Salam Eid-ul Adha

Eid ul adha ( or  - especially for old school people like me heheh - known as Hari Raya Haji in Malaysia or Singapore ) commemorates the willingness of Prophet Abraham to sacrifice his son Ismail in the name of god. God however substituted an animal in the place of Abraham's son. Eid ul Adha loosely translates into the "feast of sacrifice", which, in Malaysia gives us the other name for this Festival - Hari Raya Qurban - a day where muslims reenacts Abraham's act of obedience by sacrificing a cow or goat.

For Muslims in Malaysia, it is one of the major celebrations, the other being Eid ul Fitri ( Hari Raya Puasa). It also signifies the day when the Haj pilgrims complete the haj ritual in Mecca - hence the other name Hari Raya Haji.

Righto, enough of the history lesson. On a more personal note, this raya is more significant for my family as this year my mother in law ( yes don't we all love them!) joins the estimated 3 million pilgrims to the holy land for her Haj pilgrimage. May her journey be blessed and we pray for her safe return.

- the BomohTulang - 

Forearm - Single bone fracture

As I explained in the previous post, we had to operate on the patient with a forearm fracture.

Basically what she had was a fracture of the distal 1/3 of the radius with a concomitant dislocation of the distal radio-ulnar joint (the so-called "Galleazi Fracture" - medical students, take note :) )

Can we treat this non-surgically? I mean people have been treating fractures of the forearm with splints and POP for years right? Well with the advent of modern orthopedic management, that line of treatment has been largely abandoned.
We know that with this fracture, a treatment regimen consisting of closed reduction and cast immobilization has a high rate of unsatisfactory results. Patients will have problems with malunion, pain at the distal radio-ulnar joint, and worse still pronation and supination of the forearm will be severely compromised.
Therefore open reduction of the radial shaft fracture and internal fixation with dynamic compression plate is the treatment of choice in adults. Rigid anatomical fixation of the radial shaft fracture generally reduces the distal radioulnar joint dislocation.

Ladies and Gentlemen, I now present to you the post op x rays:

Tadaa! As you can see, the fractured bone has been aligned in place and the distal radio-ulnar joint is reduced.

Patient went back to work at 6 weeks.. as a GP (!)


- the BomohTulang -

First surgery!

We had our first surgery in our brand new centre the other day, the 3rd day of business.

(well technically I wasn't the first lah, but it was the first Orthopedic case, so that counts right? :P)

Our patient, a 52 year old lady came in to the ER with a broken forearm, after her car skidded somewhere in Kota Kemuning. No other injuries fortunately, so it was a relatively straightforward surgery.

 That's the exterior view of Columbia Asia Hospital Bukit Rimau, btw

 In the OT

Posing for the camera.. ( err yes I do work sometimes) 

.. and presenting to you Dr Paul the anaesthetist in the background..

With the OT staff.. hoping to get busier soon!

 - the BomohTulang -

CAHBR open day

Columbia Asia Hospital Bukit Rimau.
Yes thats what those letters stand for, and thats where I practice currently, after having served the government for the past 18 years.. time to move on I guess.
Err okay, moving on ( pun intended) the hospital had an open day on the Saturday 23rd October, prior to starting business the following Monday. I guess its sort of like introducing the hospital to the surrounding community, making them aware of the facilities available.
Sorry not many pictures available, was too busy meeting and greeting potential clients err patients.. :)

 

My clinic. Anybody wants to open a florist shop?

 The waiting lounge. View from outside my clinic

 The cafeteria

Anyways, here's the address for the hospital. It's in Bukit Rimau (duh!) Shah Alam. We are located adjacent to Kota Kemuning and easily accessible from the Shah Alam (Kesas) Highway.
Appointments? phone number below. You know what to do..

Columbia Asia Hospital - Bukit Rimau

No3, Persiaran Anggerik Eria, Bukit Rimau, Seksyen 32

40460 Shah Alam, Selangor Darul Ehsan

Tel: 603-51259999  Fax: 603-51259998

.. And Fatin here will answer your calls..


- the BomohTulang - 

Welcome to the blog

Hi. I know, this is the first post, so it feels a bit awkward. Its just that I thought that it would be nice to start a blog here, in connection with the website, so that I could update some information and share some interesting cases that I encounter during my daily dealings in my centre.
Thanks for dropping by, and I do hope that you could leave some comments after reading my blog.

 

- the BomohTulang -