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Showing posts from September, 2014

Hybrid Coronary Revascularisation

This is a dynamic piece and will change as I learn more about this procedure. The latest project I am working on is about hybrid coronary revascularization, a procedure I learnt about thanks to my work with KP. It is a novel concept that I am very interested in and combines the skills of both the interventionalist and the cardiothoracic surgeon. Off-pump CABG (LIMA to LAD) is performed via a mini-sternotomy (small anterior thoracotomy incisions) rather than the standard thoracotomy that would be used in a traditional CABG. The procedure is performed with the help of a robot, similar to laparoscopic surgery in other fields. However, the lack of a large incision makes it difficult to access the posterior and lateral aspects of the heart and as such, complete revascularisation will not be possible using this minimally invasive procedure, particularly with the RCA and LCx. As such, non-LAD stenoses are revascularised using PCI and drug eluting stents. This has the added benefit of a

Pride

I feel bad. Today I told a friend that I had been short listed for two of the three hospitals I interviewed at. I told him because a part of my ego was getting kinda hurt by his constant talk of how amazing this person and that person was and indirectly how mediocre I was. I have been made to feel mediocre by many of my peers in Australia for quite a number of years. Perhaps that is how they really see me (perhaps that is what I am) but it is a far cry from how I felt and was made to feel of myself in Singapore. But I feel bad because what I did, was done out of pride. I did it as a not so subtle boast because my ego got bruised. I didn't do it to build anyone up at all. James 4:6 says 6 ...  That is why Scripture says: “God opposes the proud      but shows favor to the humble.” [ a ] At the end of the day, it shouldn't matter how others see me. All that matters is how God sees me. In fact, the less Man sees in me the better, because then my achievements will i

Reflections

It is the 9th of September 2014 and I thought it was time for an update. I am going through a relatively peaceful period of life right now. My investment unit has been rented out and appears to be sorting itself out as far as mortgages go. My job applications are done. I've received promising feedback and expect to be offered a position back at my alma mater which is great. I am currently completing the year with two general medicine terms in a little rural hospital in northern NSW and so far it has been pretty cruisy and enjoyable. I have recently moved back into staff quarters as renting a room was too stressful - dealing with people who are 'different' can be difficult and not what I want to have as part of my private life. The only stressor of note are the research projects that I am trying to complete so that I do not have too much on my plate, going forward into 2015. I am hoping to clean the slate as much as possible, to give myself space to do well in the next two