18 September 2023 Neurologist

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 damage to occur. 

That would cause longer term issues. 

I will see you after the operation.