Monday, April 25, 2016

Self Service Washing Machines





Something new in Ipoh. Now everyone can wear clean dresses.

Sunday, April 24, 2016

Power Swim Goggles


My favorite powered swim goggles. -10 diopters. Without them I swim blindly. These goggles are very difficult to purchase as most companies only manufacture up to -6 diopters. Goodbye faithful goggles. You have made swimming so pleasurable for so long.

Monday, March 21, 2016

L Cataract Surgery

Cataract surgery scheduled for 16/3/16.

What I did before surgery was to find out more about the surgery itself and the after eye care.

Before surgery:
Applied Vigamox eyedrop 3 days earlier. Applied a drop three times a day.
Started on Zinnat and Ciprobay the day before.

After surgery:
Use goggles during bath and washing face.
Use wipes around the eyes.
No rubbing of eyes
No stooping or lifting of heavy objects or strenuous activities
No swimming.
No dusty environment.
Sun glasses.
Follow the instructions of doctor closely on usage of antibiotic and steroid eyedrops.

Thank God my L eye vision is now 6/6.  Will need to operate on the other eye soonest possible because the images from both eyes are different.  Difficult to drive at night.

Friday, February 19, 2016

The Doctor


Art in my Clinic Series:

"The Doctor" a reprint from the Tate Gallery given to me by the late Dato Teh Siew Eng many years ago. This painting reminds be that doctors should be passionate about their calling and compassionate in their work

Friday, February 12, 2016

PCS Assist Support Group Meeting


We are continuing this programme in conjunction with the Perak Chest Society. I shall be attending to the Q&A sessions. Cik Azmeera out physiotherapist will assist in the physical exercises and Ms Navaneswary our pharmacy assistant will help attendees improve on their inhaler techniques.

Please come and learn.

Friday, February 5, 2016

App helps asthma patients to monitor condition through action plan

The Star Online.
Article by Ms Amanda Yeap


TO BETTER manage asthma, the Perak Chest Society is encouraging patients to use a smartphone app called AsthmaMD.

Society president Dr Leong Oon Keong, who strongly supports the use of the free app created by medical doctor and researcher Dr Sam Pejham, said the app helps patients to track and control their condition through an asthma action plan.

“It is best for each patient to own a peak flow meter first to go with this app,” he said.

“A patient should blow into the instrument at least twice a day — upon waking up and before going to sleep — then jot down the results in the app’s journal to monitor their condition.



“Currently, doctors still chart meter readings on paper, but with this app, everything is instant because the patient can do it on their own,” he tells MetroPerak.

To the uninitiated, a peak flow meter is a calibrated instrument used to measure lung capacity and monitor breathing disorders. It is commonly used among asthma patients.


The AsthmaMD app allows patients to keep track of their asthma activity and action plan.
The AsthmaMD app allows patients to keep track of their asthma activity and action plan.

Dr Leong said the app will inform the user whether their condition is critical or under control, depending on the results of their meter reading.

“When the reading shows critical, the app will then launch an asthma action plan telling a patient what they should do to get it under control again.

“Now this is the important part of the app usage — you must confirm with your doctor the type of relievers you can take for this action plan beforehand so that you are taking the correct dosage of medicine.

“About 30 minutes after taking the first round of medication, the app will ask, ‘How are you?’
“If you feel better, the plan will stop. If not, the next step of the action plan will continue. Each round of medication must be keyed in by your doctor from the beginning,” he said.

Dr Leong points out that the one feature that makes this app essential for asthma patients is that once the user’s asthma activity is diligently charted every day, it can be easily shared with their doctor.

“The app provides a graphic chart of an asthma journal, which can be emailed to a doctor so they can easily learn of a patient’s progress.

“This saves the patient so much time, as they don’t have to make the physical trip to the clinic to find out their progress.

“If all is well, the doctor may extend the appointment date. But if things deteriorate, the patient can come in earlier to see the doctor instead of having to wait until the next appointment,” he said.

The app’s other features include recording data of asthma symptoms experienced (coughing, wheezing, chest tightness, shortness of breath, waking at night due to asthma, the ability to do some but not all usual activities), asthma triggers (dust, fumes, exercise, pollution, pollen, strong odours, viral illness) as well as reminders so that patients do not forget to take their medication even though their condition is well managed.

Being a consultant chest physician himself, Dr Leong said the society has long been searching for ways to help patients with respiratory complications self-monitor their conditions at home.

“We’ve only managed to find this app to help asthma patients.

“Although this app has been in existence since 2010, and has been written about in international publications, I believe a lot of doctors here are not aware of this useful tool.

“As doctors, we can’t do everything ourselves for the sake of our patients, so if there’s anything free and beneficial to patients, we must share it,” he said.

Dr Leong, who believes that the app can pave the way to the age of telemonitoring diseases at home in Malaysia, said the society will be conducting formal lessons soon to educate nurses and counsellors on how to effectively use the app.

“This can then be passed on to patients so they know what to do after being discharged, while maintaining direct communication with their doctors by sending them the charts from this app.

“I must stress that it is vital for patients to go back to their doctors to confirm their asthma action plan, so that they know the dosage of medicine they should take every day to control their symptoms,” he said.

For more information, go to www.pcs.org.my or www.asthmamd.org.