Sunday, August 4, 2013

Ipoh ACS Alumni Dinner 2013

The Alumni Reunion Dinner was held on Saturday 3rd August 2013 at the Grand Valley Ballroom, Kinta Riverfront Hotel.

The programme for the night:

6.30pm    Pre-Dinner Drinks @ Foyer

7.40pm    Ms Tan Kit Pheng & Mr Konasilan on stage to lead in singing The Ipoh ACS Song  

7.50pm    President Dato Lean Mean Seong makes Welcome Address

7.55pm    Commencement of Alumni Membership Drive

8.15pm    Dinner is served

8.35pm    Mrs Lee Hock Hin, Ipoh ACS Principal makes a short address

8.40pm    Ipoh ACS Florathon Collection begins

9.15pm    Dance performance by Ms Yeap Yen Ching & partner

9.55pm    Roll Call for 3 groups - overseas, outstation and local participants

10.00pm  Introduction of Rev. Dr. Yap Kim Hao

10.10pm  Ms Tan Kit Pheng presents a bottle of wine to each Old Salt from the Most Senior Graduating Year

10.15pm  Ms Jennifer Ng Geok Bee presents one bottle of wine to all the student(s) from the Most Recent Graduating Year.

10.20pm  Dr Leong Oon Keong proceeds to the tables which submitted the most number of membership application forms to present them with 2 bottles of wine each.

10.25pm  Social interaction time begins
 
11.00pm  3 Lucky Draws with the following presenting the prizes:
                3rd Prize     Mr Thilakan Ramalingam
                2nd Prize    Mrs Lee Hock Hin, Ipoh ACS Principal
                1st Prize     Dato Ir Chew Choong Seong

Here are some photos (not in time sequence; blogger rearranged them!!)


























Book written by Ipohgal

Saturday, August 3, 2013

Visible Body 3D Human Anatomy



This software on Human Anatomy is a great teaching tool for patients and doctors.  Seeing the airways and lungs in 3D helps me understanding the relationship of various structures.  This programme can be purchased directly from the web.  Link http://www.visiblebody.com/index.html . Software is licensed for 2 computers.

Here in the picture you can see my computer screen and a large LCD monitor which serves both as a CCTV monitor plus teaching screen.  I also use it to review chest x-ray findings with my patients.

Thursday, July 25, 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. 

Wednesday, July 24, 2013

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.

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. 

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.

Tuesday, July 16, 2013

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.

AFS@ACS

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

More photos in this link: http://www.pcs.org.my/index.php?option=com_joomgallery&view=gallery&Itemid=73


Thursday, June 27, 2013

Unhealthy air affects everyone's well being

 


Unhealthy air affects everyone’s well-being
By CHERYL HEW and EDMUND NGO
metroperak@thestar.com.my Photos by RONNIE CHIN and CHERYL HEW





Air pollution: People walking in front of the Ipoh railway station that is covered by the haze.

THE haze may seem like a health concern for those with weak respiratory system because of the airborne chemicals and particular matter in the air, but its effects extend far beyond that.

The Star spoke to lung, eye and skin specialists in the city to find out how the current haze affects people with varying pre-existing health conditions.

Cardiologist Datuk Dr Mah Hang Soon said heart patients were not immune to the effects of haze, despite many thinking that it only affects those with weak lungs.

“Heart patients need to realise that everyone is affected by the haze as it is a form of air pollution, with many small particles being spread through the air.

“The particles could affect one’s cardio-pulmonary system, causing breathing difficulties or obstructive airway diseases,” said Dr Mah.

He added that heart patients could face lack of oxygen supply to their heart, which would lead to heart complications.

“I advise heart patients to avoid crowded places or open spaces as they could inhale pollutants in the air.

“Apart from avoiding exposure to these places unnecessarily, they also need to drink a lot of water and wear proper masks that can block the particles,” he said.

Dr Mah added that heart patients should seek medical attention immediately if any symptoms, such as of shortness of breath or other complications appear.

Perak Chest Society president and chest physician Dr Leong Oon Keong stressed that those with pre-existing respiratory conditions must take extra precaution during this haze season.

“When the Air Pollutant Index (API) reaches a certain level, the amount of smoke and other airborne particles can clog up lungs and cause harmful reactions.
Testing the lungs: Dr Leong watching as his clinic physiotherapist Azmeera Muhammad undergoes a lung function test at his clinic in Jalan Pasir Puteh, Ipoh.

“The effect is especially bad on patients with chest problems such as asthma, tuberculosis, chronic obstructive pulmonary disease (smoker’s lung) and lung cancer,” Dr Leong said.

Dr Leong, who has been practising thoracic medicine for 22 years, said patients must continue to take their medication and see their doctors if their symptoms worsen.

“Avoid going outdoors and exercising, because exercise causes more air to be exchanged in the lungs and the haze would deposit more harmful particles there.

“If you have to go outdoors, wear protective face masks to minimise the effects of the haze,” he advised.

Lee Eye Centre chairman Datuk Dr Y.C. Lee said his specialist centre usually saw an increase in number of patients with conjunctivitis and other related problems when the weather turns hazy.

“While those with no prior eye problems can also face problems with the haze, it is those with allergic tendencies that are most severely affected.

“The particulate matter gets into their eyes and causes inflammation, watery eyes and other symptoms.

“To avoid this, they should stay indoors when the API reaches hazardous levels and use artificial tears and eye drops as needed,” said Dr Y.C. Lee.

Centre medical director Dr Lee Mun Wai said those wearing contact lenses were also more prone to experiencing adverse effects in hazy weather.

“Many contact lenses companies advertise their products as being comfortable and painless, but contact lenses are still considered as foreign objects in the eyes.

“Many who wear contact lenses do not take them off for prolonged periods of time, so the sensation of wearing the lenses and facing the haze at the same time may very well lead to a lot of discomfort and irritation in the eyes,” he said.

Even those with skin problems are not spared from the effects of haze, said dermatologist Datuk Dr Sushil Kumar Ratti.

“The haze and hot weather does not cause skin problems, but they certainly aggravate pre-existing conditions such as eczema and atopic dermatitis.

“The heat and temperature changes irritate skin and causes it to itch easily. This makes patients feel extremely miserable and can affect their sleep and lead to other problems,” he said.

Dr Sushil said avoidance was the best prevention method and advised eczema patients to follow Government directives and stay indoors.

“Use moisturiser as you see fit, but if symptoms persist, consult your dermatologist, who can prescribe oral or topical medication as needed,” he said.

Sunday, June 23, 2013

ACS Primary School Speech Day 2013

 
Majlis Anugerah Kecemerlangan Pelajar 2012 was held on 22nd June at 8.30 am at the Hotel Seri Malaysia, Ipoh.  It was officiated by Datuk Lean Meng Seong, President of the ACS Alumni Association.
 
The hall was already packed when I reached at 8.15 am.  The students and parents were very excited.

The School Choir singing the National Anthem. 

The massive crowd inside the hotel.

School Choir

En. Rosli standing in for the headmaster Mr. Lim Kwan Wah who was unwell that day.

En. Vikneswaran representing PIBG.

Datuk Lean Meng Seong giving advice to the students.

Some of the top students.

Some prizes.  Well designed and colourful.

More prizes for the very Top Students.

Before the General Election

 
Now YB Dr. Ko Chung Sen (Kampar) and YB Dr. Lee Boon Chye (Gopeng).