Juvederm Fillers -before and after photo

I had a patient yesterday who wanted to filled up the furrow created from the sagging of the cheeks. So i told her the way to do it is by injecting fillers.The brand of filers that i use has always been from Juvederm .

Its cheaper than Restylane but quantity and quality wise its in par with restylane.
Its a French product which is marketed under Allergan, the same company that markets Botox.
It consist of two prefilled syringe and its use to repair static lines.(lines that appears on the face even when its not animated)
But of course before injecting the filler, you have to administer local anesthetics to numb the area involved otherwise you would probably inflict the most painful experience anyone could experience.
for this case. This lady developed line at the corner or the lips as a result of sagging of the cheek.

I told her that nor only can i filled up those furrows , in addition, i can give her a natural pleasant look by altering the lips to give a natural smile even if she's not. And the result.
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Notice the slight upward curve at both end of the lips? Since i had plenty of fillers left, i added more volume to the lower lip to exert a sexier look.

What my tattoo means to me.

Since as a student in university, (for those who knew me well, i am a Buddhist and a Hindu.) , in the town called Manipal, quiet, a very conducive place for student. Throught my 5 years in India, i had gone for pilgrimage instead of coming back home to Malaysia to this place call Prashanti Nilayam.
In 5 years, I've been to this holy pilgrimage place 8 times.
From Manipal, I have to take a 8 hours bus ride to Bangalore, then board another bus for 4 hours before reaching the gates of Prashanti Nilayam.
The grnd entrance into Prashanti Nilayam, a telegu word which means abode of peace. You'll see people from all around the world,Japanese, Malaysian, Japanese, Bosnian, Italian, German, Trinidad and tobago, and more.
The Mandir "main temple" is where special ceremony are held. In those 8 times i visiteed this place, i will alway feel blissfull, spiritually energized, and felt closer to God. A place of tranquility.
This is a hall where people would wait for our for our spiritual Guru would perform Darshan, ( God than manifest as man -hence called Avatar, who will walk among the crowd and perform healing by manifesting holy ashes from the palm of his hands.
My then my interest in hinduism grew, and i bought tons of books on hinduism. There are so many similarities between Buddhism and Hinduism. Back in 1994, during the Sarin nerve gas attack, thousand of Japanese came here for the Guru's blessings, miraculously they became better. Oh, yes, i met Goldie Hawn there!
The white building is the place where the Guru rest in between Darshans.
People would start to fill the all 3 hours before Swami(a term we use for Enlightened individuals) to come out for Darshan.
Lighting of Swami's resident at night.
After reading several books, there is this particular book written by the late John Hislop, entitled my Baba and I, i must have read that book at least seral hundred times. each whenever i am in trouble and needed a solution, i would read the book, and miraculously WILL always find the answer in that book.
Being a vegatarian for 8 years, being totally immersed in the Hinduism, for 12 years , i have always wanted to get a tattoo of the sanskrit OM, but fear of parents reaction. After a while, i know my tattoo means something deeply personal to me, and its not a fashion statement. It is tattoed at a strategic area where it is kept hidden.
So, one day, i thouht to myself, if i have this undying love for a tattoe for over 12 years, then its meant to be. So... i got myself tattoed.

The Dying Man with Dreams

Breathless, slowly killing me from the inside.
Feeling the choking sensation within me
squeezing the soul out from my body
I need help God, please hear my plea

once upon a time, i was told to possess the quality
of a person with great ability
In reality, constantly being told on my inadequacy,
tell me God, who should i listen to, Lord Almighty

I need a piece of mind,
I need to be in solitude
i need to reflect on life
I need to find my true self

Yes, i am a dying man, dying from inside
At times, my existence seemed like a waste of time
Witnessing death and unending sufferings,
Is that what life is all about?

