Wednesday, July 24, 2013

Great Meeting

Borrowed this picture from Victor Chan. I was with them for a short while to enjoy their many varied stories from afar.  Standing:  Koon Wai Hoong, Victor Chan Kwok Meng, Wong Leong Yan.  Seated:  Ps Richard Yew, Patrick Leong, Lee Fook Yin. 

USB Massager

Targus has this USB handheld massager which is very effective for tension headache. I use it between consultations. A really great devise.

Sunday, July 21, 2013

The Healing Connection

God created us as mind, body and spirit and each of these connected aspects needs the redemption Jesus died to give. It is a very practical construction, and those who ignore the connection may try dividing us into spiritual, physical and emotional components for healing.  The Bible gives us a different perspective because it portrays God as the ultimate source of all healing. He may use
doctors, counselors or other health specialists, but He alone is the Author of healing, regardless of how or through whom He chooses to work.  We read in James 1: l7 that "every good and perfect gift
is from above, coming down from the Father of the heavenly lights." Medicine is God's gift, so seeking help from a physician does not necessarily mean a lack of faith. We need to be careful, however, about trusting medical science only.  That thinking discounts the miracle-working power of Jesus to go beyond what medicine can accomplish.  - Jan McCray.

Saturday, July 20, 2013

Your Redemptive Healing by Jan McCray

Excellent reading for building strong faith in the healing power of God. Jan has a master's degree in religious education with emphasis in Judaic studies and a doctorate in biblical studies.

Thursday, July 18, 2013

My Nokia Phone apps

2Day is a good app to track tasks to be completed. The tasks can be categorised.  Individual tasks can be given priority, due date, reminder, frequency, progress and notes. From the app one can send email, sms or call co-workers. 

Wednesday, July 17, 2013

Diagnostic Bronchoscopy

Common reasons to perform a bronchoscopy for diagnosis are:
  • Lung growth, lymph node, atelectasis, or other changes seen on an x-ray or other imaging test
  • Suspected interstitial lung disease
  • Coughing up blood (hemoptysis)
  • Possible foreign object in the airway
  • Cough that has lasted more than 3 months without any other explanation
  • Infections in the lungs and bronchi that cannot be diagnosed any other way or need a certain type of diagnosis
  • Inhaled toxic gas or chemical
  • To diagnose a lung rejection after a lung transplant
You may also have a bronchoscopy to treat a lung or airway problem, such as to:
  • Remove fluid or mucus plugs from your airways
  • Remove a foreign object from your airways
  • Widen (dilate) an airway that is blocked or narrowed
  • Drain an abscess
  • Treat cancer using a number of different techniques
  • Wash out an airway (therapeutic lavage)

The main risks from bronchoscopy are:
  • Bleeding from biopsy sites
  • Infection
There is also a small risk of:
  • Arrhythmias
  • Breathing difficulties
  • Fever
  • Heart attack, in people with existing heart disease
  • Low blood oxygen
  • Pneumothorax
  • Sore throat
In the rare instances when general anesthesia is used, there is some risk for:
  • Muscle pain
  • Change in blood pressure
  • Slower heart rate
  • Nausea
  • Vomiting
There is a small risk for:
  • Heart attack
When a biopsy is taken, there is a risk of severe bleeding (hemorrhage). Some bleeding is common. The technician or nurse will monitor the amount of bleeding.
There is a risk of choking if anything (including water) is swallowed before the numbing medicine wears off.

Here is a 7 minute video on diagnostic bronchoscopy.  It shows a tumour being biopsied.  This video is shown to my patients before consent for the procedure is taken.

Warning:  Do not view if you are afraid of blood.

A Chest X-Ray for myself

Went for my yearly chest x-ray today. Thank God the lung fields are normal. A bit of spinal scoliosis for my poor posture. Time to straighten up and exercise more!

A chest x ray is recommended for people who have symptoms such as shortness of breath, chest pain, chronic cough or fever. The test can help find the cause of these symptoms.

Chest x rays may help diagnose pneumonia, heart failure, lung cancer, lung tissue scarring and other conditions. They are also used to check treatment response.

Sometimes, doctors recommend follow up chest x rays within hours, days, or months of an earlier chest x ray.

Chest x-rays are often done before surgery and during medical check-ups. 

Tuesday, July 16, 2013

NSAID's GI and CV risks

Talk by Dr. Peter Lin yesterday at Tropicana Grand Ballroom.  When choosing a "pain killer" for joint pain we must remember the potential GI side effects like gastric erosions, ulcers and bleeding.  We must also not forget the potential CV risks, like heart attacks and strokes, that come with some COX-2 inhibitors.  Some recommendations are shown in the picture.

MiGuard struck by lightning

My first smart home alarm system destroyed by lightning. It had voice and intercom. Also managed automatic turning on and off lights while away from home.

A Beautiful Day

Where is that pot of gold?
Bible: I've set my rainbow in the sky to symbolise the covenant between me and the earth. ....... so that water will never again become a flood to destroy all living things" Gen 9:13-15.

Wednesday, July 10, 2013

Nutrition Talk for Elderly (Cantonese)

Tuberculosis Talk in Cantonese

If you have a persistent cough for more than 2 weeks, despite medication, please follow up with a chest x-ray.  Other symptoms of pulmonary tuberculosis include fever, night sweats, weight loss and  coughing out blood.  The talk was well reported in the Chinese media.

Saturday, July 6, 2013

A Tin Mining Family Exhibition in Falim House, Ipoh

A picture of the first ACS Primary School building

History of the Foo Nyit Tse family and Falim House

Original floor tiles

Notice grandfather Leong Sin Nam spotted a moustache

Children's toys of bygone days.  Now Xbox and GameBoy.

The former Kaying Building

Exploring for tin with this manual earth borer

We used to buy "kueh" from these men.  The delicacies were carried above their heads

The Roti man and his bicycle.  No Coffee Houses like now.  Bread and cakes came on bicycles.

Fresh milk from cows, goats etc.

Crackers, bread, sweets and even some simple games all in a bicycle.  'Ting, ting, ting" the familiar chime.

Kueh and Laksa from this person.  This whole "machine" carried on the shoulders.


Just completed teaching students and teachers on Asthma Management in Schools today at SM Methodist (ACS) Ipoh. 

More photos in this link: