Maklumat Pesakit

Intensive Care Services

The department provides intensive care expertise for the hospital and manages the ICU with two consultants and a team of four doctors in specialty training. The intensive care team also provides ventilatory support services for the neurosurgical intensive care unit (NSICU) and the cardiothoracic intensive care unit ( CICU).

Acute_Pain

A 24-hour acute pain service (APS) for the relief of pain in the post surgical patient is available with a consultant and a trained nurse. The management of post operative pain is multi modal and there are up- to- date pain control techniques available for the patients.

Chronic Pain Clinic

The consultant in pain management runs a multidisciplinary Chronic Pain Clinic to provide care of the patient with chronic pain in collaboration with other specialist units such as rehabilitation and psychological medicine.

Anaesthetic

Clinical anaesthetic services in :

• general surgery
• orthopaedic surgery
• neurosurgery
• paediatric surgery
• plastic surgery
• trauma surgery
• faciomaxillary surgery
• dental surgery
• plastic surgery
• cardiac surgery
• gynaecology
• obstetrics

View Clinicians CV : Click here
Visit Department of Anaesthesiology website: Click here

• COMPUTED TOMOGRAPHY
• INTERVENTIONAL ANGIOGRAPHY
• INTERVENTIONAL CARDIAC
• IVU & ESWL
• MAMMOGRAPHY
• MOBILE RADIOGRAPHY
• MRI
• FLUOROSCOPY
• GENERAL X-RAY
• NUCLEAR MEDICINE
• OPERATION THEATRE
• RADIOTHERAPY
• TRAUMA & EMERGENCY
• ULTRASOUND
• Out Source Service
  • DENTAL
  • UMSC
• RIS/ PACS room

Leaflet for Services in Biomedical Imaging

Bahasa Malaysia

1. ANGIOGRAM
2. TOMOGRAFI BERKOMPUTER(CT SCAN)
3. FLOUROSKOPI (BARIUM ENIMA)
4. FLOUROSKOPI (UMUM)
5. HYSTEROSALPINGOGRAPHY (HSG)
6. INTRAVENA UROGRAFI (IVU)
7. MAMMOGRAFI
8. PENGIMEJAN MAGNETIK RESONANS (MRI)
9. ULTRASOUND

Medical Imaging Services:

Angiography

This examination is to obtain images of the blood vessels by injecting contrast medium into them via a catheter placed into the artery.

Procedure venue : Room B3, Angiography DSA.Bio-Medical Imaging Department.

Examination total duration : 1-2 hours.

Preparations :-

1. Letter of consent from patient should be signed. Consent for contrast injection will be signed by the radiologist after a brief explanation.
2. Take light meal: One slice of bread + gem, coffee/tea on the day of the examination.Diabetic patients should take the appropriate medicine after the procedure.
3. Patients who are asthmatic or with allergies will need to inform the radiologist or radiographer.
4. Woman patients: The examination will be done on the 10th day of period circle except sterile or patient who taken birth control pills.
5. Paediatric patients: The doctor from the wards have to consult with the radiologist first regarding:
   1. Sedation
   2. General Anaesthesia or Pre-medication
6. Wards Doctor should Informed the Radiologist if the patient has transmitted disease such as AIDS, Hepatitis, Sexually Transmitted Disease and Blood Transmission disease.
7. Intravenous tube should be placed to the patients before the examination.
8. All previous X-ray films and case notes should be bring along.

Barium Enima

• Barium is a contrast medium that is use to evaluates the colon or large bowel. Besides fasting overnight, the patient also needs to undergo bowel preparation by using oral laxative.
• A rectal tube is to be inserted via the anal orifice and barium is run in. The radiologist will give an injection into a hand vein to relax the bowels. Patient with irregular heart rhythms, acute urinary retention or glaucoma are to inform the radiologist fro an alternative drug.

Procedure venue: - Room B1, Bio-Medical Imaging Department.
Examination total duration: - 1 - 2 hours

Preparation:-

2 days before examination, patient shouldnt be allowed to eat vegetables/ fruits or milk.

• First day
  2 tablets of Dulcolax and a glass of water should be taken before breakfast.
  Breakfast: 2 slice of white bread + jam + coffee or tea.
  Lunch/Dinner: Porridge + fish/ minced meat.
• Second day
  Breakfast : 2 slice of white bread + jam + coffee or tea.
  Lunch/Dinner: Porridge + fish/ minced meat.
  Last meal at 4 pm : Porridge only.
  6 pm: Drink a bottle of COLONIC LARVAGE SOLUTION
  7 pm: Drink a bottle of COLONIC LARVAGE SOLUTION
  Drink a lot of water /tea or coffee during this time.

Examination day

• Breakfast: drink only tea or coffee.
• For Diabetic patient they should take their diabetic medicine after examination.

After examination patient is allowed to eat as normal. To avoid constipation drink a lot of water.

Computed Tomography (CT)

COMPUTED TOMOGRAPHY (CT)

• Tomograpahy is the visualisation of the human anatomy in sections which serves to eliminate body tissues in sections which
  serves to eliminate body tissues outside the layer of interest without the need for surgery. Computed tomography or CT, as it is commonly known, is an advanced radiological examination which using ionising radiation and the wizardry of computers to produce transverse images of a particular segment of the body.
• CT is done with or without contrast agents. Contrast agents are needed to enhance visualisation of certain organs of interest. They maybe introduced orally by ingestion, injected through a vein or artery, or through the rectum if the need arises. For woman that has been married before, a tampon will be inserted into the vagina.
• The examination is painless and perfectly safe. The patient should relax and follow to the instructions of the radiographer.

Examination total duration : - 20-60 min.

Preparation:

• Take light meal : One slice of bread + gem, coffee/tea on the day of the examination.
• Give consent for contrast injection.
• Patients who are asthmatic or with allergies will need to inform the radiologist or radiographer.
• Pregnant patients should best avoid this examination unless advised otherwise by the attending doctor or radiologist.
• Woman patients : The examination will be done on the 10th day of period circle except
• Paediatric patients : The doctor from the wards have to consult with the radiologist first

• Sedation
• Intravenous tube must be prepared at the wards.
• Oral contrast has been given at the wards.
• The children guardian should bring food/milk to give to the child after the procedure

• CT examination for abdomen:
  • Patients should be fasting 4 hours before the examination.
  • Oral contrast will be given 1 hour before the examination.
  • Mixed contrast will be inserted into the rectal
• Wards patients : Intravenous tube should be placed to the patients before the examination. All previous X-ray films and case notes should be bring along.

Intravenous Urography (IVU)

• This investigation is indicates in patient with problems related to the urinary, uterus and bladder (urinary system). An IVU is an appropriate examination for investigation of blood in the urine (haematuria) or loin pain in patient with kidney stones.
• The preparation required depends on the situation. The patient will need to fast overnight and undergo bowel preparation by giving the patient a cleansing agent.
• The radiologist will inject a contras medium and a compression band is placed over the lower abdomen to demonstrate the kidney better.
• The patient is required to empty the bladder and another radiograph will be taken.

Procedure venue: Room B6, Bio-Medical Imaging Department

Examination total duration: 2-3 hours

Preparation:-

• Only a low residue and fat can be eaten. Avoid from taking meat, bean, vegetable, fruits or milk, 2 days before examination.
• Take 2 tablets of Dulcolax.
• Patient are advised to take only a light meal: 1 slice of bread + jam + coffee or tea on the examination day.
• Give consent for contras injection.
• Patients who are asthmatic or with allergies will need to inform the radiologist or radiographer.
• Woman patients: The examination will be done on the 10th day of period circle except sterile or patient who taken birth control pills.
• Pediatric patients: The doctor from the wards have to consult with the radiologist first regarding:
  • Sedation
  • The children guardian should bring food/milk to give to the child after the procedure.
• Diabetic patient shouldnt take any diabetic medicine 2 days before the examination and are advised to drink a lot of water.

After treatment

Patient can eat as normal after the examination are advised to drink a lot of water.

MAMMOGRAPHY

• Mammogram is a special X-ray image of the breast. It is the most effective, non-invasive and the best way to detect early breast cancer especially when it is too small to be felt.
• Mammography is not painful but uncomfortable because each breast is gently squeezed and flattened by a special device when the X-ray image is taken.
• Guidelines for asymptomatic patient:
  • 30 to 40 age : baseline mammogram
  • 40 to 49 age : mammograms at once or two year intervals.
  • 50 and above : annual mammograms.
• No special preparation is required for a mammogram. However, it is advisable to wear separate (2 piece garment) and not to use deodorant, talcum powder or perfume which may cause artifacts on the X-ray film

MAGNETIC RESONANCE IMAGING (MRI)

• This is a relatively new and special examination of the human body, which uses electromagnetic waves and sophisticated computers to produce images of the internal organs of the body. For this to be possible, the patient will be placed within the bore of a large magnet, which produces a magnetic field several thousand times stronger than that of the earth. Radiowaves are used to produce images of the internal structure of the body. This is an excellent non-invasive way of looking into the human body without the need for needles, catheters or operations. The structure and function of the heart can also be assessed. The radiologist to look for evidence of disease will view the images that are obtained.
• Majority of patients can undergo an MRI scan. It is safe for women who are more than four months pregnant to undergo this examination with their doctor and the radiologist who will be supervising the examination. Patients weighing more than 140 kg cannot be scanned. MRI can cause serious injury and even death in those with metal embedded in their bodies. Patients with the following objects inside the body generally cannot undergo an MRI examination:
  • Pacemaker
  • Aneurysm clips
  • Shrapnel
  • Metallic implants
  • Metallic foreign bodies
  • Vascular coils and filters
  • Surgical staples
  • Heart valves
• It is very important for the patient to lie during the examination. There is no radiation involved and there is no known risk to children or adults. Generally, there are no side effects from the examination.