The people who suffers around you suffers for a reason,
God placed them near you for to test your decision
Whether you help or chase them decides your final destination
Hell with constant pain , or the ever lasting bliss of heaven

--Dr Wan Chee Hung 9.48pm 25 June 2009

A Touching Story

She jumped up as soon as she saw the surgeon come out of the operating room. She said: 'How is my little boy? Is he going to be all right? When can I see him?'
The surgeon said, 'I'm sorry. We did all we could, but your boy didn't make it.'
Sally said, 'Why do little children get cancer? Doesn't God care any more? Where were you, God, when my son needed you?'
The surgeon asked, 'Would you like some time alone with your son? One of the nurses will be out in a few minutes, before he's transported to the university.'
Sally asked the nurse to stay with her while she said good bye to son. She ran her fingers lovingly through his thick red curly hair. 'Would you like a lock of his hair?' the nurse asked.. Sally nodded yes. The nurse cut a lock of the boy's hair, put it in a plastic bag and handed it to Sally.

The mother said, 'It was Jimmy's idea to donate his body to the University for Study. He said it might help somebody else. 'I said no at first, but Jimmy said, 'Mom, I won't be using it after I die. Maybe it will help some other little boy spend one more day with his Mom.' She went on, 'My Jimmy had a heart of gold. Always thinking of someone else. Always wanting to help others if he could.'
Sally walked out of Children's Mercy Hospital for the last time, after spending most of the last six months there. She put the bag with Jimmy's belongings on the seat beside her in the car.
The drive home was difficult. It was even harder to enter the empty house. She carried Jimmy's belongings, and the plastic bag with the lock of his hair to her son's room.
She started placing the model cars and other personal things back in his room exactly where he had always kept them She lay down across his bed and, hugging his pillow, cried herself to sleep.
It was around midnight when Sally awoke. Lying beside her on the bed was a folded letter. The letter said

'Dear Mom,
I know you're going to miss me; but don't think that I will ever forget you, or stop loving you, just 'cause I'm not around to say 'I Love You' . I will always love you, Mom, even more with each day.. Someday we will see each other again. Until then, if you want to adopt a little boy so you won't be so lonely, that's okay with me. He can have my room and old stuff to play with. But, if you decide to get a girl instead, she probably wouldn't like the same things us boys do. You'll have to buy her dolls and stuff girls like, you know.
Don't b e sad thinking about me. This really is a neat place. Grandma and Grandpa met me as soon as I got here and showed me around some, but it will take a long time to see everything. The angels are so cool. I love to watch them fly. And, you know what? Jesus doesn't look like any of his pictures. Yet, when I saw Him, I knew it was Him. Jesus himself took me to see GOD! And guess what, Mom? I got to sit on God's knee and talk to Him, like I was somebody important. That's when I told Him that I wanted to write you a letter, to tell you good bye and everything. But I already knew that wasn't allowed. Well, you know what Mom? G od handed me some paper and His own personal pen to write you this letter I think Gabriel is the name of the angel who is going to drop this letter off to you. God said for me to give you the answer to one of the questions you asked Him 'where was He when I needed him?' 'God said He was in the same place with me, as when His son Jesus was on the cross. He was right there, as He always is with all His children.
Oh, by the way, Mom, no one else can see what I've written except you. To everyone else this is just a blank piece of paper. Isn't that cool? I have to give God His pen back now He needs it to write some more names in the Book of Life . Tonight I get to sit at the table with Jesus for supper. I'm sure the food will be great..
Oh, I almost forgot to tell you. I don't hurt anymore the cancer is all gone... I'm glad because I couldn't stand that pain anymore and God couldn't stand to see me hurt so much, either. That's when He sent The Angel of Mercy to come get me. The Angel said I was a Special Delivery! How about that?


Signed with Love from God, Jesus & Me.

