Friday, May 05, 2017

Historical March 2017 - Tale of two specialties

Alhamdulillah, March has been very kind to us. We have crossed boundaries and leaps towards our brand namesake. I am very happy to have been involved in these two milestones that we have achieved here in Medini. Bearing the name Gleneagles, this is what we can comfortably fulfill our potential. It is not an easy feat but I guess when we do it for patient's sake, god will help us achieve it ho help more people. 

Honestly, I am blessed to have dedicated and enthusiastic people to work with. I know what they want to achieve therefore that is my role as the team player. I may not bear the glorious end as the surgeon in charge, but as the anaesthetist who ensures what feels impossible to be a reality

Awake Craniotomy

When i was approached by my neurosurgeon about the possibility of doing it, I told myself Why not? By principle it is a simple thing to do. Its the precaution and anticipation that will make a difference whether it becomes successful or you have to abandon the initial plan.

The challenge for me was for the awake-awake-awake procedure! Wow, thats an uphill task but of course not impossible.

Important VIP points:

1. Patient must be counselled properly and understand every detail of the procedure. They must be fully motivated for this procedure.
2.Regional anaesthesia skill for the scalp block. This must be superly perfect.
3.If patient throws a fit during the procedure, there must be a solid plan for airway protection.

I did my research by lookingthrough the literature and case reports written by colleagues in Malaysia. MOst of them were more comfortable with sleep-awake-sleep method so i suppose what I was going to do is pioneer "ish". I was lucky as the surgeon adopted a position which was convenient for possible problems if it arises.

Alhamdulillah, the good teamwork with had made this procedure successful with good outcome.

CABG

This was the marker of a tertiary hospital. It has always been its KPI since the start and after 1 year and 3 months, i present to you CABG.

The preparation was immense. 80% of my OT staff had never seen one before. We had a thorough preparation from the nurses to the PCAs. What i value most was their eagerness to learn and cross that boundary. My surgeons are both renowned in CTS and certainly the 2 Cardiothoracic surgeons that you want to work with.

When the day came it was goosebumps all over. I started UiTM's first and now its Gleneagles Medini. The profile of our first patient honestly may not be the typical first case you want to operate on. But then again, with cardiologists being more daring than before, one cannot expect CABG cases now without a challenge.

Alhammdulillah again, it went smooth and well.

And till date,  we have done 3.

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Logs

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HAd an interesting chat with an old friend yesterday. We discussed the importance of keeping a journal for future reference. Hence, blog. A very important pieces of writings that will be preserved forever. (Unless bankcrupt la)

I will cherish this picture forever, taken before the opening ceremony of the Annual Scientific Congress Malaysian Society of Anaesthesiologists and College of Anaesthesiologists Malaysia 2017 in Berjaya Waterfront, Johor Bahru.


Tuesday, March 21, 2017

Getting prepared for the big day

We are getting prepared for our big day. Our first open heart surgery very-very soon. This i suppose will be the landmark of how my current centre will be. We have currently doing great things with the neuro team and now the cardiac team is set to go.
 The OT staff themselves are excited but at the same time having palpitations. Its not something trivial as the preparation must be perfect. This reminds me of the time when we prepared for our first case in UiTM. It was nerve wrecking preparing for the day. Its not just the equipment and number of staff, it is also the mindset of the whole team. One thing for sure is once this gets started, there will be no turning back! 

Its not just the OT, but the ICU staffs are gearing up themselves for the start. They've been working hard these past few months because of the neuro cases we have been handling. I must say they did really well to cope with all that. Now another frontier is beckoning. 
Alhamdulillah, i must say the team we have is a good one. Both surgeon's are of recommended reputation. I have an experienced perfusionist and at the same time, enthusiastic nurses who are ready for any challenge any day! 
Lets do it!! Bismillah..

Friday, March 17, 2017

#DIAgnosisFobia

Yes! By today it can be bought at the nearest MPH stores!

The latest in our series! However, this was more to explore our fictional creativity side.

Enjoy the stories yea.. but be WARNED!


Crawling back into the scene 2017

Wow.. how time flies! Totally neglected this blog! The longest hiatus I've been in. Well, it has been very busy sorting out lots of things here. The move, the relocation, the job, the responsibility!
Haha.. but seriously! my last post was in December and now its March. A good 3 months before I feel like i need to blog again! 

It had been a hectic 3 months and things a falling into place. I was literally thrown into this new responsibility down south and had been working hard to organize things amidst the busy OT list. Alhamdulillah, i 've managed to secure my partners in crime and in time, i will be freely blogging again without hesitation. 
I am blessed with a group of dedicated staff in the OT and enjoying every single moment. At least that part of my stress was never an issue. The cases we do here are variable, I have definitely upskilled my paediatrics and neonatal anaesthesia as we have a very active paediatric surgeon in this hospital. The variety of cases we have at times can be complex! Being a tertiary centre that was the challenge i have to take. Nak sangat, haa amik kau.. hahaha

Alhamdulillah, we are doing hi-fi neuro cases ( which i will blog about later) and coming soon is the cardiothoracic cases. I'm sure the numbers will increase with time. With my colleagues set to join me soon, Im sure I'll be able to find time for recreational activities. Even now, I'm back keen with badminton as there are a number of staff who are keen enthusiast.

I cannot promise but I will try to make 2017 a merry year with more post than 2016! 

Sunday, December 11, 2016

Fist of fury

It was a mixed emotions November contributing a my busy and mobile December. Remember what i blogged about late October? Yup, me making the decision to move from where I am quite comfortable in. I proceeded with the process and yes, i have decided to make the move to the south. It was not easy considering that I am very settled with my job and home. Bukit Jelutong is definitely home as we've been there since 2008. I have tendered my resignation in October and was looking at serving my notice till end of December.

