Dr Dk Siti Nur’Ashikin Pg DP Hj Tengah, Director of Brunei Neuroscience Stroke & Rehabilitation Centre and a Consultant Neurologist speaking to the media during the press conference last Friday at Pantai Jerudong Special Centre
The 13th July 2018 marks the historic occasion of the first mechanical thrombectomy (clot removal) for stroke to be successfully executed in Brunei. The procedure was carried out on a 33-year-old male patient, Mr Hii Hin Chung, in a collaborative effort between the Brunei Neuroscience Stroke & Rehabilitation Centre (BNSRC) and the Radiology Department of the Raja Isteri Pengiran Anak Saleha Hospital, Ministry of Health.
Stroke occurs as a result of lack of blood flow to an area of the brain either due to a blockage from a clot (ischaemic stroke) or through bleeding into the brain (haemorrhagic stroke). The main risk factors for stroke are high blood pressure (hypertension), high cholesterol, diabetes mellitus, smoking and family history.
Stroke (or cerebrovascular diseases) has been recorded as the 4th leading cause of death in Brunei Darussalam (after cancer, heart disease and diabetes mellitus) from 2012-2016 according to national health statistics published by the Ministry of Health. In 2016, stroke accounted for 7.5% of all deaths in the country. However perhaps of even greater significance is the impact caused by disability as a result of the stroke. This could include weakness of limbs, loss or impairment of speech. The resultant disability is evident in the burden of care as well as loss of employment/income either through having the stoke or being the stroke carer.
According to the Director of BNSRC, Dr Dk Siti Nur’Ashikin Pg DP Hj Tengah who is also a Consultant Neurologist, “… the impact of stroke not just on the individual but also the community should be taken very seriously …. Whilst we always advocate for stroke prevention, once a stroke has happened, I urge patients to attend hospital Emergency Department as soon as possible because the faster we are able to treat a stroke the more likely our treatment will be effective ….. Treatment decisions do depend on stroke type but thrombectomy offers an exciting, new option for stroke treatment that can significantly reduce not just death but also disability.”
Mr Hii Hin Chung (3rd from left) went through a clot removal procedure
Image of the blood clot of the patient that was removed
Mr Hii, a car parts salesman, was discovered at 2.30pm on 13th July 2018 by work colleagues and found to have left-sided weakness. He was brought to the Raja Isteri Pengiran Anak Saleha Hospital by ambulance and was subsequently transferred to BNSRC where scans confirmed a stroke on the right side of his brain. Clot-busting treatment (thrombolysis) was given with good effect initially however there was concern that his brain scan showed a blockage to blood flow. The patient was escorted to RIPAS Hospital by Dr Chan Guan Choon, Neurology Medical Officer at BNSRC who reported that Mr Hii’s speech was slurred and his left arm and leg were both weak.
At the Raja Isteri Pengiran Anak Saleha Hospital Mr Hii underwent angiography carried out by Dr Sankarakumar Sambandamurthy, Consultant Radiologist, assisted by Dr Lim Kian Chai, Consultant Radiologist and Head of the Department of Radiology. They identified a long clot which they were able to extract using a special suction device.
Mr Hii was then transferred back to BNSRC where he was monitored initially on the Neuro-Intensive Care Unit before being moved to the Neurology Ward for further treatment and rehabilitation. Mr Hii made a good recovery and on discharge he was able to manipulate objects with his left hand well and was able to walk independently. He continues to have outpatient rehabilitation and will be followed up in the Neurology Clinic.
The Director of BNSRC, Dr Dk Siti Nur’Ashikin Pg DP Hj Tengah went on to say “This is a great example of successful stroke treatment through early action, skilled workforce and good cooperation between healthcare institutions in Brunei Darussalam …. we are extremely grateful to the Government of His Majesty, the Sultan and Yang Di-Pertuan Negara Brunei Darussalam for supporting such endeavours that directly benefit patients needing treatment for stroke”.
