oops..haha. but still does not rule out attraction of same sex. haha..just kidding. Sorry didnt realize ur a male. overlooked from the pic.

There can't be possibly any wronger than this wrong interpretation.

Anyway, starting from Dr Ben; do you have any general information or whatsoever that will practically came handy for medical student once we be posted to your respective department (Anaesthesiology)?

Lets keep the sharing rolling

This post has been edited by Mr.Docter: Sep 10 2011, 09:28 PM

One thing about Anesthetist... i really hope newly trained ones..or maybe the current ones can be more professional..

As the current trend goes..most of the anesthetist..after they have done their job, all they do is just sit in the ward playing with their ipad or laptop while the surgeon and others are busy treating the patient on the table. Once the operation is over, they just turn off the anesthesia and go off. They didn't even bother to monitor the blood pressure or any response of the patient...well that's what i witnessed during my attachment...

Anesthetist or aspiring ones alike...please prove me wrong...

Hah.... The ones I used to work with, will leave the ot for tea break once the pt goes under!!!!!

If I'm not mistaken, regulations call for an anaesthetist to be present in the OT at all times during an op. Going to tea break and having someone else cover should always be the case. Ada spital anaesthetist pegi joli makan minum x kesah op ka?

Junior/student will be there lor....

Alah, junior anaesthetist ada kira ikut protokol lagi laa. Igt biar mesen jalan sendiri.

A good thread here.....


Name: drthein71
Designation: Physician and Gastroenterologist
Area of interest : internal medicine, Gastroenterology,endoscopy,hepatology

Can pm me if required

Wah, i didn't post for a day you guys kutuk us anaes people nicely... hahaha. Hmmm, answering to Mr. Docter, for a medical student going for anaes posting, the bread and butter of our discipline is physiology. Especially Respiratory Physiology and Cardiovascular Physiology. It's good to learn the common drugs used in emergency and familiarize yourself with the protocols in managing common emergencies like cardiac arrest, etc... also brush up on your CPR skills. Anaes is fun!

Haha, for the rest of you guys... We only go for 'tea breaks' usually for cases under Spinal Anaesthesia when the patient is still awake and spontaneously breathing. This also we will always leave either an anaes house officer or another MO colleague. We take staggered breaks la! We don't usually leave patient unattended wan wei... dunno about your facility, maybe they too terror already, so slumber.

As for playing with Ipad... someone sponsor me an Ipad first la! The next thing is you can't expect our eyes to be glued to the monitor for a 6 hour laparotomy right? Look at the monitor until go crazy... Thats why we rely on our ears as well... We listen to the tone of the SpO2 beeping to tell us whether 100 or dropping to 99, 90 etc... Then when the automated BP give us the beep, then we will look up to note the BP lor... Alarms are our friends in anaes. I usually will take a medical book and read lor during these times. Never can learn too much one.

Hope you guys have a better understanding and acceptance of us poor group of misunderstood doctors who are force to sit in the cold ICU and OT all day long...

Sometimes, the anaesthetists has the time to tutor the students than the obviously busy surgeons!

Thank you very much for the input. I never went to OT in any of Malaysian hospital, yet. Most of my surgical cases I took was from Egypt, where the those anesthetist never leave their post. They keep on waiting and monitoring the vital sign and everything that I don't fully understand yet. Never saw them playing with iPad or leaving the OT at all.

After some sharing from zstan, DrBarbarian and others, now I understand what does zstan mean by hope the newly one or the current to be more professional.

Name: Dr. edge85
Designation: Dental Officer
Area of interest: Oral Surgery

The last time I saw a urological surgery (nephrectomy) went wrong I saw no drama-like ER moments. When the surgeon pulled off a part of the renal arteries close to the aortic wall (big TCC [and I thought the surgeon ruptured a big renal cyst or something at first]), the blood spurting out the cavity was already the alarm for the anaesthetist to go and bring in the G&H (or was it crossmatch?). I think the anaesthetists I've observed were always obesrvant of the operation regardless whatever they were doing. Though I doubt playing Angry Birds with the volume on is acceptable!