The Unfortunate Family

As i am a member of the Tzu Chi Buddhist group. Where you get to serve and treat the patient with genuine kindness and love.
Last Sunday, I met this unfortunately family. A single mother who is not working taking care of her bedridden 17 years old son. The father was brutally killed last year by some hoodlum riding on his cab, then refuse to pay, those maniacs use something hard to bash the father's head, until the skull broke into pieces, and brain scattered all around the road somewhere last year.
The son was an active child until 13 years old when suddenly he developed high grade temperature. He was brought to Sentosa Hospital and was discharged with antibiotics. 3 days later the fever didn't subside, and when the mum came out from the kitchen, the child was on the ground having a seizure. It lasted for several minutes, then again and again the seizure comes in episodic manner.
While sending him to Hospital Selayang, he fitted several more times, so, the doctors had no choice but to intubate him and sedate him. CT brain showed advanced stage of encephalitis. (infection of the brain) that causes the seizure.
Since the doctor foresee that he had sufferred so many episodes of fits, they placed a tracheostomy and spent about a year in the ICU. The doctors asked the mother to pull the plug of the ventilater as they thought he would not able to be saved after 6 surgeries done on the brain for lobectomy.
The mother couldn't do it... After a few weeks, miraculously the child woke up and asking for mama,papa, koko. He then developed the streght to walk. And since her mother had to work, he place his son under a private homecare somewhere in PJ, for a month, he went in active, able to walk, but came out bed ridden.
Now that he has been bed ridden for several months, his lower limbs started to develop contracture.The mother pleaded and cried for help. I was so touched by the love the mother has shown to his child.I remembered while posted in Neurology, the specialist would inject botox into muscles that had developed contracture so that they can be straightened again. So, while at the clinic, I've decided to help him.
Today, he came.
I told his mother that i can treat the contracture by injecting botox into the hamspring muscle to loosen up the contracture.
First I assess the degree of contracture.
Then i try to isolate the muscles one by one through his thick skin.
Then i started the injection.


After the thousand plus ringgit treatment was done, i felt satisfied. I referred him to UMMCs rehabilitation centre for follow up.
I wish the family good luck.The mother was so moved when i told her the treatment is free, she broke in tears and hugged me. I was lost of words.
I guess we as humans at times find true bliss and happiness by unselfish acts. A little gesture of selfless act affect this family so much. In my heart, i told myself i don't deserve the credit they gave me, I am just doing what is right .

Life. Is it a blessing, or sufferings?

Had a meaningful heart to heart talk to dad after my uncle called me to inform that the doctors has confirmed that my aunt have cancer. While talking to him through the phone, i could tell how demoralized he was by the intonation of his voice. I could hear my aunt sobbing on the background.
I understand how vulnerable both the husband and wife must be feeling, knowing that her days are numbered.
Ever heard of stories of miracles, like a patient diagnosed with stomach cancer, but while on the operating room, found out that the stomach was absolutely normal? Or a case of tumor ass that mysteriously disappears? I had encountered an lady who did a blood test and it shows positive for HIV, then again positive for HIV twive! Losing hope in life knowing the fact that you will be stigmatized and the slow killer virus eats you up from the inside rendering you so vulnerable and unprotected that a simple cough and cold could turned to a full bloom pneumonia.
She continues her prayers steadfastly. Not an inch of her faith on God was taken away.
But, mysteriously, her third blood test was negative for HIV.
Ever wonder why God created man, with intelligence and emotions that is put to test as he grow up and grow old, and finally the inevitable death?
I was told by numerous people to live life as if its going to be your last. I had seen so many deaths as doctor, and had lost close personal friends, whom i knew since childhood. Death so sudden and unexpected that it scars your life, a bad recurrent memory that refuse to end.
Then i understand life better after questioning yourself repeatedly what is life, why life, why did we even exist?
As a follower of Buddhism and Hinduism, I begun to understand. What we perceived as life is actually what the Hindus call Maya. Maya is a Sanskrit word which means Illusion. We are not exactly who we are. Our spouse, friends, parents, property, your physical body are not what it appears to be. To see, feel , and to live the truth is a state of Nirvana, Oneness with the Mighty Lord himself.
In other words, all living creature are a spark, the same spark as the towering inferno. Similarly, we are like the small streams that eventually flows into (merge) into the vast sea.
Happiness and sadness is state of mind. Nothing in this world last forever, not even the closest to you, and that's a test of your faith the Lord has given us. The God Almighty loves without discrimination. God created man in variety so we can see the Unity behind the Diversity.
As i had mentioned earlier, happiness and sadness is just a state of mind. Buddhism and Hinduism taught me to forget about who I am, and to seek out who I truly am.Our sole purpose in this short existence is to use our God given minds to decide which path to walk on. The evil lusty dark side, or the difficult but blissful part?
A famous Hindu Guru once said, " from death to immortality" On first glance, it makes no sense. But for the Enlightened, they knew exactly what it mean.
Because of our past bad actions which resulted in bad karma would keep us trapped in this worldly place. If you follow the spiritual path with steadfast(Path of Dharma), we'll reach a state in mind of eternal blissfulness, that , is Nirvana. That is the sole reason God made man exist is to enable human to feel he is part of God, that he is God, but ignorance and self indulgence leaving him trapped in this world.
Now, look intently at the photos below. It has an almost magical soothing and calming effect on me.
This two individual are God sent. They are Saint's among us human. Another Hindu Guru quoted,"be like a child.When you see a child, what do you see? Innocense is the first thing that pops in my head.

