Friday, December 21, 2012

Final Year MBBS: Johor, Malaysia

16th of March - 3rd of July 2012


 On the way down to JB at 0400 hours on Monday in order to make it for the briefing at 0800 hours
Arrived from London only 12 hours earlier


Breaking Dawn LoL


 At Mr Razak's consultation room. He works at least 12 hours a day 7 days a week except when he travels or is sick. He does not usually eat lunch and has not done so in over 20 years.

A typical day starts with ward rounds at 10am and ends with ward rounds at around 11pm or 12 am; depending on what time he finishes surgery. It is usually later if he is on call for the week. I had the privilege of scrubbing in for every surgery save the first one. I only saw him lose his cool twice while working under him. The first incident was when the nurses were changing the dressing of burns patient without giving the little boy adequate analgesia. Somehow I cannot remember the second incident off the top of my head.

A product of the NEP, Mr Razak was sent to boarding school (something we copied from the British system) at a young age before he was given the opportunity to further his medical studies to Cairo in the 1970s. Fast forward 30 years later, he is now a General Surgeon, a senior lecturer as well as a Hospital Director. The NEP certainly transformed the lives of many locals because his father was only a bus driver from a small village and did not have the means to financially support his studies.

Mr Razak's twin brother, Prof. Datuk Rani is an oral maxillofacial surgeon and previously the first Dean of the USM School of Dental Sciences. He is also a product of the NEP.


Post emergency appendectomy for a perforated appendix at 1am
Poor chap showed up at the clinic 2 days earlier for what seemed like AGE symptoms
Returned to the A&E again with tenderness and guarding of the white iliac fossa
T 38  WBC 20


 Never knew an ERCP would be so tedious


 Took 2.5 hours and 2 surgeons to remove the stone from the CBD


 Lady presented to the A&E with odynophagia


 CHC


 Cousins and nephew in Singapore


 Real Prawn Mee


 Curry Fish


 Briyani Village


Case conference in the morning at the Neurosurgery Department 
Essential skills in neurosurgery: Accurately assessing GCS and pupils


 Craniotomy


 Ms Sharon at work
One of the only two female neurosurgeons in the country


What white matter looks like


Frog porridge


Thai food @ Carabao


Sending the little boy home


Lunch at Tek Sing


Happy Birthday Dr Koo


Discussions over dinner
Remuneration in the US
In a survey of over 40,000 physicians, it was found that the Paediatrician earns the least
Well... I do not think this is the case in Malaysia


 Any white stuff you see within the white circle on a plain CT brain usually signifies the presence of an acute bleed
What else do you see?


Where is the location of the bleed?
 What do you think the prognosis will be?


Dr John Maxwell
Bigger problems require bigger miracles


Before dinner


Dinner Date


Little girl sitting behind the wheel


Before service


Cousins from Penang in Singapore


Lunch with relatives at Ngee Ann


Favourite cake


Briyani Village again


Close friends @ Grazia Cafe
Still wondering how Tim coped with the toilets at the Monash Residences


This was our O&G on call


Dr Dharma with the chicks


 Visit to JPO


At the Orchard Hotel
Guest of Honour paid us a visit from Sunway


Back to KL and on to Melbourne


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