BNSRC and the Ministry of Health continue to work closely together in efforts to combat stroke and later this year plan to launch a campaign targeted at stroke prevention as well as treating stroke early.
1. You can reduce your risk of stroke by stopping smoking and by having your blood pressure, sugar and cholesterol checked and treated if the levels are high.
2. Stroke is largely treatable — but you have to get help fast. If you spot F(ace drooping), A(rm weakness) or S(peech difﬁculty), it’s T(ime to call 991). To learn more about the warning signs of stroke, visit StrokeAssociation.org
Dato Seri Laila Jasa Dr Babu Sukumaran, Medical Director of Pantai Jerudong Specialist Centre (PJSC) cum Director of The Brunei Cancer Centre, Dr Mazrul Adimin bin Hj Awg Besar, Executive Director of PJSC and Dr Jamsari bin Khalid, Consultant Radiation Oncologist and Head of Radiotherapy Department during the press conference for surgical advancement and radiotherapy service at PJSC
Pantai Jerudong Specialist Centre (PJSC) opened its doors to the media representatives across Brunei to speak on the latest surgical advancement in the field of radiotherapy this morning.
Chaired by the Executive Director of PJSC, Dr Mazrul Adimin bin Hj Awg Besar, the other members of the panel were Dato Seri Laila Jasa Dr Babu Sukumaran, Medical Director of PJSC cum Director of The Brunei Cancer Centre and Dr Jamsari bin Khalid, Consultant Radiation Oncologist and Head of Radiotherapy Department.
Also in attendance were Mr Varghese Paulose, the Chief Operating Officer of PJSC and Ms Vivian Tie, Hospital Administrator of PJSC and other staff members.
During the press conference, members of panel highlighted on the latest development and services provided by the Radiotherapy Department. Under the purview of The Brunei Cancer Centre (TBCC) at PJSC, they expressed their pride in making headway in the field of Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT). In brief, both the SRS and SBRT treatment are non-surgical ablative radiation used to treat tumours of the brain that is not accessible when conducting open surgery. In comparison to traditional radiation therapy, it delivers precisely-targeted radiation in fewer high-dose treatments than traditional therapy without affecting the surrounding healthy tissue.
Invited guests and media during the press conference
The new advanced Varian Edge which conducts radio surgical treatment that is frameless, non-invasive, fast and accurate
The radiotherapy department started functioning in 2016, where highly skilled clinical team have utilised highly advanced equipment and tailor-made techniques to treat specific cancer diseases. To date, they have treated more than 600 cases ever since it opened.
Armed with two new state-of-art linear accelerators namely the Varian Trubeam and Varian Edge, brachytherapy equipment, a CT-simulator and 3D treatment planning system, the department also conducts radio surgical treatment that is frameless, non-invasive, fast and accurate. In the past, it would have taken more than 2 hours to deliver treatment to the patient, however with the new technology provided at PJSC, treatment normally 5-10 mins.
The panel also elaborated on the recent referral case conducted by the radiotherapy clinical team as the team now embarks on handling their first few paediatric cases.
Amongst others, TBCC’sradiotherapy servicesincludesthe Image Guided Radiotherapy (IGRT), Volumetric Intensity Modulated Arc Therapy (Rapid Arc) and Conventional and 3-D conformal radiotherapy. Due to these advancement, number of patient cases sent overseas to get treatment has tremendously dropped. PJSC prides in providing a facility fully equipped to provide the best cancer care to the citizens of Brunei Darussalam. This is also in line with the vision and mission of the centre in working together to lead a specialized medical centre that provides the highest standard of healthcare practices.
Pantai Jerudong Specialist Centre (PJSC) is a specialized medical centre situated in Jerudong. It consists primarily of three centres of excellence namely The Brunei Cancer Centre (TBCC), Brunei Neuroscience Stroke and Rehabilitation Centre (BNSRC) and Maxillofacial, Facial Plastic and Reconstructive Surgery Centre (MFPRSC).