Examination total duration: 30-90 min depending on the part of the body being examined.

Preparations:-

• Depending on which part of the body is to be examined, the patient may be required not to drink or eat for at least six hours before the examination.
• At the time of examination, female patients should not use any facial make-up as this may interfere with the image.
• The patient will have to change into a hospital gown and remove all removable metallic objects (eg jewellery, belt, buckles, pins etc) before entering the MR scan room.

ULTRASONOGRAPHY

• Method that are used to look a various organs of the body ranging from the brain, heart, organs within the abdomen and pelvis, blood vessels, joints and breast.
• Gel (not toxic) is applied on the ultrasound probe and the probe will be moved on the skin surface over the organ of interest.
• During examination, doctor may exert some pressure with the probe on the skin surface in order to see certain structure better.

Examination total duration: 20-60 minutes

Preparations:-

• For abdomen examination (stomach, gall bladder, lymph and pancreas), patient should be fasting at least 4 hours before the procedure. Only plain water should be given. A diabetic patient can only take their medicine after the examination.
• For reproductive organ examination (uterus, ovary and gall bladder), patient needs to drink a lot of water while examinations are proceed. Patient should have a full bladder.
• Other examination such as kidneys, urethra, testis, thyroid gland and musculoskeletal patient didnt need to fast or dink a lot of water.
• Pediatric patients: didnt need to fast unless patient undergoes gall bladder examination.
• The children guardian should bring milk to consent the child while the procedure is proceeding. Doctor from the ward should discuss with the radiologist about sedation

View Clinicians CV : Click here
Visit Department of Biomedical Imaging website : Click here

PAEDIATRIC CARDIOLOGY UNIT services:

Referral centre for paediatric patients with heart diseases which includes adolescences and adults with congenital heart disease.

PAEDIATRIC COMMUNITY UNIT services:

1. Diagnosis, assessment and management of children with the following problems:
   • Developmental delay
   • Suspected disability
   • Learning difficulties
   • Socially disadvantaged
2. Referral of children with the above problems for appropriate therapy and suitable school placement, assistance with finding resources for social support
3. Coordination of care of children with chronic disability requiring multidisciplinary input, within the hospital, between hospitals and other community-based agencies.
4. Evaluation and management of children in need of protection
   • Children suspected to be victims of abuse or at risk of abuse
   • Abandoned children
   • Children in difficult or dangerous circumstances
5. Clinical services
   • Weekly combined paediatric rehabilitation clinics on Thursday morning
   • Weekly developmental clinic run concurrently on Thursday mornings
   • Weekly community paediatric clinic on Wednesday mornings
   • Inpatient consultation

PAEDIATRIC ENDOCRINOLOGY UNIT services:

1. Detection, investigation, treatment and management of children with hormonal disorders that effect growth, sexual and pubertal development, glucose, salt, water and calcium balance.
2. Clinical and basic science research on these disorders.
3. Counselling and support to children and families with Turner syndrome, Congenital adrenal hyperplasia, Diabetes and survivors of childhood cancers with hormonal problems.

PAEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION UNIT services:

Management of children with intestinal, liver and nutritional disorders.

PAEDIATRIC GENETIC UNIT services:

1. To serve as a referral centre for clinical genetics and metabolic medicine in Malaysia
2. To provide diagnostic and management services for patients with genetic, metabolic and dysmorphological conditions
3. To provide genetic counselling for in-patients and out-patients with inherited conditions by qualified personnel in genetic counselling
4. To provide education and suitable training in clinical genetics, metabolic medicine and genetic counselling for relevant diploma, undergraduate and postgraduate students as well as paramedical and specialist medical staff
5. To increase public awareness of medical genetics and related ethical, legal and social issues
6. To promote methods of prevention of birth defects and inherited conditions in the population to the general public and medical professionals
7. To perform research in clinical genetics and metabolic medicine
8. To provide guidance to lay patients and parents advocacy & support groups
9. To collaborate with local and international research institutions, centres and professional societies in the field of clinical genetics and metabolic medicine.

PAEDIATRIC HAEMATOLOGY/ONCOLOGY & HAEMATOPOIETIC STEM CELL TRANSPLANTATION UNIT

1. A referral centre for comprehensive management of paediatric oncology and haematology patients.
2. Transfusion daycare centre for thalassaemia patients
3. To provide haematopoietic stem cell transplantation services to paediatric patients.

PAEDIATRIC INFECTIOUS DISEASE UNIT services:

1. To provide clinical services for paediatric patients with infectious diseases
2. To teach and train postgraduate candidates in the field of infectious diseases
3. To improve research in the field of infectious diseases, whether in University Malaya Medical Centre or in collaboration with other centres.
4. To advice Infectious Disease Control unit to implement infectious control policies in University Malaya Medical Centre

PAEDIATRIC INTENSIVE CARE UNIT services:

The Paed Int Care Unit has the following facilities. 11 ventilators, 6 BiPAP, 2 high frequency oscillation ventilator and 1 inhaled nitric oxide unit.

PAEDIATRIC RESPIRATORY UNIT services:

1. To provide clinical services for paediatric patients with respiratory diseases.
2. To provide follow up management for paediatric patients with chronic respiratory diseases.
3. A tertiary referral centre for paediatric respiratory patients.

View Clinicians CV : Click here
Visit Department of Paediatric : Click here

Allergy and Immunotherapy Centre [Open in 2006]

This would be a one stop centre for allergy diseases whereby allergy testing, counseling and therapy would be conducted. Patients would be referred from ENT, Paedriatrics, Dermatology and Respiratory Units for the above services. This centre is co-ordinated by Dr Kuljit Singh and managed by S/N Siti Fatimah who had been trained at National University Singapore

Audiology Unit

Audiology Unit of the department of Otorhinolarngology, University Malaya Medical centre provides comprehensive Diagnostic and Rehabilitative Audiological services to diverse in-patient and out-patient population ranging in age from babies to geriatrics.

Services include:

1. Full Audiological evaluation
2. Auditory Brainstem Response testing
3. Otoacoustic Emission testing
4. Hearing aid evaluation
5. Cochlear implant services
6. Counselling related to hearing disorders and tinnitus

As part of academic medical instituition the unit also provides teaching programme for Audiometrician training, medical undergraduate, nursing students and other medical doctors during their attachment period in Audiology unit

Balance Centre

This centre investigates and treat patients with vestibular disorders. Patients are refered from the ENT clinic or other clinics throughout the hospital. It has a Computerised Dynamic Posturography which is one of its kind in the country.

Bone Anchored Hearing Aid unit

Patients selected for this procedure are explained on its mechanism and outcomes. Clinical audiology reviews are done by the audiologist before the BAHA is performed.

Cochlear Implant unit

This unit is led by Dr Kuljit Singh and all patients are referred to him for review. After this process, potential patients would be then investigated by the Clinical Audiologist; Mrs Vanaja. The entire process would take about 3 months for implantation and then all patients are scheduled for follow-ups.

Laryngology and Voice Disorders Unit

This specialize unit offers a comprehensive care with regards to management of voice with team comprising the otolaryngologist, speech language pathologist and neurologist. Assessment by rigid and flexible endoscopy, digital recordings, and laryngovideostoboscopy entails the state of the art facilities of laryngeal visualization and vocal cords assessment. Common disorders like vocal folds lesions, vocal nodules, cysts, polyps, laryngopharyngeal reflux are amongst the cases menaged by this unit.
Pre-operative and post-operative assessment as well and post-total laryngectomy voice rehabilitation were also conducted.

Speech Language Therapy Unit

1. To assess and diagnose individuals with communication disorders.
2. To provide Speech and Language therapy services based on the assessment and diagnoses.
3. To counsel and guide patients and family members regarding therapy methods/procedures in order to facilitate effective communication, as well as provide necessary information and referrals to other support services as needed.
4. To brief medical students and student nurses regarding the field of speech language pathology.
5. To provide workshops and training sessions to parents and teachers, as well as to educate the public regarding therapy services.
6. To engage in statistical research relating to various communication disorders.

View Clinicians CV : Click here.
Visit Department of Otorhinolaryngology website : Click here.

View Clinicians CV : Click here
Visit Department of Medicine website : Click here

Services

Overall, Ptj Dietetic involve in five aspects of service:-

1. Clinical Services
2. Non-Clinical services
3. Teaching & Training
4. Research

Clinical Services:

Services are provided by PTj Dietetik in Medical Nutrition Therapy to in-patient and out-patient with specialization in various areas. Medical nutrition therapy is a compilation of processes which include assesment of nutrition status, nutrition diagnostics, planning, intervention and evaluation of therapy outcomes. Ultimately a good medical nutrition therapy will assist in patients treatment and in avoiding diseases and reducing complication.

A. In-Patient Service:

Services to in-patient are divided into the following disciplines :

• Surgery
• Critical care
• Endocrine
• Renal
• Cardiology
• Oncology
• Pediatric
• Geriatric

Dietitians also participate in the team management approach in patient care. 83% of the patients seen by the dietitian are referred patients. Another 17% are the patient that has been screened by dietitian him/herself.

