He is a specialist who is specially trained to provide the following services:-
When patient has to undergo an operation, the anaesthesiologist visits the patient
to reassure him and discuss the type of anaesthesia to be used. He also identifies any other concurrent medical conditions, which may affect the anaesthetic and takes steps to stabilize these conditions. He may also order a sedative the night before surgery to allow the patient a restful sleep.
ANAESTHESIA FOR SURGICAL PROCEDURES
Most patients scheduled for an operation are fearful of pain and wrought with
anxiety. The anaesthesiologist's role is to ensure that a patient has no pain
throughout the procedure. He may do so by the following techniques:-
The patient is asleep and is unaware of the operation until it's over when the anaesthesiologist will wake him up.
The patient is awake but feels no pain because the operative site, e.g. Hand or legs is made pain free. If the patient is anxious, the anaesthesiologist may make the patient calm or sleepy by the administration of appropriate drugs.
The patient is also awake. This procedure is performed by injecting of local anaesthetic medication to numb only a small area of nerves at the site where the surgeon plans to operate such as for cataract surgery.
After the operation, the patient may feel pain for a day or two. The
anaesthesiologist can help to relieve the pain by several measures. One modern method is the use of a computer-aided device, which delivers a pain killer every time the patient presses a button. The patient is therefore in full control of his own
OBSTETRIC PAIN RELIEF
It is now possible to deliver a baby without labour pain. The anaesthesiologist can perform an epidural to give Pain relief throughout the entire labour and until the
baby is delivered.
EMERGENCY MANAGEMENT AND RESUSCITATION
A seriously ill patient can suddenly stop breathing or develop a cardiac arrest. The anaesthesiologist is part of the team who will resuscitate such a patient and restore him to life. This setting can happen in the Accident & Emergency Department when
a patient is admitted and occasionally in other parts of the hospital.
MANAGEMENT OF CRITICALLY ILL PATIENTS IN THE INTENSIVE CARE
Very ill patients need cardio-respiratory support in the intensive care ward. Such as patients have an unstable blood circulation and unable to breath well. the also have
poor nutrition and need very close monitoring. Here, the anaesthesiologist acts as
an intensivist and breathes for the patients with the help of a life support machine (ventilator) until the patient's condition improves. Helpful Information for Patients
Why must I fast before an operation?
When an operation is scheduled under a general anaesthetic, the anaesthesiologist requires the patient to be fasted for at least 4 hours. An empty stomach is important during the induction of an anaesthetic to prevent any food debris from entering the patient's lungs when he is unconscious. Aspiration of stomach contents into the lungs can be fatal. This is why it is important that a patient should NOT eat before an operation.
Am I at greater risk because of my age?
All anaesthetic techniques have some risks associated with them. More important than your age are such factors as your medical condition and your type of surgery.
Various safety measures and precautions are taken in the delivery of your anaesthesia care to help prevent unwanted events, just as you take certain safety precautions when driving a car or crossing the street. As a result, anaesthesia today is safer than ever before for all age groups and for ambulatory outpatients as well as hospitalized patients. It is important for you to realize that you will be dependent on others for a period of time, but your independence will return.
During my surgery what does my anaesthesiologist do?
The anaesthesiologist is personally responsible for your comfort and well being during the perioperative period. In the operating room, the anaesthesiologist will administer anaesthetic drugs. They will manage vital functions, including breathing, heart rate and rhythm, blood pressure, and body temperature. Your anaesthesiologist is also responsible for fluid and blood replacement, when
necessary. He or she will regulate the anaesthesia so that you will be comfortable until your anaesthetic care is completed. Frequently, people requiring surgery may have other medical conditions, such as diabetes, asthma, high blood pressure,
arthritis or heart problems. Your continued medical management during surgery is necessary to help you have a speedy recovery. As physicians, anaesthesiologist are uniquely qualified to treat not only sudden medical problems related to surgery itself, but also your chronic conditions that may need special attention during your procedure.
After surgery, what can I expect?
You may be transported to a post-anaesthesia care unit or intensive care unit (ICU) at the completion of surgery. Your anaesthesiologist, in consultation with other members of your health care team, continues to monitor your condition and vital signs during this period as the effects of anaesthesia are wearing off.
