tag:blogger.com,1999:blog-358518692024-03-14T01:18:51.232+08:00Life of Medicine & MagicA magician doctor who loves magic just as much as medicine. The satisfaction that he gets from helping patients, and the joy of entertaining people, are equally priceless.Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.comBlogger49125tag:blogger.com,1999:blog-35851869.post-14889707411776111022022-06-19T14:49:00.001+08:002022-06-19T14:49:39.557+08:00Featured in "Successful People in Malaysia" 2022Just completed the interview by the editor from British Publishing House, UK. I’m honored to be selected and featured in the coming edition of Britishpedia “Successful People in Malaysia” 2022, under the Healthcare category. I’m truly humbled and blessed to be included alongside many great and inspiring people from different industries in the country. The book is available in National and State Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-22692232668502788122018-05-27T09:26:00.002+08:002018-05-27T09:31:25.340+08:00Andrew Lee @ AGT & BGT
I'm proud to share that our M'sian celebrity magician - Andrew Lee, has made it all the way to BGT! The knife throwing act was performed so well and it has captivated the whole audience.
Here's his act in the recent AGT at semi-final. It was done so charmingly, hilarious at the same time and with a perfect twist in the end.
Follow him for more impressive magic to come! A Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com50tag:blogger.com,1999:blog-35851869.post-83539502657688753522018-05-16T21:39:00.000+08:002018-05-16T21:39:56.858+08:00Extracardiac Compression of Right Atrium by Hepatic Cysts in ADPKD
What is the impact of growing hepatic cysts in patient with polycystic kidney disease? We reported a rare complication - the cysts have caused extracardiac compression of right atrium resulting in impaired filling. Patient is at risk of refractory hypotension in the presence of significantly impaired right ventricular filling. Beside this, hepatic cysts burden has been reported to cause Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com13tag:blogger.com,1999:blog-35851869.post-85460498017347699332018-05-15T21:34:00.001+08:002018-05-15T21:34:20.350+08:00Outcome of AVF Creation, Effects of Preop Vein Mapping and Predictors of Fistula Success in Incident Hemodialysis Patients
This single-centre study reported arteriovenous (AVF)
outcomes of incident hemodialysis patients with 19,450 patient-month follow-up,
successful AVF maturation was achieved in 78% with 1-year cumulative patency
rate of 74%. Routine pre-operative vein mapping was not necessary if veins are
suitable on physical examination for AVF creation.
Full text:
KG Lee, TT Chong, N Goh et al. Outcomes Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com1tag:blogger.com,1999:blog-35851869.post-16009065681432845442018-05-08T21:00:00.001+08:002018-05-08T21:02:48.564+08:00SCE Nephrology Exam Questions Writing
I am glad to be invited for authoring questions for SCE Nephrology Prep Course and all the questions were accepted. The guidance provided in authoring MCQs and replies from Editors are enlightening. Overall a good learning process!
Read more about the SCE Nephrology exam:
http://darrenmagic.blogspot.my/2012/04/sce-in-nephrology.htmlDarrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-10718751429178492822018-05-06T17:58:00.000+08:002018-05-06T17:58:24.664+08:00Hyperkalemia - Principles of Management
Nice animation of ECG changes during hyperkalemia - this shows clearly that time is life when dealing with severe hyperkalemia.
5 essential principles of management, in simple terms:
1. Protect the heart - IV Ca Gluconate/ Ca Chloride (note contains 3x more calcium) to antagonise the cardiac membrane excitability thereby protect the heart against arrhythmias;
2. Shift K into cells - Insulin/ Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com1tag:blogger.com,1999:blog-35851869.post-57754981659167095192018-05-05T16:40:00.001+08:002018-05-05T17:03:40.475+08:00Rivaroxaban and Topical Miconazole - Do Not Mix
1. Direct oral anticoagulants (DOAC) are being increasingly use. Rivaroxaban is metabolized via CYP3A4, with in vitro studies supporting the involvement of P-glycoprotein as the responsible active transporter in renal secretion of rivaroxaban.
2. Antifungal imidazole derivatives have been shown to demonstrate significant inhibition of CYP450. Miconazole, a combined p-glycoprotein and Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-76893950166891035822018-04-30T15:40:00.000+08:002018-04-30T15:40:20.090+08:00Star Fruit - No Good for Kidneys?
Star fruit is not safe for any patient with chronic kidney disease.