B. Out-Patient services:

Services are provided by dietitian in the following clinic:

1. Primary Care Clinic
2. Diabetes Clinic
3. Renal Clinic
4. Pediatric Clinic
5. Ante-natal Clinic
6. Oncology clinic

a) Primary Care Dietary Clinic

This clinic operates on weekdays between 8.30 am - 4.30 pm. Most patient are referred from Primary Care Clinic. There were also patients whom are referred from Medical, Antenatal, Rehabilitation, Staff Health, Gynecology and others instances where the dietitian may not be available on the specific clinic on that specified date.

b) Out-patient Medical Clinic

Dietitians are placed at the out-patient clinic on certain days as followed:

• Renal Clinic - Monday
• Diabetes Type I Clinic - Thursday
• Diabetes Type II Clinic - Wednesday and Thursday
• Ante-Natal Clinic - Wednesday and Friday
• Pediatric clinic - Every working day
• Oncology Clinic - Wednesday and Thursday

Non-Clinical Services:

We provide and supply enteral feeding and infant formula for in-patient. Supervision of food services provided by the catering contractor is also done by our department.

Enteral Feeding and Baby Formula supply service

Supply of enteral feeding and baby formulas is prepared at Enteral feeding and Baby Formula Supply Unit also known as Milk Kitchen

1. Enteral Feeding :
   • Enteral feeding includes liquid nutrition supplement or complete liquid nutrition that will be given by oral or via tube into the gastrointestinal system.
   • Products supplied for enteral feeding are classified as follows:
     • Standard formulas
     • Elemental formulas
     • Modular formulas
     • Disease specific formulas
2. Baby Formula preparation and supply
   • Baby Formula supplied are with doctor prescription and there are five categories of formula supplied:
     • Infant formulas
     • Preterm formulas
     • Follow-on formulas
     • Metabolic formulas
     • Specialized formulas for certain diseases

Food Service Supervision

Food services to patients, students, hospital staffs and public are privatised since 1998. Dietetic department is responsible in monitoring the quality of services provided. Quality are being monitored via continuous random testing, survey, complaints and feedback from clients.

Teaching and Training :

* Provide teaching, talks, courses and services and attachment in dietetic & nutrition field to university students, nursing, PPUM staffs, Ministry of Health, and others government and private agencies student.

* Teaching and training activities includes:

1. Universiti Malaya Medical Student
   • Diet in Diabetes
   • Diet in Renal Disease
   • Nutrition Support (Enteral Nutrition)
   • Tutorial (1 hour) phase IIIB student at Primary Care Clinic every 6 weeks.
   • Attachment of phase IIIB student at Primary Care Diet Clinic 4 hours every month.
2. Universiti Malaya Post-Graduate Master Programme
   • Nutrition Intervention in Children.
   • Enteral Nutrition in ICU.
3. UMMC Diploma in Nursing student
   • Nutrition for cardiovascular patient.
   • Nutrition for renal patient
   • Nutrition for diabetes patient
   • Enteral feeding
   • Orientation in baby formula preparation for pediatric posting (4th semester).
4. Post graduate Diploma of Nursing
   • Enteral Nutrition in Critically ill.
   • Nutritional needs of trauma patients
   • Nutritional needs of cancer patients
5. 1 day Nutrition Support Course for Medical Officers and nurses every 2 months.
6. U.K.M Dietetic Students:
   • 1 Month clinical attachment training to final year dietetic students.
7. Industrial training
   • Industrial Training attachment of nutrition & food services for public universities students.

O&G services:

Feto-Maternal

Similarly, in the area of obstetrics ultrasound and feto-maternal medicine, there is a dequate clinical material and expertise to provide for subspeciality traning for this field for the country. Training locally would be more relevant to the disease conditions prevalent here, than sending the candidates to a foreign country at high expense.

Gynaecology Oncology

This centre has laso been known internationally for the care and treatment given to patients with gynaecological cancer. The result of treatment achieved are comparable to those of reputable centres overseas. The expertise and clinical material available can be further utilised to train others in the subspecialty of gynaecologic oncology locally, particularly now as the current economic situation maked training in an overseas centres expensive.

Reproductive Endocrinology & Subfertility

This area has been recently undertaken with current accepted treatment modalities. The demand has far exceeded our expectations and thus, there is as yet an untapped wealth of research and knowledge to be obtained.

View Clinicians CV : Click here
Visit Department of Obstetric and Cynaecology website : Click here

The following Services are provided to the public on an out- patient basis.

