BUANASENI

(Photo of Ian taken on 23 April 2022 is the last photo of him awake)

March: He had Covid. Only feverish for two days. No cough. Recovered within a week with negative covid test. He was registered for vaccination but since covid hit, that had to be postponed. 

April 19th: He had fever with erratic temperature for three days until April 21st but covid negative. In addition, he started purging and having stomach pain. 

Apr 22nd: He was checked at Avisena Medical Centre as three days fever is normally dengue. Avisena declared him with dengue after blood tests, etc, as all the symptoms were pointing towards Dengue. Avisena commenced dengue treatment that includes dripping. He was also thirsty all the time, hence consumed a lot of water. 

Apr 23rd: he started to have breathing problems and Avisena did x-ray. Lungs showing worrying signs and suspected to have Multisystem Inflammatory Syndrome-Children (MIS-C), a new post covid disease started in Malaysia in 2021. 

Apr 24th: Early morning after Avisena consulted Selayang Hospital (the only hospital that treats MIS-C), he was rushed in an ambulance to Selayang Hospital. Selayang Hospital declared him MIS-C and by that time his lungs were drowned with liquid presumable from drinking water and earlier dripping. His heart weakened and caused cascading effect such as high heart rate (as high as 200), erratic blood pressure and oxygen fell to as low as 83%. These caused the lungs to not function well, hence the water retention and bleeding internally in the lungs. Lung capacity further constrained by the inflamed intestines. A drastic action had to be taken. He was induced into coma so that MIS-C critical procedures had to be taken skipping normal medicine dosage. The procedures are: 

i. Blood dialysis. Tube inserted into heart via neck to suck out blood into dialysis machine to clean away bad antibody that had attacked the body since it (antibody) has no more covid virus to fight. 

ii. Since he did not respond well to dialysis given that the various organs had already reached severe stage, they wanted to start a 2nd procedure that is plasma exchange where incumbent plasma is replaced with donated plasma. However, his vitals had already reached a stage where it would harm him more if done. So they continued with dialysis. 

iii. The acid level in the body had also arisen. Various methods used to neutralise the pH reading in the body. 

Apr 25th: By 12 noon, his vital readings started to deteriorate. The doctors (six including radiologist) did everything they could think of based on their experience from 80 total MIS-C cases in Malaysia with 7 fatalities. By 1.11pm, Ian Zuhayr Johan became the 8th death in Malaysia.

Apr 26th: He was washed and buried the Islamic way at Islamic Burial Ground in Section 21 Shah Alam. His grave serial number is D8859.

In Islam, children that have not come to age are called Anak Syurga if he or she dies. That name carries the meaning Children of the Heaven as his or her deeds book in the eyes of God Almighty and his Angels are still Nil. May Ian Zuhayr Johan rest in peace. Innallahiwainnailaihirojiun.

Berita 7:57 interviewed the father, Johan Ishak, on this mysterious disease as attached below:

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