Then an unexpected turn of event happened. Unfortunately, my future partner Dr Imran aka Vijay passed away! It was so sudden! It was shocking to the whole of anaesthetic fraternity! I was supposed to join him as the second anaesthetist in the centre and now he was gone! 

It was crazy in dealing with the uncertainty. Imagine having a big number of cases and the only anaesthetist you had collapsed and they were without anyone! I was divided between leaving Rawang in that lurch and help in where I will be in. It was not easy as i guess you can never know the future. Burning the bridge now means point of no return. I had to make the decision to keep with my earlier pledge. However, i needed to negotiate with my current CEO to see how they can assist me. 

Alhamdulillah, we managed to reach an understanding. My replacement was ready to take over my place but he could not be in Rawang all the time in December. That was good enough for me. And so goes the hectic arrangement and agreements between many parties in the month of November. Obviously, I could not blog anything out as it was not my priority. Imagine juggling that and planning for the coming ASC in JB come April! Gila! Yes, I am the Scientific Chair and so far it has been an assortment of thoughts! 

God is great. So far i managed. And now to the second week of December, when everybody is having their holidays I am constantly oncall wherever I am. But I thank Allah for making things easy for me so far, Insha Allah..
                                                                     P&C

Friday, December 09, 2016

CUCMS talk HAnds 2.0

For the second time in a row, I would like to thank CUCMS for inviting me for their activity last week. It was a pleasure to be chosen as one of their speakers. I was with cif of MedTweet.My , Khairul Hafidz and a famous medical student Wazir Aiman. Thus, i was the old one on the stage hahaha
 As this was to collect fund for their humanitarian project in Nepal next year, the theme of the talk was about volunteerism and the actto follow. I shared my experience being the ground zero team in Nepal 2014. I can't help it to make jokes as I talk..Luckily it was in tune and the audience laughed and enjoyed the session. 
Thank you again CUCMS, Perhaps in 2017 they will invite me agian to make it a hattrick appearance!

The farewell (again)

It was sweet of the staff to have a small farewell for me. It was held in Tasik Biru Kundang and I did not expect it to be as grand as how they made it to be. It was a nice place to have dinner at andthe price per head is very reasonable. Im sure i'll come agin here for an outing some other time. Totally, i was smitten and i guess they do appreciate me as a working colleague for the past two years.
 It was a fun night ans we ha a galore of food and entertainment. The highlight was the everybody gets a lucky draw and it was funny that we had to rush to give everybody the prizes!
 My gratitude to all the OT team for all their hardwork. Sister Wani, Ayu, Siti, Puva, Rubi, Pani, Mas, Husna, Nadia, Ika, Tengku, Arif, Abang Radzi, and the rest Feqah, Daus, Hakim, and therest. It was my pleasure to work with you guys. I would like to apologize for any of my wrong doings especially my temper at times.
Frankly i don't knw why Im leavingthem as the working environment is very condusive! It is sad that i have to leave. Thank you again. And may we all met again in the future, wherever that will be.

Wednesday, October 19, 2016

The clock is yours

Alhamdulillah, my journey so far has been blessed. The time has come again for me to make another turn in my life. Honestly, i am settled. There is no reason for me to go anywhere. However, opportunity made its presence and as I am about to embark the next stage of my life (being 40), i have to take the challenge.. again! 
Sometimes i ponder, adakah aku ini hambamu yang tidak bersyukur? But then again i am aware that if we have something to offer, then we should go all the way to fulfill that. Moving to a new place is a definitely significant life event. A lot of adjustments need to be done. Not just for me, most importantly the kids and their future. So far Alhamdulillah, it looks promising.
What does my future hold? insha Allah, usaha tetap usaha. 

Wednesday, October 12, 2016

Arrows CVC in Hosp ATM Tuanku Mizan

CVC Arrows team was back in Asia. However it was only Jim in this trip as Amy was sick and could not make it. The plan was to be in Malaysia for a day, then to Brunei for two days and later on to Thailand for three days! 
Honestly i really wanted to go but it was not possible due to my commitments. Besides that it was just last weekend i was away in Jakarta. Therefore it was not possible for me to be off on the next weekend.
 This was a special course as it was designed specifically for the ATM officers. We had a variation of medical officers who came as far as Kuching to join this workshop. It was my first time in Tuanku Mizan hospital and i am impressed for what they have built it for. 
This time around (unlike in Selayang) I was more prepared especially after the India experience. I thought the team did a good job and i must congratulate the Shmidt Malaysia team who worked hard to make this happen beautifully. Credit to Brig Gen Dato' Dr Suhaimi who made it happen and giving me the opportunity to be in this workshop. The participants were all very enthusiastic and certainly hungry for such opportunity. I am happy to see the amongst the army doctors as i know that their enthusiasm showed their commitment to their job. 
I certainly do look forward for CVC Arrows next programme.


The legacy you left behind

I was in UiTM the other day. The Japanese team that came before were in Malaysia again to do their surgery here in Malaysia. They still remembered me when they saw me! haha
 Its nice to see the thing you left is now greater than what it was before. The cardiothoracic anaesthesia team has gone from strength to strength. I was smiling ear to ear as i step into the OT. It brought a lot of memories back to when we first started. The struggle, the fight and the perseverance of few. I may not be that strong to still be with the team but it is a good feeling to see what it is now. Simply superb. 
All the best team! I do wish we could all work together again. But as usual, I have something up my sleeves...