1. Star fruit is a popular fruit in tropical and subtropical countries and its consumption is high in Asia. Multiple case series have reported its nephro-and neurotoxicity in CKD patients as well as in people with normal renal function.
2. The amount of fruit ingested which causes toxicity is related poorly to severity Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-64236946467876906282018-04-29T15:17:00.000+08:002018-04-29T15:17:51.275+08:00Grit: In Medicine
I looked back and realized about my this article written in 2008 which was published in the UCSI School of Medicine newsletter. It is now 10 years after it and I feel that my view on housemanship has somewhat changed. It was partly written in another post on evaluation system on housemen.
Housemanship is undeniably a hardship period, but it is not really over after you completed it. You Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-15361872129488386542018-04-28T11:08:00.000+08:002018-04-29T13:52:50.898+08:00David Blaine is Back
This is David Blaine's performance which everyone has been talking about. I find it hard to describe what he did, the show is absolutely more than just "entertaining", but utterly shocking. I can't call this just "magical" because it is simply flawless and looks REAL. In The Tonight Show, he sewed his mouth shut (literally), and performed an impossible card transposition, and ended with a Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-82927375117805231542018-04-22T20:52:00.000+08:002018-04-22T20:52:02.748+08:00Duplicate SVC on Arteriovenous Fistulography
"Left SVC persistence, a rare but important congenital vascular anomaly with a reported incidence of 0.3% to 1.3% in the general population, results when a left superior cardinal vein fails to regress during gestation. Left SVC drains into the RA through the coronary sinus with no major hemodynamic effect and patient is usually asymptomatic...However, there are practical implications when the Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com8tag:blogger.com,1999:blog-35851869.post-37124611374348496952018-04-18T09:40:00.002+08:002018-04-22T20:52:18.244+08:00Frank's Sign
"First described in 1973, Frank’s sign, also
known as diagonal earlobe crease (DELC), was observed to be an aural sign of
coronary artery disease (CAD). Since then, there has been much interest in
examining this unique association. This may occur as a result of age- or disease-related
weakening of dermal and elastic fibers in the ear lobes, making it a
dermatological predictor of an Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com2tag:blogger.com,1999:blog-35851869.post-9944927324042612162018-04-16T21:56:00.000+08:002018-04-16T21:56:00.263+08:00A Golden Buzzer Act that Will Make You Cry
Have you watched Marc Spelmann's brilliant act at Britain's Got Talent? A mentalism prediction of multiple outcomes performed in perfection, revealed with a deeply emotional story - it moved the whole audience and the Golden Buzzer was just well-deserved. "Utterly extraordinary (performance)", told by Amanda Holden, which I just couldn't agree more. Beautiful!Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-3553544796316171722018-04-13T23:58:00.000+08:002018-04-13T23:58:35.478+08:00Nephrology Board Exam M'sia
I somehow feel that my Nephrology journey is filled with exams, one after another. After my MRCP and USMLE, I did my SCE Neph exam (UK) in 2012 in preparation to enter the Singapore Renal Fellowship (Senior Residency) program. During the 3-year training, there is annual US in-training exam (ABIM exam in Nephro), and additionally at second year an ACGME-I Graduation Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com3tag:blogger.com,1999:blog-35851869.post-17502117674612065312018-04-03T23:58:00.000+08:002018-04-04T00:02:20.882+08:00A Dermatologist Magicienne
Angela Funovits - a highly impressive magicienne (female magician) that you'll ever see. I wrote about her many years ago that she was a Dean's list medical student and was professionally performing magic. She then completed her Dermatology Residency in Cleveland, Ohio where she served as a Chief Resident. This is her recent appearance on Penn & Teller Fool Us episode - a mentalism act Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com7tag:blogger.com,1999:blog-35851869.post-33400446952221717652018-03-07T22:59:00.000+08:002018-03-07T22:59:07.974+08:00Takumi Takahashi - the "Green" Magic
Takumi Takahashi's magic on "The Amazing Magicians" has shocked thousands of audience with his impressive sleight of hands. He, however, has commented his performance as 'awful' and I believe that he did appear somewhat nervous on stage. You'll understand why if you watch the clip below, on his 'usual level' of performance, and his signature "laser deal":
This is card magic at its Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com4tag:blogger.com,1999:blog-35851869.post-79648345341637434562018-02-27T17:47:00.003+08:002018-02-27T17:47:45.465+08:00Will Tsai the Visualist
I think many of you would have watched Will Tsai's performance on AGT (America's Got Talent) last year. His sensational act has successfully attracted millions of views and also triggered off some heated discussion among magicians' societies, which has been quite controversial since then. Too unreal or unbelievable? I shall not reveal any of the secrets here, but the answer actually Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com2tag:blogger.com,1999:blog-35851869.post-29764235626852340642018-02-25T23:49:00.001+08:002018-02-25T23:49:26.537+08:00Knowledge vs Experience
(Image from cartoonist Hugh Macleod)
This is a great image. What I see in it is - the 'dots' can be anything we learn from textbooks, but the skill of connecting all of them is best learned from Ward Rounds and apprenticeship under our mentors, which the experience and wisdom is irreplaceable.
Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-51209330750234857592018-02-20T20:17:00.000+08:002018-02-20T20:19:35.354+08:00Best of CNY 2018
What's the highlight of this CNY shows? Yes, when Jay Chou meets Will Tsai (a.k.a the Visualist), with an eye-catching performance combining magic and song - Well, enjoy the audio-visual feast!
This song is a blast! By our young and powerful local talents - 陈颖恩×谢少唐×古洁縈, the song is filled with positive energy, and definitely more than just a CNY song! Listen to it and, Dare to Dream!Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-33440512111153311652018-02-12T21:33:00.002+08:002018-02-13T21:20:00.487+08:00A Fairer Evaluation System to HOs
Weeks before I left, I received this warm message from one of the house officers (HOs) from my ward. I am glad that he had a fruitful posting in Nephrology. No, this is not a "self-kembang" post, but more about "HO evaluation" - what is our role, as a senior, when a HO is posted under our supervision?
Just to elaborate more - I'm often asked why am I not "harsh enough" to HOs. In Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com1tag:blogger.com,1999:blog-35851869.post-77438272967814884612018-02-07T23:36:00.000+08:002018-02-07T23:41:16.931+08:00Studying Nephrology - The Resources
Continuing from the previous post on "The guidelines", this post is about some essential and useful resources when you want to study about Nephrology.
ASN (American Society of Nephrology) tops the list. ASN is actively leading the fight against kidney diseases by educating, sharing new knowledge and advancing research. In the website, you can access the learning center and Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-30123624147743063022018-01-23T21:16:00.000+08:002018-01-23T21:16:18.072+08:00Meet the Greatest Mentalist
Lior Suchard - an Israeli mentalist who is known to perform "supernatural entertainment". This is one of his signature shows which he did impromptu mind-reading effortlessly and successfully mass-influenced the audience to have the same thought - and he'd tell you how he did it in the end! Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com1tag:blogger.com,1999:blog-35851869.post-29100587704760321102018-01-17T23:44:00.000+08:002018-01-17T23:44:40.807+08:00Yif Magic
Yif is not new - he became a YouTube sensation years ago. His magic is very controversial and gathered compliments as well as criticism, both to the quite extreme. But I must say that his magic is creative and artistic, and truly leaves you with a sense of wonder. This is my favourite of his effects so far - the coin transposition to cup (you can watch from 5:40). Some might say the audience Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com0tag:blogger.com,1999:blog-35851869.post-51489555255488298612018-01-08T21:46:00.000+08:002018-01-08T21:54:38.013+08:00Nephrology Updates in 2017?Yes this post title is obviously over-ambitious.
For a much more informative version and with Visual abstracts please visit Neph JC on their "Top Nephro Stories of 2017".
Just to share a few updates that are particularly insightful in our clinical practice:
1. Two trials of Levosimendan - LEVO CTS and CHEETAH, (sadly) showed that its use in cardiac surgery did not reduce Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com4tag:blogger.com,1999:blog-35851869.post-21742696191363069572017-12-24T09:47:00.001+08:002017-12-24T09:47:54.824+08:00The Magical Christmas!
It's year end again! Hope you had a great 2017, all the negativity and difficulties will end now and next year is a brand new beginning.
If talking about "Christmas Magic", this vid by Zach King has to be shared, and in my opinion still the best thus far. He is known as the "Digital Magician" - click and see what he can do with his "digital sleight of hand"!
Merry Christmas, Happy Holidays Darrenmagichttp://www.blogger.com/profile/01014680472605784175noreply@blogger.com1