Posts Tagged ‘Health’
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
Happy new year, ladies and gentlemen. It’s only the third day of 2018 and I bet everyone’s trying to be in second gear. It has been a fruitful 2017 for myself and many moments those were my highlights. I shall just recapped them in no particular order. For the record, I hardly do any resolutions or milestones. It only works when you really set your intention and you mean it. Don’t just simply make resolutions that you will commit halfway or only in the first week of the year. Yea, I’ve been there and done that.
Business wise, it has been slightly turbulent but it has been encouraging at the same time. It has reminded me how it was when I started my blog as a business entity. 10 years ago, I changed the direction of my blog and now with the emergence of social media, the blog scene has demoted in favour of social media. The great thing is my social media presence has made my blog sustainable thanks to the power of Instagram. Sometimes I would ask myself what if instagram becomes less relevant or even Facebook per se in the next few years. We shall see what happens but it’s always important to keep up with the social trends to be relevant.
A shot with the members of the Royal Family. This was taken at the Royale Chulan Hotel in Kuala Lumpur, Malaysia during the SEA Games in August 2017.
The Royal Shot. This was unexpected in terms of the number of likes I received for this photo alone. My average likes are normally from 200 to 300 likes. But this image caught so much attention that I hit the 10,000 likes barrier. Something I can never reached on a normal day. This shows how influential @tmski is on social media, locally and internationally. Sometimes I wonder how does he feel being in the limelight and being bombarded by his fans to take selfies. He is definitely a sporting person who is able to accommodate the wishes of his fans.
My separation with Maggi since October 2017. The struggle is real. So real. This was taken on Day 61 without consuming maggi curry.
The Divorce with Maggi? It’s getting there. Now it’s Day 92 with out having to eat my favourite maggi curry or any instant noodles. This was my mini resolution in October because of my health scare where my blood pressure hit its highest (almost 160). The doctor has advised me to cut down on salt and I finally realised that my daily consumption on maggi curry has done the damage. Yes, it has high sodium content and packed with MSG. So how do I deal with it? With difficulty because it has been 30 years and running that I ate maggi curry. It came to a point that my body has reached its toll. The health scare happened before I boarded a flight in October. In the end, I canceled my trip for the love of my health which also means to sacrifice what I craved for. I created a 100 day challenge and now with a few days left, what would I do? Let’s wait and see. At least, I know that my BP is back to normal. Phew!!!
Finally, it’s surreal that I’m back in the holy land of Makkah and Madinah. Sometimes it’s hard to describe the feeling. You have to be there to experience and you will know what I mean. This was taken in December 2017.
Umrah with At-Taqwa. One of the best memories and highlight for me in 2017 and a huge thanks for At-Taqwa Travel and Tours for making this trip possible for me. I was a bit scared in the beginning because of my health condition (BP). It was a good thing that I remained positive to counter those negative thoughts and Alhamdulillah, that I managed to complete my umrah trip in good health. I also loved the service and hospitality provided by At-Taqwa Travel & Tours and many have shared the same sentiments. Of course, I really missed the holy lands especially Madinah. I hope to be there one day again. InsyaAllah.
Coldplay concert “Pocket full of dreams” was so liiiitttttttt!!!!!!! Both Jolene and I had a great time at the gig.
My first taste of Coldplay. I have been wanting to catch Coldplay for a long, long time. I missed the first two concerts in Singapore until this year in March 2017. This was the best concert I’ve been to because of a different experience delivered by Coldplay. It’s not just the music but the atmosphere, the confetti, the wristband lights, the set up, the huge ass balloons. It was just a phenomenal experience. I have seen many concerts and gigs and Coldplay’s concert was by far the best I’ve experienced as a concert goer. I want more!!!!
TO BE CONTINUED
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.