Radiological Modalities

Hah!.. hari yg boring.. Christmas yg boring.. already two days attached to the radiology department. Feel like been into the dungeon. I'm tagged to the Angio Room..diz room is for the angiography procedure. Among the procedures done are fistuloplasty, image-guided stenting, ultrasound guided pleural tap, ultrasound guided biopsies, radiofrequency ablation (RFA).. and a lot more.

The fistuloplasty is actually to fix or repair the arteriovenous fistula in patient who their AVF was blocked due to thrombosis. This image-guided procedure done after the patient had sedated wif midazolam and fentanyl. It requires the administration of radiocontrast medium to see the blockage and after that a stent will be inserted to dilate back the fistula. There will be certain condition that will cause failure in this procedure such as vasospasm (due to irritation by the probe), and the blockade located not in the fistula but in the main branch of the blood vessels (usually the vein). If this procedure fails to repair the AVF, surgical intervention has to be carried out to create another fistula and by the mean time, patient will undergo haemodialisis via internal jugular vein catheter until the new fistula mature.

for RFA, this procedure is carried out as intervention to treat cancer cell usually in hepatocellular carcinoma. In this procedure, a needle will be inserted to the location of tumour cell ( via image guided ultrasound ). Then the cancer cell was killed by radiofrequencies or heat. One cycle will takes about 12 minutes. The heat will killed the lesion around 2-3 cm in diameters. However, if the lesion is too big, 99.7% ethanol will be administered to kill the peripheral area around the lesion.

I can't believe it, they did it in Selayang!.. and that the advance of today's medicine!

Non-academically,... today i planned for outing to KLCC.. movies maybe.. or jalan2 cari makan.. as usual, alone... Lame!.. ajak my several colleagues from UiTM, but they have usrah in Titiwangsa.. nak join.. tp tak ngam dgn geng usrah depa lak.. and ada some of them doctors in Selayang jugak.. kang dengan kehadiran anak pengarah ini takut lak depa nak mengutarakan isu2 semasa or ketidakpuashatian... huhu.. so.. go for movie!