An interesting note, when the surgeon asked what type of cancer could it be, I proffered the initial opinion that it was a TCC as opposed to a RCC to the surgeon, but he disagreed ( I too knew that RCC would have been more common, but the involvement of the ureter made me decide on TCC ). Hooray for good guesses! (thankfully also, it's not the more ridiculously rare histological types)

Hi,

I heard from some GPs that there is a doctor from Gleneagles Ampang whose name is Dr. Ryan and he is the best Gastroenterologist in Malaysia. Is it true?

He's Datuk Dr Ryan. He is both in Prince Court Medical Centre and Gleneagles as well & he is good.

We anaesthetists are an misunderstood bunch. Anyway, wish me luck guys... i'll be going for an MRI tomorrow for my knee. I have a right ACL tear for the past 9 years: really giving me trouble now.

Seeing a sports surgeon in Penang GH on Thursday to schedule an op!

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Added on September 13, 2011, 10:07 amWelcome Edge85!

Wow, we're getting more an more ppl in here... Maybe we can start our own LYN hospital soon!

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Added on September 13, 2011, 10:28 amHello rosamundwo,

The person best suited to answer your question would be a dietitian, hopefully we'll get one to join us in this topic. Anyway, I'll try to answer your question as best I can. Are you a vegan? meaning you want to eat only raw organic vegetables with no animal products?

Well, being a full vegetarian is associated with increased risk of developing anaemia (due to iron deficiency and vitamin B12 deficiency). Of course, there are many vegetable sources that are rich in these vitamins and minerals so being vegetarian doesn't automatically make you anaemic: you just need to choose carefully what you eat! My colleague is a full vegetarian and he's pretty healthy.

Another part of your question is whether raw organic vegetables has any long term effect on our health. Well, we all know that cooking vegetables for long will denature (or destroy) some/most of the valuable elements stored in our greens depending on how long you cook it. But you must also know that cooking vegetables will also destroy all the harmful micro-organisms that may be present on our vegetable.

As for organic: It's good that there is no pesticides and whatnot that farmers like to put to make the veges nice, leafy and green. However, this means that there will be more insects and stuff hidden in your vege. Last time I bought an organic cabbage to make coleslaw. I cut it in half and hidden between all the leaves were like many many small black insects! Me and my wife had a nice time cutting the cabbage up.

So my advice is, raw vegetables in salads etc are good! But if you're going for an organic source, please ensure that its properly washed first and cleared of all insects. Lastly, use french salad dressing for your salad: yum.

Any dietitians out there? I'm not really a subject expert on this topic.

This post has been edited by aeternalis: Sep 13 2011, 10:28 AM

good luck aeternalis.....

btw... I have slipped disc.... any surgeons here?

THIS IS SUCH A GREAT THREAD!! THE BEST I FOUND IN LYN AFTER SO MANY YEARS OF LYN BROWSING! FINALLY SAW SOME PPL WHO IS REALLY HELPING OTHER/ I HOPE THIS THREAD CAN LIVE FOREVER!

anyway, i posted a thread before i saw this.

i got Rashes and itchy skin right above my anus. when i see in mirrow, i can see dry skin and feel some small pump maybe due to the rashes.
another problem is dry skin on lips for very long time.
i am not sure whether any dermatologist here but hope some doctor can help me.

Or optional request , if you can also recommend a good doctor for skin problem with REASONABLE price near PJ or kl area? something like around 50-100.

Thanks! We hope to be able to help...

rashes and itchy skin? Dry, chapped lips? How long you've been having this? Also, how much water do you drink each day? Are you taking any medications for any condition (e.g. acne)? Sometimes the side effects of such medications can reduce skin hydration. Also could be a allergic reaction.

Another factor could be hygiene, especially near these private areas... Maybe never change underwear too long (due to long working hours) or hard to reach during bathing. Difficult to say, but if you can take a picture of the rash and post here might be helpful for us.

Hopefully, we'll get a skin expert to comment here...

But, if it's giving really giving your problems, you really should see a doctor. Have you seen a normal GP about this? maybe some creams might help, may not need to see specialist yet? Some Calamine lotion may be able to reduce your itchiness.