Cardiology is that branch of medicine which deals with the diagnosis and treatment of heart diseases. Cardiologists investigate patients with suspected heart disease by taking a very careful, extensive history of the patient's condition, and performing a complete physical examination.
General description of the work Consultant ENT Surgeons undertake
The Consultant ENT Surgeon is a surgeon who specialize in operations and disorders of the ear, nose and throat. This includes operations such as tonsillectomy and adenoidectomy, grommet insertion for glue ear, nasal and sinus operations throat and lanynx operations and operations on the neck. The Consultant ENT Surgeon deals with deafness and hearing aid management. He/She is involved with inner ear problems such as tinnitus and balance problems. He/She may also deal with throat and neck cancer. Sub-Specialty / Alternative and Additional job titles
The ENT Surgeon may be known an Ear, Nose and Throat Surgeon or an Ear, Nose and Throat Specialist or as an ENT Specialist. He/She may be known as an Otolaryngologist or as a Head and Neck Surgeon.
The Consultant ENT Surgeon will usually be known as Mr rather than Dr and will have FRCS (Fellow of the Royal College of Surgeons) after his/her name.
Academic Appointments The Consultant ENT Surgeon may be a Lecturer or Professor in ENT or
Otolaryngology at a Medical School . He/She may be an Examiner for one of the Royal College of Surgeons.
General description of the work Consultant Gastroenterologists undertake
The Consultant Gastroenterologist is a doctor specializing in diseases and disorders of the gastro-intestinal tract (the gut or bowel). He/She deals with illnesses such as
Crohn's disease, ulcerative colitis, coeliac disease, oesophageal varices,
malabsorbtion syndromes, gastric and duodenal ulcers as well as cancers of the gastro-intestinal tract (stomach and bowel cancer). The Consultant
Gastroenterologist also deals with diseases of the liver such as hepatitis and liver failure.
Sub-Specialty / Alternative and Additional job titles
The Consultant Gastroenterologist may be known as a Consultant Physician with a special interest in Gastroenterology. He/She may be known as a GIT Consultant or a Bowel Specialist.
The Consultant Gastroenterologist will usually have MRCP or FRCP (Membership or Fellowship of one of the Royal Colleges of Physicians).
The Consultant Gastroenterologist may be a Lecturer or Professor in Medicine or in Gastroenterology at a Medical School. He/She may be an Examiner for one of the Royal Colleges of Physicians.
General description of the work Consultant General Surgeons undertake The Consultant General Surgeon is a surgeon who deals with a wide range of surgical conditions. He/She is likely to have an area of special interest such as abdominal surgery or colo-rectal surgery or hepato-biliary surgery, as well as
operating on patients with general surgical problems.
Sub-Speciality / Alternative and Additional job titles
The Consultant General Surgeon may be known as a General Surgeon with a special interest in a variety of sub-specialties such as Abdominal Surgery or Neck Surgery for Colo-Rectal Surgery. He/She may be known simply as a Consultant Surgeon.
The Consultant General Surgeon will usually be known as Mr rather than Dr and will have FRCS (Fellow of the Royal College of Surgeons) after his/her name.
The Consultant General Surgeon may be a Lecturer or Professor in Surgery at a Medical School . He/She may be an Examiner for one of the Royal College of Surgeons.
General description of the work of a Consultant Nephrologist The Consultant Nephrologist is a doctor specializing in kidney (renal) disease
(nephrology). He/she deals with renal failure, glomerulonephritis, pyelonephritis, renal dialysis, diabetic renal disease and kidney transplantation as well as
medication issues involved in kidney disease.
Sub-Speciality / Alternative and Additional job titles The Consultant Nephrologist may also be known as a Consultant Renal Physician or
a Consultant Physician with a Special Interest in Renal Disease or Diseases of the Kidney.
The Consultant Nephrologist will have MRCP or FRCP (Membership or Fellowship of one of the Royal Colleges of Physicians) after his name.
The Consultant Nephrologist may be a Lecturer or Professor in Medicine or in Renal Disease or Nephrology. He/She may be an Examiner for one of the Royal Colleges of Physicians.