Service hours

i) Clinic/Consultation

• New referrals
• Combined clinic sessions (Breast Combine Clinic on Tuesdays and Head and Neck CombineClinic on Thurdays)
• Treatment review
• Follow up
• Managing follow-up combine cases with Hospis Malaysia

ii) Radiotherapy

• Simulation
  Done with Varians Ximatron (x-ray simulator)and orAcQSim (CT simulation - 3D planning)for radiotherapy planning purposes.
• Computerized Treatment Planning
  Radiotherapy planning is done with CadPlan, while brachytherapy planning is done with Plato. CadPlan and Plato are softwares that provide the ease in computerized planning.
• External beam radiation
  Single and dual energy Varians Linear Accelerator are available to deliver the appropriate x-ray or electron beam therapy. The dual energy linear accelerator is equipped with 40 leaves Multi-Leaf Collimator (MLC) as well as Portal Imaging facilities.

iii) Chemotherapy Day Care Centre Service

Chemotherapy is conducted by trained staff. Blood test will be done before and after chemotherapy treatment. Treatment cycles are given according to fixed schedules. Patients come on an out-patient basis. Methods of chemotherapy administration are via intravenal, chemoport, and peripherally-inserted central catheter (PICC). Only intravenal chemo delivery is done in our day care centre. Counselling and health education will be given to all patients undergoing chemotherapy.

2. Education : Training programs/ courses are offered to local and foreign students. Post Graduate Program in Clinical Oncology is offered to the doctors. The staff of this unit are involved in the Diploma/ Advanced Diploma/ Degree Programs forNurses, Therapy Radiographers and Physic students.

Apart from that, the staff are also involved in educating patients about their treatment management, treatment side-effects, and psychosocial support. A dietitian also makes a regular visit to the department to have a one-to-one session with patients regarding their dietary intake.

3. Research : Both clinical or non- clinical researches pertaining to cancer/ cancer treatment and care are carried out by the unit staff / students.

• - Brachytherapy
  This procedure includes the applicator insertion in our Operation Theatre and the delivery of radiation in the brachytherapy ward, using Cesium-136 as the radioactive source. Most brachytherapy LDR cases done here are of gynaecological nature.
• Low Dose Rate (LDR)

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Arthroplasty Unit
This conducts arthroplasty surgery service as well as related search. Complex revision surgery is also performed on a regular basis.

Orthopaedics Oncology Unit
This unit manages benign as well as malignant Orthopaedic tumors from excision to reconstruction and the adjuvant therapy.

Orthopaedic Sport Unit
This unit manages knee and shoulder sports injuries surgical management includes the latest arthroscopy and arthroscopic assisted surgery, current concepts in post operative care.

Paediatric Orthopaedic and Limb Lengthening and Reconstructive Surgery(LLRS) Unit
This unit carries out complex reconstruction and lengthening of limbs due to various pathologies. Management of musculaskletal pathology is carried out regularly.

Spine Surgery Unit
This unit which manages simple to complex spine pathology, including complex spine trauma and scoliosis.

Trauma
This unit deals with a huge load of trauma daily, managing patients from admission, to surgery using the best technologies and ward management to follow up.

View Clinicians CV : Click here.
Visit Orthopeadic Surgery Department : Click here

Triage Counter

It is situated on the ground floor of the Primary Care Medicine building: Counter 1, 2, 3
Screening patients for:

• General Outpatient Clinic (Klinik Am)
• Specialist clinics
• Emergency unit

Registration Counter

It is situated on the ground floor of the Primary Care Medicine building - Counter 4 to10

• Registration for General Outpatient Clinic (Klinik Am)
• Payment collection for visitation and laboratory tests
• Appointment for follow-up

General Outpatient Clinic (Klinik Am)

It is situated on the ground floor of the Primary Care Medicine building, consisting of 15 consultation rooms and 2 treatment rooms. This clinic offers outpatient treatment for new patients, referral cases as well as follow-up (short-term).

Operating hours:
Monday to Friday
8.00 am - 9.00pm (new patients)
2.00pm - 5.00pm (follow-up)
(Closed on Saturday, Sunday and public holidays)

Consultation fee:
RM5.00

Services include consultation for acute and chronic medical problems.

Family Clinic (klinik keluarga)

It is situated at the first floor of the Primary Care Medicine building, consisting of 16 consultation rooms and 1 treatment room. The Family Clinic offers long term outpatient care for patients with chronic diseases and their family members.

Operating hours:
Monday to Friday (except Tuesday afternoon)
8.00 am - 1.00pm (walk-in cases)
2.00pm - 5.00pm (follow-up cases)
(Closed on Saturday, Sunday and public holidays)

Consultation fee:
RM5.00

Staff Health Clinic

It is situated at the first floor of the Primary Care Medicine building. Staff Health Clinic offers:

• Outpatient treatment for UMMC staff and their family members.
• Medical examination for new staff

Physician Clinic

It is situated in the Family Clinic - Consultation Room 16. Physician clinic is run by an assigned physician from the Department of Medicine for referral cases only.