Mr Brian Koo, CEO of CUCKOO Korea and Mr. K.C. Hoe, CEO of CUCKOO Malaysia doing the honours for the Cuckoo’s 40th anniversary celebration at Seoul Dragon City, Korea last Wednesday.
CUCKOO unveiled the new ambassador for CUCKOO, Lee Seung Gi, who sang two numbers to delight of the attendees
2017 was an excellent year for CUCKOO Brunei. The year in which Cuckoo International Brunei reached many milestones, including the successful introduction of a flexible dual package plan, known as CUCKOO’s UP PLAN, which was launched in January 2018.
These plans were thoughtfully designed to allow Bruneian families from all walks of life to effortlessly own CUCKOO appliances – and enjoy the higher standard of life that comes with them – without overburdening themselves financially. The market’s response was positive beyond expectations, allowing CUCKOO Brunei to achieve results that were Beyond Standards:
“We wouldn’t have been able to achieve such results without the efforts of my highly supportive team, who believed in our vision,” said Mr Wong Kim Guan, Managing Director of Cuckoo Brunei. Within 18 months, CUCKOO Brunei has already opened 9 brand stores, and Garnered over 3,500 households, generating a revenue of 2 million Brunei dollars.
“Greater plans are coming ahead in 2018 for Cuckoo Brunei, where we aim to provide better plans and services to meet greater expectations,” Said Wong Hui Ting, Marketing Director of Cuckoo Brunei.
The priceless selfie taken by the Korean celebrity
Mr Wong Kim Guan, Managing Director of CUCKOO Brunei receiving award for the Country Arising Sales Award. I’m quite proud to see Brunei on the map.
CUCKOO Brunei team witnessing the 40th anniversary
Members of the media from Brunei 😀
I made great connections with these bunch 😀
I’m proud of Guan and Hui Ting for your efforts in making CUCKOO a household name in Brunei Darussalam
In 2016, CUCKOO has penetrated into the south east Asian markets like Malaysia, Brunei, Singapore, and Indonesia. “Our sights are set on expanding the CUCKOO brand to Vietnam, India and Indonesia in 2018. We estimate that our overseas ventures will bring in an annual revenue of USD150 million in 2018, and a total of USD1 billion in the next 5 years. So, we will continue to increase our presence in overseas markets and focus our efforts on the global expansion of the CUCKOO brand,” revealed Mr Brian Koo, CEO of CUCKOO Korea, at CUCKOO’s 40th anniversary celebration.
Held at Seoul Dragon City, CUCKOO’s 40th anniversary celebration was attended by over 500 CUCKOO employees and media personnel from Korea, Malaysia, Brunei, Singapore and Indonesia on 7 March 2018.
CUCKOO is a well-known home appliance brand from South Korea. In South Korea, a CUCKOO water purifier is sold every minute and a CUCKOO rice cooker is sold every 10 seconds. Today, CUCKOO has successfully extended its operations to 30 countries across 5 continents. In 2017, CUCKOO’s global turnover hit a record of USD $760 million.
In August 2016, CUCKOO Brunei joined the CUCKOO family. Within 18 months, CUCKOO Brunei has sold countless water purifiers to Bruneians through a revolutionary ownership plan, and also introduced multi-cookers and air purifiers to the Bruneian audience. In 2017, CUCKOO Brunei accumulated 3,500 Bruneian customers and thus, opened over 9 brand stores nationwide.
For more information about CUCKOO, please call the CUCKOO Careline at +673 2333330 or visit www.cuckoobrunei.com or CUCKOO BRUNEI’s official Facebook page.
Unveiling three new markets for CUCKOO – India, Indonesia and Vietnam
Hello Seung Gi
Does this count as a selfie? haha
He is the new ambassador and I can’t believe loads of Bruneians are crazy for him
I’m impressed with the JS Drummers on the opening segment
His Majesty the Sultan Haji Hassanal Bolkiah Mu’izzaddin Waddaulah ibni Al-Marhum Sultan Haji Omar Ali Saifuddien Sa’adul Khairi Waddien, Sultan and Yang Di-Pertuan of Brunei Darussalam delivered his titah last evening. Image courtesy of Hakim Hayat of Borneo Bulletin.
