emergency ambulance for Nenek. I also call Baba to hurry back home. I was home with Feroz as I scramble to get myself collected and make calls to get help in place. Then ambulance came to take her away. i manage to talk to the officer he simply calm me and told me to rush to hospital. He wouldnt tell me the state Nenek was in. Hafiz called me and said to go hospital Nurul got there first and break the news that Nenek dah meninggal. I send the text to everyone "Salam semua, Nenek dah meninggal. Sekarang Mama, Baba dan Nurul id Hospital CGH ~ 1639hr" I only got to hospital after prayers where most of the family members were there. They cant let Nenek come home with us as police procedures have to take place. So all went home and proceed with kebumian the next day. what happen on 26Jan is something I dunot want to recap here.

 Nenek di kebumikan gracefully with everyone able to see her for the last time at the mosque. We prayed for her at Masjid Mydin Solat Jumaah with hundreds present. Subahanallah. I pray for her to forgive me and my family during our care and pray Allah keeps her close to place with those he loves. Allah akhbar

Nenek's care

Nenek's care

Nenek's care

Nenek's new bed is in Hadirah's room. We pray that Nenek likes her new space and resident. We pray that Allah ease her pain. We pray that Allah give Winarsih strength to guide her daily needs. We pray that our family will only get closer with Nenek's strength and berkah at our home! Masha'Allah

Mama says visiting hours whole day! Syidah help to buy dressing supplies with Mama & C Arah. Nenek gets weekly nurse visit and monthly doctor visit.

Nenek's care - Dah boleh balik!

So for now, we come to the decision that nenek will be at rumah illa (my mom) for the moment. This will be where nenek will have good initial supervision on her wound care and the nurses already noted the address so it will make admin matters easier. Her ic address is rumah sini so all her incoming letters and hospital stuff will be related to this address. We will discuss again after this house, where will be the next best solution. We already have a few options in mind for nenek. In sha Allah nenek can and will have her own place in sg in the near future. We will try to make that arrangement be as soon as possible. So for now semua jangan risau, kita in sha Allah mampu dan boleh jaga nenek to the best of our ability. More updates to come but for now we say alhamdulillah nenek is back home. Her fight with bacteria is also in good shape. She came in with a bacteria count in the hundreds and now she has dropped in the tens. So that's why they can allow nenek to be discharged. She is responding well to the medication. 👍🏻

Nenek's care

Nenek's MRI result is negative for bone infection. Alhamdulillah

This means she can be discharged after 2 weeks of antibiotics, Augmentine.

Nenek's care

..Hafiz Updates.
Nenek to go for 2nd MRI tom 31 oct tue. Time not confirmed, prob 9am - 5pm slot. Nenek will be under some sedation to make her sleep during MRI , so she won't move about .

Nenek ever since she got better, means she know can feel the pain more on her wounds.
So know it's a bit more difficult when cleaning her wounds because she will move and be unhappy. It's a balance that we have to face. If nenek feels better physically, means her senses is coming back to normal, means she gets upset easier.
So we try to maintain her weight and makes sure she eats and drinks even when she initially does not.

The docs says , if the results of the MRI shows no bone infection, she will then just be on augmentin till mon, 05 nov 17 and will be released to go home.

Nenek a bit moody la so far, so if u guys come later and see her, don't be alarmed. It's just her actually feeling the pain from her wounds.

Nenek's care

This is Nenek smiling.. Masha'Allah

[29/10, 10:46 AM] Hafiz Bro: 

She is better with each day...

First thing when she sees me

Me: nenekkkk...
Nenek: takes out her hand and says duit. Mana duit? 藍

Nenek: nenek dah baik. Nak balik. And laughs / giggles.
Me: wow.... k nanti nenek baik kita balik k...
nenek : smiles...
[29/10, 10:48 AM] Hafiz Bro: 

Dia ajak bual... now talking bout Ahmad (Pak long).
[29/10, 10:49 AM] Hafiz Bro: 

Me: nenek tengok Gigi, hafiz nak cuci
Nenek: eh takmu Gigi dah berterabur...藍
[29/10, 10:53 AM] Hafiz Bro: 

Nenek: hafiz. Hafiz..
Me: ah apa nek.
Nenek: kasi tau Cik Jaapar, besok dia nak kerja.
Me: ok....