Operating hours:
Monday to Friday (except Thursday)
8.00 am - 1.00pm

Consultation fee:
RM30.00 for first visit
RM15.00 for subsequent visit

KIDDS CLINIC (Child Health and Immunisation Clinic)

It is situated in the Family Clinic - Consultation Room 17. KIDDS clinic services include:

• Child health development assessment
• Immunization
• Health education for diabetic patients including insulin administration technique
• Mantoux Test
• DOTS for patients with tuberculosis

Operating hours:
Monday 2.00pm - 4.00pm
Wednesday 8.00am - 12.30pm
Thursday 8.00am - 12.30pm
Friday 2.00pm - 4.00pm
(Closed on Saturday, Sunday and public holidays)

Home Nursing

It is situated at the first floor of the Primary Care Medicine building. Home Nursing offers home visits to patients with these criteria:

• UMMC patient referred from the wards or clinics
• having difficulty to come to UMMC for treatment or follow-up
• stays within 10km radius from UMMC
• have a family member for supervision of patient

Services provided include:

• Health education to patient and family members
• Emotional support
• Basic nursing care
• Pressure sore prevention
• Blood taking and prescription of medication
• Blood pressure and blood glucose monitoring
• Wound dressing
• Naso-gastric tube/ Continuous bladder catheterization insertion
• Injection for psychiatric patient
• Physiotherapy

Home visit time:
Monday to Friday
9.00am to 1.00pm

Home visit fee:
RM10.00 per visit

Occupational Health Clinic

Occupational Health Clinic is a referral clinic for occupational diseases. It is located in the Family Clinic - Consultation Room 15

Operating hours:
Wednesday and Friday
9.00am to 12.00pm

It is situated at the first floor of the Primary Care Medicine building, consisting of 16 consultation rooms and 1 treatment room. The Family Clinic offers long term outpatient care for patients with chronic diseases and their family members.

View Clinicians CV : Click here
Visit Department of Primary Care Medicine website : Click here

Services provided including treating all kind of psychiatric conditions. These include depression, sleep disorders, functional pain disorders, anxiety disorders, child and adolescent disorders, adjustment disorders, geriatric disorders and drug addictions. Through UMCced this department are also conducting certificate course in Addiction, stress management, rehabilitation psychiatry and child and adolescent psychiatry. All these courses are not only meant for health workers but for NGOs, government officers, employers, managers and teachers.

1. General psychiatric services
2. Addiction psychiatric
3. Job placement therapy and Rehabilitation for chronic mental illness
4. Child and adolescent psychiatric.

List of Units:

• Psychiatric clinics (E Clinic)
• Private psychiatry clinic (UMCS Clinic)
• Psychiatry ward: Male and female wards (3TE wards)
• Private psychiatry wards (UMSC Wards)
• Psychiatry Adolescent and Child Unit (PAC Unit)
• Day care and rehabilitation psychiatry (Day Care Centre)
• Psychiatry research centre

View Clinicians CV : Click here
Visit Department of Psychological Medicine website : Click here

WHO WE ARE

The Psychiatry Adolescent & Child Unit (PAC Unit) was established in December 1999 as part of expanding services offered by the Department of Psychological Medicine. The Department of Psychological Medicine has been in operation since 1965 focusing more on adult mental health.

The PAC Unit is a specialized mental health service for children 18 years old and below, who have difficulties n their academic, emotions, behavior and/or relationship with others. Children and their families can seek help by self-referrals or referrals made by other family members, teachers or doctors via telephone, letter or e-mail.

VISION

The unit hopes to incorporate efforts in reducing and treating children with mental health difficulties, promote better understanding of mental in children and to reduce the stigma associated with it.

MISSION

• Clinical
  • To provide quality psychiatric care to the client and their family with appropriate and clinically proven and safe treatment methods.
• Education
  • To promote and educate the community about common childhood disorders.
  • To train other interested parties
• Research
  • To conduct and participate in research applicable to the practice of Child and Adolescent Psychiatry

WHAT WE DO

We offer services on assessment, treatment and support.

ASSESSMENT

• Assessment of children with emotional, behavioral, speech, language or learning difficulties
• Assessment and treatment of children with hyperactive behavior and other behavioral difficulties (e.g. unable to listen and cooperate with others and /or emotional symptoms (depress, irritable, anxious, fear of things or situations).
• Assessment and treatment of children with odd behavior or thoughts (psychotic).

TREATMENT & SUPPORT
Our treatment and support are for the children and parents. This includes:

• Individual therapy
• Group therapy
• Social skills group
• Sensory-motor program
• Parents support group
• Medication

REPORT: WORKSHOP WITH SCHOOL COUNSELORS
(prepared by En. Abdullah bin Anuar & Pn. Norhaniza bt. Idris, Psychology Officer, Psychiatry Adolescent & Child Unit (PAC Unit), UMMC)

The PAC Unit also has been working closely with Wilayah Persekutuan Education and especially Selangor Education Department since year 2000 through workshops, seminars and meetings with the education officers, teachers, school counselor, students and parents. Our aim is to promote awareness of mental health especially among children and adolescents.

In Year 2015, we had a series of workshops where we work closely with the school counselors in primary and secondary school focusing in Daerah Petaling Utama. We discussed on childhood psychiatric disorders and how they can help the children in school.