His Majesty Sultan Haji Hassanal Bolkiah Mu’izzaddin Waddaulah ibni Al-Marhum Sultan Haji Omar Ali Saifuddien Sa’adul Khairi Waddien, Sultan and Yang Di-Pertuan of Brunei Darussalam in a titah reminds those entrusted with rank or authority not to use them to oppress others.
The Monarch says oppression or tyranny will never be allowed in Brunei Darussalam because it an enemy of the country and there will be no compromise in dealing with it. His Majesty emphasises the matter in a Titah in conjunction with Prophet Muhammad’s Sallallahu ‘Alaihi Wasallam birthday celebration which was broadcast by Radio Television Brunei earlier this evening. In the titah, His Majesty also reminds that any effort to dispute or belittle the Maulid Ar-Rasul Shallallahu ‘alaihi Wasallam will face legal action not simply advise or religious propagation. Source: RTB News
By command of His Majesty Sultan Haji Hassanal Bolkiah Mu’izzaddin Waddaulah ibni Al-Marhum Sultan Haji Omar Ali Saifuddien Sa’adul Khairi Waddien, Sultan and Yang Di-Pertuan of Brunei Darussalam, it is hereby announces that His Majesty the Sultan and Yang Di-Pertuan of Brunei Darussalam has consented to the appointment of Yang Mulia Dato Paduka Dr Haji Md Isham bin Jaafar, Executive Director, Medical Director and Member of the Board of Jerudong Park Medical Centre, Jerudong, as Minister of Health to replace Yang Mulia Dato Seri Setia Doctor Awang Haji Zulkarnain bin Haji Hanafi.
I know of Dato Paduka Dr Haji Md Isham through his work at Jerudong Park Medical Centre as I have covered a few of JPMC events with his presence. He is a very dedicated worker and many have commended him of his leadership for JPMC.
Dato Dr Isham graduated from Dundee University, Scotland in 1995. Following his housemanship in Dundee, he worked at Glasgow University as a lecturer, teaching Anatomy. Then, he proceeded to do his surgical rotation in England before returning to Brunei. From his vast experience in General Surgery, he later specialized in Cardiothoracic Surgery in the biggest cardiac hospital in region, Institute Jantung Negara (IJN). Following that he did his Fellowship at Papworth Hospital Cambridge, United Kingdom. He has been a consultant in Brunei since 2005.
In his spare time, he enjoys playing golf and most of the racquet sports (badminton, tennis and table tennis).
Yang Mulia Dato Seri Setia Doctor Awang Haji Zulkarnain bin Haji Hanafi was sworn in as the Minister of Health on the 22nd October 2015. That meant he would only have served two years as a Minister for the Brunei Government. It’s perhaps the shortest duration for a ministerial post that I have came across. I knew him during his UBD Vice-Chancellor’s days. He was promoted to Permanent Secretary at the Ministry of Education before being appointed as the Minister of Health in 2015.
The replacement has come to a shock to myself and many others as the usual reshuffling of the cabinet ministers happens every 5 years which is supposedly in 2020. With the sudden replacement, it’s an indication for better things in moving forward. I believe Dato Dr Isham will do a great job in his new role and level up with the rest of the ministries.
Yang Mulia Dato Paduka Dr Haji Md Isham bin Jaafar is the newly appointed Minister of Health. Image courtesy of Danial Norjidi of Borneo Bulletin.