Backstory: yesterday Cik jappar was here and he was offered a job after so long. Nenek memang banyak baraqah. Doa orang yang tua/sakit memang mustajab. It's like a direct line. 

[29/10, 11:36 AM] Hafiz Bro: 

Nenek: mumbling
Me: Ada apa nek.
Nenek: bilang Cik aim.
Me : bilang apa nek
Nenek: bilang Cik aim. Dia cakap kalau Ada apa2 bilang Cik aim... (in full)
me: ah ok nek.

She speaks in full. Mentioning mat shah, Hadirah and many others la.
We take that her memory is progressing.

She ask to call 4425449 and at that moment Cik Jah is waiting downstairs.

[29/10, 11:18 AM] Hafiz Bro: 

Updates

29 oct 17
Dr tan deshawn.
Pic line insertion will be postponed after MRI scan.
Prof ragu wants the MRI to be done to confirm weather or not nenek indeed has bone infection. If yes, then they will put the pic line insertion to last 4 weeks of stronger anti biotics.
Only then, the docs will allow her to transfer to parkway east hospital.

If MRI results in negative ( no bone infection)

if no bone infection, then the current augmentin is enough for 2 weeks dosage and nenek is already on her 6th day (she is halfway ) thru.
Signs are positive , her blood count after yesterday transfusion, nenek got back up to 10.1. Which is her baseline.
Her wounds are manageable with no leaking or continues blood pouring .
MRI due possibly tue morning-afternoon

Nenek's care

Day3 By Hafiz 27Oct2017 11.50am :

..She's recovering so well. I'm suprised. She spoke in full sentences today and with clarity.
That hasn't happened for a long time.
She says to wina.
"Nanti nak beli Baju kurung"
Wina : oh iya nek
" nak baju color hitam"
Wina : ok nek.

Me: nanti makan nasi eh nek
Nenek: mana Ada nasi
Me: ni Ada nasi curry ikan ni. Cik Jah masak.
Nenek: nods.

While at MRI

Nenek: aku dah tua, tak payahla.

Nenek: jangan Ang kat kaki aku, nanti patah...


So all good signs la. She remembers more and is sharper.

But during the MRI, she moved too much so the test was inconclusive.
She might have to go again next week if she has a slot.

Blood culture results are back though. She confirms has these 2 blood bacterias : E. coli and proteus.

Doctors giving her anti biotics ( augmentin ) and so far she is responding well to the meds and not developing fever.
Nenek is like super strong la. I'm not sure of anyone that can go thru this pain without even mincing.

So it's jumaah today. Let's make doa for neneks recovery and hopefully we can bring her home.
Despite the good signs, nenek is fragile. She is can get very sick very fast if she develops fever. So we doa that won't happen.
❤

Nenek's care

..[26/10, 6:39 PM] Hafiz Bro: 

Dr Vernon medical team met on (25 oct 17, 1100 hrs)
Dr Celeste on call doc (met 24 oct 17, 200hrs)
Prof Ragu ( head of medical team)
Release form

Currently nenek on
Anti biotics- augmentin
Blood bacteria - E. coli ( confirmed present)

Dr tan deshawn 26 oct 17 1054am
Ct scan done. Good
but have 1.5 cm gall stone in gall bladder 
Not affecting route
Blood culture test proves blood infection is positive. Unable to determine source of bacteria.

The E. coli  bacteria is diff and usually comes from the stomach but Ct scan shows low possibility
Blood infection possible to come from open wound ( not confirmed )

MRI to be done 26 oct 17 today to confirm if there's bone infection.
X ray shows signs of infection.
If confirm, docs will know which type of anti biotics to use and the duration to be under anti-biotics

Discussed possibility of plastic surgery and skin grafting but the prof ragu (head of the med team says it's not a good idea cause of the invasive anesthetics

She is classed as a 4. The highest rate of 1-4 among the patients severity.
5-10% she may not survive the infection.

It could be anytime, maybe next month,maybe next week if she suddenly has high fever, the bacteria may have spread and overcome her. But so far her signs are ok. No fever at the moment just low blood pressure .

