Chest Pain Sep 2018

Chest Pain Started

13/09/2018

- 2am: Chest pain at the right hand side same as my right hand (on and off feeling tightness) woke me up (prayed and back to sleep)

- 3am: Chest Pain became more severe to the extent that I had difficulties to brush my teeth. Because of this I dare not drive, thanks to my dad sending me to clinic and then Manipal Hospital

- 5am: Manipal gave injection (gastric related) to ease discomfort and some pills for allergic prevention purpose. ECG and blood test showed negative for heart problem

- 9am: Doctor suggested to do CT Scan. Pain persists with no as much pain as compared to early in the morning

- 10.30am took pill to slow heartbeat in preparation for CT Scan

- 12pm CT Scan for both heart and lung completed. Only mild chest pain when breath in strongly

- 4pm: Dr Navin explained that my heart is okay but found “something” quite big in my lung which another lung specialist would come and explain. No more pain even with deep breath.

- Did ECG, X-ray, CT Scan and Echo Cardiogram

- 9.30pm Explanation by Dr Balaji :

What is the mass?

可能是？	治疗程序	稍微解释
Thymoma/Thymus Gland 胸腺瘤/百里香腺	整粒拿出	Thymoma is the growth in thymus gland. Thymus gland is a gland needed for development of immune system.
Thyroid Gland 甲状腺	整粒拿出
Teratoma/畸胎瘤	整粒拿出	Abnormal growth of primitive cell
Lymphoma/淋巴瘤	化疗

Note: Doctor Balaji (Cardiothoracic Surgery) thinks it is more likely to be thymoma or teratoma. Lymphoma has enlarge of places which I don’t seem to have. 

How to know what is it?

It is by getting specimen to test out. 

2 ways can get the specimen. 

	Advantage	Disadvantage
Needle biopsy	Less invasive/less risky, stay hospital shorter (hours)	Smaller specimen/less accurate,
Full operation to remove the mass	- Bigger specimen/more accurate (better chance of diagnosis)	More invasive/more risky, stay hospital for 6 days

Scan Image

Scan Report

Prior to 13/09

07/09 - Caught rain and whole day on duty at Westports Golf event

08/09 - Started to have cold and cough

09/09 - Cough continued till 10/09

10/09 - Tug of war at YM Alpha Camp

11/09 - Carried heavy speaker returned to YM Hall

Chest Pain History (>10 times?)

1. Sep 2018 - admitted to Manipal

2. Jan 2018

3. Mar 2017 - admitted to Sri Kota

4. Dec 2015 - Muscle/Bone pain (5 days)

5. Apr 2009 - Bubble burst

6. Mar 2009

7. Nov 2008 - Pneumothorax (7 days)

"I could not remember this was my 4th of 5th time already in having this chest pain."

8. 2007 - Sri Kota got record my pneumothorax at the left side

9. 2005 - Sri Kota got record my pneumothorax at the left side

Vocabulary

Surgical ward 外科病房 (外科需要开刀)

Medical Ward 内科病房 (内科不需要开刀)

Pediatric Ward 儿科病房

Endoscopy 内镜检查 (An endoscopy is used in medicine to look inside the body, inserted directly into the organ)
Oncologist 肿瘤科医生