Way to my clinic

Klinik Wan dan Keluarga

19-1,Jalan Damar SD15/1
Bandar Sri Damansara
52200 Kuala Lumpur

Click here for map to assist your journey.
Once you have read the clinic, my clinic is situated between London Child Specialist Clinic and 99 cent mart.


My clinic is located between London Child Specialist and 99 Cent Mart
My working hours.

What the Hell,man!!!!!!

Today supposed to be the happiest day since my daughter made me a card was totally ruin by a bad news. Yesterday after work,at 9pm, I was packing my stuff getting ready to go back. Then my uncle called my handphone and told me if they can see me and have a look at my aunt whom he thought it was jaundice.I waited for them until they reach my clinic at 10pm. My aunt who is overweight has a history of hypertension on medication. Recently since last September she was diagnosed with diebetis melitus. Apparently, she came to have a second opinion after seeing another doctor for her problems.She was told to looking unhealthy by her neighbors around 3 weeks ago, and the started having frequent gastric pains and gassy stomach, nauseous, and giddiness. In the mean while, i could spot her jaundice characterized by the yellowish discoloration of the sclera of her eye from miles away. Before she entered my room, she mentioned that she wanted to go to the ladies, and i thought of getting her urine samples as well.I knew she has jaundice but the point to determine what was the cause of jaundice. Though expression wise i told them not to worry and tried hard to keep a smiling face, i knew her prognosis was grime. And the more history i got from them, the ANGRIER i became, Who wouldn't be? I mean, if you suddenly start shitting oil immediately each time having fatty food, and you pooh was turned clay coloured, wouldn't that be alarming enough for you to seek a medical consultation? I am his nephew who lives nearby, but she chose to see a chinese sensei! I was frustrated. Wouldn't you be frustrated if your family had
Noticed her yellowish tinge on the right eye....
or
pissing urine of this colour for the past three weeks and yet still thought that everything is ok, and seek a chinese herbalist instead!???? What is wrong,man? I asked her why did she waited till 3 weeks before seeing a doctor, and she casually answered, " I thought it was heaty".......
I could have slammed my laptop on the ground and stomp on it, but i kept my composure. I dont' have an ultrasound machine in my clinic, so i did a very thorough physical checkup on her abdomen, praying to Lord please don't let me feel anything.I started with the left hypogastrium area, then slowly palpate to the epigastrium,
...........my whole damn world came crashing down when i could feel a hard lump at the centre of her abdomen,
then slowly i palpated towards the right hypogastrium, shit,.....a firm liver consistency,
Then i told her to sit down and had a 2 hour conversation with her stating the possibilities. Its is obvious that she has post hepatic jaundice, which could be caused by a stone that blocked the bile duct from releasing bile for the digestion of fat, and the absence of pigments on her stool. While all these are happening in her body, her bile gets refluxed back into the circulation and hence causing the yellow discolouration of skin. Other more sinister causes could be due to a cancer of the head of the pancreas(which explains her diebetis) or even liver cancer.
I wrote a letter to replace he referral letter they got from the previous doctor which referred her to the gastroenterologist..For what? She should be seen by a hepatolobiliary specialist which is available in Selayang.
So that night, i shut my clinic at 12am. They got warded today and they proceeded with an ultrasound. I called up the ward to ask about the condition, and all the staff nurse could provide was what was done and was is scheduled to be done.
Apparently and endoscopic ultrasonography was done, but the nurses weren't able to let me know as the findings were keyed into the computer system which only the doctors are allowed to access. My parents and sister visited her and while i was on the phone chatting about my aunt. 45 minutes later, i received a sms from my sister which broke me down,I was angry, frustrated, and afraid to be right.The night before, i had a hard time sleeping thinking about my aunty's diagnosis.This is my sister's sms
The first thing that crossed my mind what Whipple's surgery to removed the tumour, followed by chemotherapy and radiotherapy. And the average lifespan after all of these......5 years.
Throughout the whole time, i kept on asking myself why wait till 3 weeks??????? This really ruined my day!