From the dietician/nutritionist , she lost a lot of weight cause during all these years, she hasn't had enough calorie to meet her baseline ( just to meet her req calorie intake for a person her weight)
For now she will take a vanilla susu ( enrich 2.0) which is twice as dense in calorie than  her ensure milk .
We aim to get her to have 1500 calorie from now onwards daily ( her baseline needed is 1250 cal )

Nenek's care

Nenek is eating well.. Alhamdulillah

Day2 by Hafiz

Dr Vernon (medical team)
Dr Celeste (on call doc)
Prof Ragu
Release form

Anti biotics- aigmentin
Blood bacteria - E. coli
Dr tan deshawn 26 oct 17 (medical team) 1054am
Ct scan done. Good- 1.5 cm in gall bladder 
Not affecting route
Blood culture test proves blood infection is positive. Unable to determine source of bacteria.

Particular bacteria is diff and usually comes from the stomach but Ct scan shows low possibility
Blood infection possible to come from open wound ( not confirmed )

MRI to be done today to confirm if there's bone infection.
X ray shows signs of infection.
If confirm, docs will know what type of anti biotics to use and the duration of under anti-biotics

Discussed possibility of plastic surgery and skin grafting but prof says it's not a good idea cause of the invasive anesthetics

She is classed as a 4.
5-10% she may not survive the infection.
It could be anytime, maybe next month, if she has high fever, the bacteria may have spread and overcome her.

Nenek's care

Day 1, Nenek wakes up to a good start. A fresh colour on her face and great alertness.

We have 2 priorities 1.Dietician Team & 2.Wound Team She will be on long term anti-biotics.

Her bed sore is a gaping wound, now on both sides of her pelvis. She also have a hip fracture. Blood test is still ongoing. Her XRay shows no infection on her affected bones however the Wound team is doubting this. An MRI scan would help determine. May Allah lessen her burden.

From Hafiz

Dr Vernon medical team met on (25 oct 17, 1100 hrs)

Dr Celeste on call doc (met 24 oct 17, 200hrs)

Prof Ragu ( head of medical team)

Release form

Currently nenek on

Anti biotics- augmentin

Blood bacteria - E. coli ( confirmed present)

Dr tan deshawn 26 oct 17 1054am

Ct scan done. Good 

but have 1.5 cm gall stone in gall bladder  

Not affecting route

Blood culture test proves blood infection is positive. Unable to determine source of bacteria. 

The E. coli  bacteria is diff and usually comes from the stomach but Ct scan shows low possibility

Blood infection possible to come from open wound ( not confirmed )

MRI to be done 26 oct 17 today to confirm if there's bone infection.

X ray shows signs of infection.

If confirm, docs will know which type of anti biotics to use and the duration to be under anti-biotics

Discussed possibility of plastic surgery and skin grafting but the prof ragu (head of the med team says it's not a good idea cause of the invasive anesthetics

She is classed as a 4. The highest rate of 1-4 among the patients severity.

5-10% she may not survive the infection. 

It could be anytime, maybe next month,maybe next week if she suddenly has high fever, the bacteria may have spread and overcome her. But so far her signs are ok. No fever at the moment just low blood pressure .

From the dietician/nutritionist , she lost a lot of weight cause during all these years, she hasn't had enough calorie to meet her baseline ( just to meet her req calorie intake for a person her weight) 

For now she will take a vanilla susu ( enrich 2.0) which is twice as dense in calorie than  her ensure milk . 

We aim to get her to have 1500 calorie from now onwards daily ( her baseline needed is 1250 cal )

Nenek's care

Nenek woke up bright and cheery to go for a polyclinic appointment at 2pm. Hafiz send for overall being medical check and her bed sore. Her bed sore needs medical attention so she was brought to Changi General Hospital where she was admitted at 8pm. Her bed sore is now a gaping wound that her bone is exposed. I pray to Allah to lessen her burden.

Nenek berbaju baru

15 Jul 2017

Nenek

We ❤ Nyang

13 May 2017
Munchkins visiting Nyang at my Mama's place

Visit Nenek

13th May 2017
She smiles when we visit. She has so many guests today.. Alhamdulillah