General description of the work of a Consultant Neurologist The Consultant Neurologist is a doctor specializing in diseases and illnesses of the
nervous system and brain. He/She will deal with epilepsy, multiple sclerosis,
headache, brain injury, neck and back injury, stroke, nerve damage, neuro-
degenerative disorders and Parkinson's disease.
Sub-Speciality / Alternative and Additional job titles The Consultant Neurologist may also be known as a Consultant Clinical Neurologist.
The Consultant Neurologist will have MRCP or FRCP (Membership or Fellowship of one of the Royal Colleges of Physicians) after his name.
The Consultant Neurologist may be a Lecturer or Professor in Medicine or in
Neurology. He/She may be an Examiner for one of the Royal Colleges of Physicians.
The Neurosurgery Unit was established in Kajang Specialist Hospital in 1990. Since
its inception, the Neurosurgery Unit has always been committed to provide
competent services in the following fields:-
24 HOUR EMERGENCY NEUROSURGERY SERVICE
• Head Trauma (Emergency surgery for intracranial hematoma; Intensive
Care with ICP Monitor & Cerebral Protection)
• Post-traumatic skull defects, CSF fistula (cranioplasty)
• Spinal Trauma (cervical spine injury)
• Stroke (primary intracerebral hemorrhage; subarachnoid hemorrhage;
cerebral infarct; intracranial aneurysm; arterio-venous malformation)
• Brain Tumour (microneurosurgery~ultrasonic aspirator)
• Pituitary Tumour (transsphenoidal microsurgery)
• Spinal Tumour (microneurosurgery~ultrasonic aspirator)
• Hydrocephalus (ventriculo-peritoneal shunt)
• Facial Pain (microvascular decompression for Trigeminal Neuralgia)
• Lumbar Spine (microdiscectomy)
• Cervical Spine (anterior discectomy/decompression~fusion ~plating for
• Stereotactic Surgery (CRW Frame)
• Neurosurgery Clinic (referral and follow-up cases)
*The resident Neurosurgeon is also a qualified Radiosurgeon (X-Knife Radiosurgery)
OBSTETRICS AND GYNAECOLOGY
General description of the work of a Consultant Obstetrician and
The Consultant Obstetrician and Gynaecologist deals with pregnancy, labour and delivery as well as ectopic pregnancy, Caesarian sections, forceps and vacuum delivery, miscarriages, terminations (abortions), sterilizations and infertility. He/She
also deals with cervical cancer, tumours of the ovaries, endometriosis,
hysterectomies, vaginal surgery and failed contraception.
Sub-Speciality / Alternative and Additional job titles The Consultant Obstetrician and Gynaecologist may be known as a Consultant in Obstetrics and Gynaecology. He/She may be known simply as an Obstetrician if most of his/her work is in dealing with pregnancy, or as a Gynaecologist if most of his/her work is non-pregnancy related gynaecology. If most of his/her work is in the field of infertility then he/she may be known as a Fertility Specialist.
The Consultant Obstetrician & Gynaecologist will have MRCOG or FRCOG (Membership or Fellowship of the Royal College of Obstetrician and Gynaecologists)
after his/her name.
The Consultant Obstetrician & Gynaecologist may be a Lecturer or Professor in Obstetrics and Gynaecology at a Medical School . He/She may be an Examiner for the Royal College of Obstetricians and Gynaecologists.
Ophthalmic services available in ISH include:
• Diagnosis and management of common eye diseases.
• Eyelid surgery, oculoplastic surgery, squint surgery.
• Cataract surgery, Phacoemulsification and Intraocular Lens implantation
(Foldable & Non-foldable).
• Retinal surgery for retinal detachment.
• Vitreous surgery.
• Glaucoma surgery/Laser.
• Laser photocoagulation for diabetic eye diseases.
• Nd-YAG Laser photodisruption surgery.
Facilities/Equipment available in ISH
• Automated perimetry for visual field test.
• A&B ultrasound eye scan.
• Argon Laser.
• Nd-YAG Laser.
• Fundus camera for Fundus Fluorescein Angiogram and Fundus Photography.
• Auto refractometer Machine.
• Vitrectomy Machine.
