An Uncommon Genius

National Dental Centre Singapore GERIATRIC SPECIAL CARE DENTISTRY 02:45 PM DR CHNG WAN HONG OSCAR Geriatric Special Care Dentistry Clinic - Level 1 No Tooth going into your windpipe. During your operation.  Wait after the operation,  then go to your doctor dentist- stable first - All your teeth are intact. 6 or 8 months.  Memo from surgeon? I forgot to bring!!!! Clear- Tooth problem  3 or 4 xrays. Clean teeth. Private dentist may not be well versed as the public dentist  - on the very complex history that you may have -  20th September  - Dr oscar called 10.54am He received the email - memo. He really appreciated it. I will be in the doctor' s prayer. !! All the best. Stay strong!! Face it.

Assoc Prof Deidre Anne De Silva Neurologist  Thymectomy point of view - there is nothing.  Lung point of view  - nothing Heart - little bit big - CT thorax-- heart is little bit big That's why Prof Chua us doing the surgery for you.  Friday  New symptoms double vision, anything. No Swolling is the same. Yew Thyroxine  - 7 times a week. 25mcg each time. Mysthenia gravis point of view - there is no need to do specifically. Anesthesia will go about the Mestinon that you are on Push your hands and legs -- for me to check. Eye movement  - contra indicate the surgery. The muscle strength is all ok. Especially the respiratory muscles. Respiratory muscles are the same as the breathing muscles.  Anesthesia will know that you have got Mysthenia- They will watch lah. 6 months time. Prof Chua is an excellent cardio thoracsic surgeon.  Anesthesia  - has already seen you  Heart muscles were affected  probably related to the valve. Something needs to be done.  You dont want further Heart muscle d

1.Reception 2. Blood tests  - 7 tubes!! 2e 3. Xray 5d 4. Another xray sgh lvl5 Thyroxine  5. Nurse - covid 19 tests Nd height weight 68.8kg 6. Physiotherapy  talk. Breathing. Machine and so forth. Computer.  Walking . How long. Steminar. 500metres. Stop. Stairs outside  Your legs should have to strengthen to go up. Any joint pain -- no. After the operation,  Icu - the therapist will start to see you in the icu. Usually it will be the next day. Bed side. Set your lungs - issue some breathing exercises.  Breathing machine -- mouth -- Spirometer for you. Deep breathing exercises.  Day to day progression and advise you from there. The higher that you are able to do, the better your lungs will be. There will be a teamer at the bedside for wound support.  Supporting it - when you are uncomfortable.  Walker -- first  Increasing your walking distance-  Icu - high dependency  - all the way into the general ward.  Ultimate aim - is to get you to your current level of independence.  - to walk aro

14th September 8.00am heart surgery level 4 heart centre. Testing  Blood test Xray Ecg No need to fast. Need to wait for results.  10.30am preevaluation clinic Doctor Goes through the anaesthesia process with you. Remember to bring along all your current medicines - for the doctor to see.  Then 20th September  - ( then changed to 21st September) The location will be at sgh admission office. Blk 5 lvl 1.  Admission timing  - wait for them to call you.  To tell you the time. Warfarin  - stop. Blood thinners.  Stop warfarin on the 18th September . Clopidrogril  One day before.  - stop when ?? 15th September  Dental clinic - valve surgery- Pharmacy  - to prepare for surgery.  Iron tablets to take for 14 days. Start from Friday  - iron tablets  Scanning of the neck artery.  No oil lotion or whatever.  Pharmacy.  19th September  - start using these.  Shampoo soap - cannot use. Wet your self. And then pour this onto your hair , body, All the way down to your toes. Leave it on your body  for o

Long wait for the surgeon to see me.  AP Chua Yeow Leng. Surgeon  Dr Zhu Ling - heart doctor  Echo for valve. 2 valves that are having issues. The main one is the mitral valve - left side valve - one Leaking. Narrowing and valves sticking together a bit. And Leaking. Left side valve has a leak and  There is a small hole within the walls of the heart sticking together a bit and also Leaking The right side valve has a leak Narrowing and valves sticking together a bit. And Leaking.- most likely-  ballooning ir thymus gland removal - pdmc? Or thymus gland removal. Ctscan done -doctor sid - interesting- I record everything in blog. Blood vessels are not blocked  - its a good thing. Endiogram is ok  No blockage of the blood vessels  - heart. Ctscan - veins.  30mcg Mestinon.  Once a day  Lids  September 22nd.  // Sonam Sujanani  Yes they can proceed with the surgery. That means there’s no blockage in the arteries of the heart.  The relevance is:  1. you have the option of mitraclip (if the su