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!