My best Father's Day Gift

I am especially proud today. As i came back in from the clinic for my afternoon break, The moment i saw Isabelle he quickly stopped what she was doing and ran towards me jumped and hugged me. " Why you miss daddy that much is it?" With her soft voice she told me daddy, i got a surprise for you. Quickly she would ran onto her bed and took something out hidden in the cover of the pillow. She made a Happy Father's Day card for me at school.
This is the front.
And this is the back.I felt so touched and happy for her kind and thoughtful gesture, from a 5 year old!!!!!
I told her that i am so proud of her that I will stick her card on the highest level on the cardboard.But daddy, this card got two sides?
No problem dear,daddy will just stick it over on one side so that we can flip it over to see both sides.
Since she isn't tall enough, so i stick the card for her.
Its everyday parents dream to have a thoughtful daughter like her. Which I appreciate so much. Isabelle, daddy love you too. He hugged and kissed before leaving for the clinic again.
This really made my day,

Drastic increased in H1N1..Who to blame? The Virus??

News Headlines Reads: Total H1N1 in Malaysia hits 17

Just before the first case was confirmed in Malaysia, I foresee a potential widespread if H1N1 virus with their current protocol.
1. The only 2 antiviral drugs available in the market in Tamiflu(produced by Roche) and Relenza (Pharmalink GSK)
I had called these two companies 1 month ago and it was out of stock. I was commenting that WHO had raised to level 5 short on 1 to reach pandemic. You guys should be producing these drug 24 hours a day,man!! I commented.
And today there are confirmed 17 cases, STILL NO STOCK!!! I called up the call centre for H1N1, and all they can tell me was do not treat the cases yourself. Send them to the hospital. Duh! What is the point if you send the patient to the hospital if the only drug susceptible of treating the flu isn;t available???!!!!!!!!
These two drug functions in 2 ways.,first for treatment in case of confirmed, and secondly as a prophylaxis for those people who were in contact with the confirmed cases. As a GP, we should be made accessible to these drugs especially for those whom are under house quarantine could start taking the prophylactic doses!
So what the hell is Ministry of Health Waiting for?????? a significant mortality number before being proactive??
Relenza

Tamiflu

The Miniature Earth

As business is rather slow today, i did a lot net surfing. My favourite site happens to be Wikipedia, where you get a full information by merely typing certain key word. Several nights ago on History Channel, I was watching this programme about what triggered the incident on 4 june 1989 where thousands of students and intellectuals protested at Tiananmen Square which resulted with several thousand death, Chinese Liberation Army firing at unarmed civilians, some even crushed by tanks, Today, even talking about the incident in China is forbidden. The whole world tune in their TV to witnessed the entire incidence.
Imagine a total of 1 million students and intellectuals protesting against the government authoritarianism, a voice for economy change and most importantly democratic reform.

Tank Man, or the Unknown Rebel, is the nickname of an anonymous man who achieved fame and widespread international recognition as a heroic figure when he was videotaped and photographed during the protests at Beijing's Tiananmen Square on June 5, 1989. Several photographs were taken of the man, who stood in front of a column of Chinese Type 59 tanks, preventing their advance.