ORTHOPAEDIC AND TRAUMA SURGERY
The Orthopaedic Unit
The Orthopaedic Unit in this Hospital serves the twin disciplines of Orthopaedic and Trauma Surgery. This are often interrelated and extend way beyond the realm of Bone and Joint Surgery. A wide variety of services as detailed below are provided
by a dedicated team of Orthopaedic Surgeons who include 3 resident Surgeons.
Availability of all these experts under one roof in Kajang Specialist Hospital provides
a very conducive atmosphere for the optimum and timely management of major trauma. Resident Orthopaedic Consultants are available for consultation daily from
8.30 am to 5.00 p.m. on weekdays, 8.30 am to 12.30 pm and on 24 hours standby for emergencies on weekends.
Currently the Orthopaedic Unit handles all the following problem cases:
• Fractures in the limbs and pelvis be they simple, complex or with attendant
complications which may or may not be life-threatening.
• Injuries related to sports including nerve, muscle, tendon and ligament
injuries, including open and Arthroscopic Surgery.
• Osteoporotic fractures of the spine and extremities.
• Hand injuries.
• Spinal injuries often associated with neurological sequelae.
• Degenerative disease of the spine including Invertebrates Disc prolapse and
• Degenerative arthritis often requiring Joint replacement.
• Inflammatory arthritis e.g. Gouty arthritis and Rheumatoid arthritis.
• Tumours in the limbs and spine.
• Congenital disorders of the spine and limbs often requiring surgical
• The Diabetic Foot.
• Acute and Chronic ulcers and wounds.
Our team of Orthopaedic Surgeons comprises 3 resident surgeons, Dr Surendra
Masilamoney, Dr Mazlan Mohammad and Dr Loo Juin Thong.
To assist in the diagnosis and management we depend on our well equipped
Diagnostic Imaging Department manned by 2 Consultant Radiologists and boasting
of dependable Conventional X-rays, CT Scanner and MRI Scanner.
The Physiotherapy Department with 5 trained physiotherapists complements our
management of acute and chronic musculoskeletal problems including arthritis,
tendinitis, neck pain, backache, postoperative mobilization and soft tissue injuries.
Differences between adult and pediatric medicine
Pediatrics differs from adult medicine in many respects. The obvious body size differences are paralleled by maturational changes. The smaller body of an infant or neonate is substantially different physiologically from that of an adult. Congenital
defects, genetic variance, and developmental issues are of greater concern to pediatricians than they often are to adult physicians.
Many inherited diseases are more often treated by pediatricians than by adult physicians because only recently did the majority of these patients survive into adulthood. Well-known example are the thalassemias, sickle cell anemia and cystic fibrosis. Issues revolving around infectious diseases and immunizations are also
dealt with primarily by pediatricians.
Childhood is the period of greatest growth, development and maturation of the various organ systems in the body. Years of training and experience (above and beyond basic medical training) goes into recognizing the difference between normal
variants and what is actually pathological.
Treating a child is not like treating a miniature adult. A major difference between pediatrics and adult medicine is that children are minors and, in most jurisdictions, cannot make decisions for themselves. The issues of guardianship, privacy, legal
responsibility and informed consent must always be considered in every pediatric procedure. In a sense, pediatricians often have to treat the parents and sometimes,
the family, rather than just the child. Adolescents are in their own legal class,
having rights to their own health care decisions in certain circumstances only, though this is in legal flux and varies by region. Subspecialists in pediatrics
Specialist pediatricians may undergo further training in sub-specialties. Practising a subspecialty in pediatrics is similar in some respects to practising the relevant adult specialty, but a major difference is in the pattern of disease. Typically, diseases commonly seen in children are rare in adults (e.g bronchiolitis, rotavirus infection), and those seen in adults are rare in children (e.g coronary artery disease, deep vein thrombosis). Hence, pediatric cardiologists deal with the heart conditions of children, particularly congenital heart defects, and pediatric oncologists most often treat types of cancer that are relatively common in children (e.g certain leukemias, lymphomas and sarcomas), but which are rarely seen in adults. Every subspecialty of adult medicine exists in pediatrics (with the obvious exception of geriatrics).