By command of His Majesty the Sultan and Yang Di-Pertuan of Brunei Darussalam, His Majesty has also consented to the appointment and transfer of the following senior officers:
Yang Mulia Awang Haji Abdul Manap bin Othman, Director General of Public Service Department, Public Service Department as Permanent Secretary at the Ministry of Health to replace Yang Mulia Awang Haji Zakaria bin Haji Serudin, Permanent Secretary at the Ministry of Health who has been transferred to the Ministry of Culture, Youth and Sports as Senior Special Duties Officer. Yang Mulia Dr. Awang Hazri bin Haji Kifle, Deputy Permanent Secretary at the Ministry of Health has been transferred to the Ministry of Education as Director of Planning, Development and Research: and
Yang Mulia Datin Paduka Dr. Dayang Hajah Maslina binti Haji Mohsin, Deputy Permanent Secretary at the Ministry of Health has been transferred to the Ministry of Religious Affairs as Senior Special Duties Officer. The appointment of the Minister of Health as well as the appointment and transfer of the said officers are effective from Friday, 1st of December 2017.
This meant that all the higher positions in the Ministry of Health have been replaced.
The launch of Cuckoo International (Brunei) last September 2016
Hui Ting, Marketing Director of Cuckoo International Brunei talking of the Cuckoo Icon water purifier and I was already eyeing on this for so long 😀
After a few months of deciding, I finally opted for one of the Cuckoo products which is a Cuckoo water purifier. There are many perks when it comes to the Korea leading brand home appliance. One of the best thing I love is the after sales service which I shall share a bit later.
Let’s rewind to September 2016. This was the moment that Cuckoo International (Brunei) officially launched in Brunei Darussalam. The event took place at the Melabau Complex in Serusop. Prior to the launch, I’ve seen their products being showcased at roadshows. I was moreover impressed with Hui Ting’s presentation and briefing on Cuckoo products during the launch. She’s the Marketing Director for Cuckoo International Brunei and her product knowledge is pretty comprehensive and I was sold by her presentation.
It’s no surprise that Cuckoo products have sold more than 25 million units worldwide and Cuckoo do live up to its motto – Beyond Standards.
The product I targeted was the Cuckoo Icon and for many reasons:
• The auto and manual self-sterlization modes. You can set your time preference.
• It can be fitted to any place and the Cuckoo team will install the Icon or any water purifier that you buy.
• IN & OUT Technology – The World’s first Electrolysis Faucet Sterilizing Water Purifier which self-sterilises every part of the water filter – from the water tube to the water tank to the faucet – that comes in contact with water.
• You can only rely on one-faucet system which is more convenient and using one source of water from the kitchen or pantry.
• The icon has different range of temperature. Even the hot water have different temperature and the cold ones.
• For a year, you will get a four month service interval for the replacement of the filters. It’s free of charge and that’s awesome. Definitely “Beyond Standards”.
• The icon has a 6-stage filtration with 4 filters.
• Cuckoo Water Purifier dispenses pH 7.5 Mild Alkaline Water. This is the perhaps the best level of pH for us as having a higher pH of water intake aint’ too good for your body. Like they said, too much of everything doesn’t necessarily make it good.
• I don’t have to worry about reboiling manually. The Icon does the trick.
• I love their service when they installed at my pantry. I hope their service will be consistent throughout as this is part of their “Natural Care Service”.
Their presence have been great too in Brunei. Because of the responsive demand, Cuckoo Brunei have been expanding their businesses as of late – Rimba Giant and Seri Q-lap Mall. So far there are five outlets if you are keen to know more about Cuckoo. You can also contact them at 233 3330 or check them out on Facebook and also on IG @cuckoobrunei and of course, you can visit their website http://www.cuckoobrunei.com/
I’m a proud owner of the Cuckoo Icon and I shall share more of my experience of the water purifier in my next post.
I finally ordered the Icon water purifier model and they delivered it to my home
I chose to put the Icon at my pantry area. Say goodbye to my old water boiler.
It just stationed nicely
The tubes are necessary to make sure the water flow from the Icon to the water faucet. The Cuckoo team provides them too.
They will make sure that the tubes are hidden and properly installed. They will also do some drilling if required.
Labelling the filters for its expiry date for the next change (in four months’ time)
Before the filters are installed, they are being processed using water for a few minutes
After 15 minutes of filtration, the filters are installed in the Icon
Yea, finally my good looking Icon up and ready 😀
Click to enlarge