Victims of the Tienaman Massacre.
A man being crush by a tank.
A 30 foot "Goddess of Democracy" was erected opposite the large poster of Chairman Mao.
The more i read about the massacre, the angrier i became as DengXaoPing while laying on his hospital bed on treatment for cancer claimed that 1 million Chinese is not a big number. He ordered the army to clear up the Square by all means necessary.
While watching youtube, i came across a video that i must share with fellow readers


">Once you are done watching the video, click here
God created man in variety so as we can see the unity behind the diversity. Unfortunately, all men see is the diversities.

Remeniscence of my childhhod

It was another weekend where my family goes out together to have a good time. Lately we've been visiting 1 Utama quite frequently.For three weeks in a row, we've been eating at this Sushi place opposite MPH at the new wing. After that, we would just stroll around......... lead by Isabelle of course.
However,we ended up in Parkson. Looking at the amount and variety of toys amazes me. Little soft toys with a selling prince what would unload your wallet pretty fast.
I do not know about your childhood, but i could elaborate on mine.
I was born in Penang Adventist Hospital, and raise in Kedah, in a rubber plantation on a land spanning 8 acres wide where you'll find mangoes teen tree, rambutan, several durian, nangka, pineapple, ciku, and our backyard we planted our own vegetables. Sweetcorn, various types of vegetables, sugarcane.... ohhhh...that was life. Our land was the second largest in the state of Kedah, obviously the sultan of Kedah owns the largest.
The bungalow that we stayed in was over 80 years old. Prior to my dad, there were 3 other Danish people who held the title as Plantation Manager, my dad is the first Asian and he use to tell me the discrimination from the workers and peers had on him. He overcame that problem by proving his ability by the improvement of results and productivity. They even built up a rubber processing factory and dad was a major contributor to the design and all.
in 1997, when my dad got transferred to Sabah as a promotion to oversee the management of 13 other estates, he was posted in Sandakan. Man, i must admit you wouldn't live more than 2 weeks in Sandakan without Astro.
The painting of our bungalow in Padang Meiha where 80% of my childhood memories remained.
There was a badminton court, a tennis court, a pool.What more can i ask for more?
I loook forward to every friday as we get to go to Bukit Mertajam for my sister's piano lessons while waiting for them we'll stoll the supermarket nearby.
I recall everyweek, my dad would purchase a diecast miniature care for a cheap price, and that totally made my day. Those days, each diecast car cost around RM2-3 ringgit, and with RM10-12, you;re able to purchase the entire set of the product series. Those were the days.
But today,whenever we go shopping, everything is so expensive. Now all the toys are darn expensive. Don't get me wrong, we use to have Transformers, He-man, Thundercat toys back then, but they weren't that expensive. RM9,90 each.And i remembered having to continuously beg my parents for just one He-Man toy. The moment i got them, i would play with it all night, the entire week, then i realized He-Man needs a villain....The second purchase always fail.
Strolling along the toy section with my two daughters always bring back good memories. My dad would always accompany or search for me at the toy section in case i was missing. Those time toys were simple and choices of soft toys were pretty much limited. But now, you have Sesame Street Characters soft toys, Bob the Builder soft toys...but these are ok. Sesame street was one of my favourite show when i was a kid. Almo was so darn cute.
But one character which i hate with all my guts happens to be this deep voice retarded looking purple dinosaur name Barney! I hate Barney! Whoever created this character must have been high on drugs to come out with such character. There was this section where everywhere i look, there's Barney!!
In front of me was this huge Barney soft toy on display! Yikes, Quickly, turn to the other direction, and again....Barney!
Arrgghh... Barney look so weird and retarded!!
I nearly fainted while trying to find my way out i encounter this section filled with variety of Barneys!!!
Where are the superheroes? Where's Superman and friends?
Ahhhh...what a relieve.. of all the superheroes, the one i admire the most happens to be the Knight of Darkness, Batman.....
It is his uncanny ability to fight crimes single handed without any superpowers, but just equipped with some fancy gadgets and his batmobile....huah... every boy's dream.
Well, a dream came crashing down when i saw the price tag...
Lego set is getting expensive these days. Even simpler ones like this bulldozer
comes with a price tag of
Though we weren't planning to purchase anything, its nice to see Isabelle and Natalie seemingly lost in place and time with so many toys surrounding them. It brought back memories, my childhood memories that i will cherish forever.