Adolescent medicine is a growing sub-specialty. The pattern of diseases in
adolescents in part resembles that seen in older adults, and specialists or sub- specialists in adolescent medicine are also drawn from practitioners of internal medicine or family medicine. Another major sub-specialty, which is unique to pediatrics, is neonatology: the medical care of newborn babies.
General description of the work Consultant Urologists undertake
The Consultant Urologist is a specialist surgeon who operates on the kidneys,
bladder, prostate, ureter, urethra, penis and testes. He/She deals with prostate and bladder cancer as well as cancer of the testicle. In female patients he/she deals with urinary incontinence and urodynamic problems.
Sub-Specialities / Alternative and Additional job titles
There is some overlap between Consultant Urologists and Consultant
Gynaecologists in the management of female urological problems.
Some Urologists may specialise in childhood urology and may be known as Consultant Paediatric Urologists.
The Consultant Urologist will be known as Mr rather than Dr and will have FRCS
(Fellow of the Royal College of Surgeons) after his name.
The Consultant Urologist may be a Lecturer or Professor in Urology. He/She may be
an Examiner for one of the Royal Colleges of Surgeons.
Who is Speech Therapist?
Speech Therapist is a qualified health-care professional (with a Bachelor's degree or
Master's degree in Speech Therapy) skilled in the identification, assessment,
diagnosis, treatment and management of speech, language, communication
disorders, voice disorders, swallowing disorders in children and adults.
Who will benefit from Speech Therapy?
The Speech Therapy services will benefit patients with:
-Articulation / Phonological Disorders
-Developmental Speech and Language Delay
-Specific Speech and Language Impairment
-Autism Spectrum Disorders (ASD)
-Attention Deficit Hyperactive Disorders (ADHD)
-Cleft lip and palate
-Neurological impairment of speech, language, voice, swallowing disorders
(Dyphasia/ Dysarthria/ Dyspraxia/ Dysphagia) (e.g. in patients with Stroke, Head
Injury, Parkinson's Disease, etc.)
Consultations with Speech Therapist are by appointment only.
Speech Therapist services are available on:
Monday-Friday (8.30 am-5.00 pm)
Saturday (8.30 am-12.30 pm)
To make an appointment, please contact 03-8769 2969.
What does an occupational health doctor?
An occupational health doctor assesses a person's health status and fitness to
perform a certain occupation. He also advises the employer on health issues
concerning the employees or arising concerning the employees or arising from the
Occupational Health Issues
• Workplace incidents and injuries
• Diseases relating to or as a result of work
• Occupational health assessment
• Exposure to chemical hazardous to health
Qualifications as an Occupational Health Doctor in Malaysia
• A practising Medical Doctor registered with the Malaysian Medical Council
• Certified as an Occupational Health Doctor by National Institute of Occupational
Safety & Health (NIOSH), Malaysia
• Registered as an Occupational Health Doctor with the Departmental of
Occupational Safety and Health (DOSH), Ministry of Human Resources, Malaysia
What is Occupational Health?
It is a field which relates to the promotion and maintenance of health of workers in
all occupations physically, mentally and socially. This is achieved by preventing and
surveillance of work-related ill health, controlling risks at workplace and adaptation
of work to people, and people to their jobs.
Who is Audiologist?
Audiologist is a qualified health-care professional ( Bachelor's degree or Master's
degree in Audiology) specialize in the prevention, identification, assessment,
diagnosis, treatment and management of hearing disorders in infants, children and
Audiologist Services Available Include:
-Pure Tone Audiometry (Hearing Assessment for Adults)
-Play Audiometry (Hearing Assessment for Children from 3 to 6 years old)
-Newborn Hearing Screening
-Otoacoustic Emissions (OAE) (to assess inner ear cochlear function)
-Tympanometry (to assess middle ear function)
-Hearing Assessment for Pre-Employment
-Hearing Assessment for Medical Check-up
-Hearing Assessment for Industrial Workers
-Counseling related to hearing disorders and tinnitus
Consultations with Audiologist are by appointment only.
Audiologist services are available on:
Monday-Friday (8.30 am-5.00 pm)
Saturday (8.30 am-12.30 pm)
To make an appointment, please contact 03-8769 2969.