The workshop with the school counselors were held on the following dates:

• 27th March 2015 with 22 participants
• 24th April 2015 with 18 participants
• 26th June 2015 with 19 participants
• 31st July 2015 with 14 participants,
• 28th August 2015 with 15 participants and
• 2nd October 2015 with 20 participants in attendance.

Each workshop took about approximately 3 ½ hours (9 am to 12:30 pm). Prof. Aili led the workshop and assisted by Dr. Manveen Kaur, Encik Abdullah Anuar and Puan Norhaniza Idris. Prof. Subash assisted in the first workshop. The occupational therapist attached to the unit, too attended these workshops.

During the sessions, cases seen by the school counselors were discussed. The cases brought up for discussion where mainly students seen by the counselors in their school. The cases include:

• Students with school difficulties
• Students with difficulties attending school
• Students with behavioral difficulties e.g. abused, bullied, bullies, and even several cases of pregnancies.

The counselors were noted to be very responsive and attentive in the discussions. As stated above they brought in a variety of cases as they felt it was difficult for them to manage the cases initially or they were unsure of what they were seeing. As the weeks went by, the PAC staffs noticed there was a significant improvement in understating and handling of the cases by the counselors. They were more relaxed, enthusiastic and most importantly, they could understand in depth about what cases they were seeing, handling and consulted about. They seemed to be able to put into practice the knowledge and skills they have learned from the group discussions. The PAC staffs could see the counselors were more attentive, receptive, and empathetic in the student cases they were managing. More importantly, their growth and confidence were significantly noted. They felt empowered and rejuvenated. We could see that in many of the participants, they wanted to understand their clients more instead of just intervening. They felt more confident of themselves and this was noted in their presentation and understanding of the students they were handling.

During the last workshop (2nd October 2015), to the surprise of the PAC Unit staffs, the school counselors initiated their own plan to carry out smaller group discussions with their colleagues. The counselors were to become the main facilitators with them leading the small group discussions. Additionally the participants were teachers having mental health difficulties and unable to cope with work. They came back and reported to the main group, the suggested workshop went well, with the trained counselors feeling confident enough and definitely excited.

As our participants were feeling empowered with their new skills and abilities, it was agreed to continue the workshop next year. They felt they needed the regular supervision as the sessions:

• Gave them greater self-awareness including changing their beliefs about mental health and mental ill-health
• Gave them insight to understanding of their clients
• Increased their acceptance and appreciation of oneself and others
• Increased their understanding of others, including why they act or behave as such and how they can approach their clients and colleagues in a different manner.

The dates of next years sessions are to be confirmed.

We would like to thank the Malaysian Psychiatry Association (MPA) for helping with the funding of this community project.
Attached is the report by the Pejabat Pendidikan Daerah Petaling Utama and the participants. (View Report)

HOW TO GET AN APPOINTMENT

Parents may obtain a clinic appointment directly through self-referral by phone, email or fax. Parents are requested to speak to Puan Zarina or Puan Janah who are trained and qualified nurses. They will take down some details including name, age of child and why the child needs to be seen at the unit; parents contact details will also be required. Parents can request for Referral Form and then forward it to the unit via mail, email or fax. This form is preferably for those who live in Klang Valley. Those who live outside of Klang Valley, please contact us so that we can provide the address of nearest service to your area.

Clients who are in school going age and having severe difficulties at home or school are given priority. The other clients will be given appointments on a date being available basis. The nurses will call the parents at least a week prior to the appointment time. Parents are requested to reach the unit at least 30 minutes (for new patients) prior to the appointment time to register their child. In addition, new clients should bring the copies of previous evaluations and/or testing, as well as pertinent school or medical record.

Parents / guardians are requested to be on time as being late for appointments means losing valuable clinical time. Follow-up patients should arrive 15 minutes prior to their scheduled appointment time.

Click here for Referral Form

Waiting time for new appointments

Due to the large number of referrals, our waiting time for new appointments is minimum twenty-four weeks onwards. Urgent cases (e.g. severely depressed, uncontrolled behavior or self-harm) can be seen at the Psychiatry Walk-in clinic (D clinic), Ground Floor of Kompleks Perubatan Psikologi or the Trauma and Emergency Centre. After being seen by the psychiatric Medical Officer, the cases will be discussed with the clinicians or referred to the PAC Unit.

WHAT TO EXPECT DURING ASSESSMENT APPOINTMENT

Assessment procedure
Clients are seen by appointments only. During the initial assessment, the client is seen preferably with their parents or guardian(s) / next of kin. The assessment is conducted by one or more clinical staffs and each assessment/ session can last between 30-60 minutes. During the assessment, clients and their family would be asked questions pertaining to why have they come or asked to come for the assessment. The clinicians will explore what possible contributory, aggravating or precipitating factors that could play a role in the presenting complaints. Childhood and family history would also be asked about; including the history of family origin. Children may be seen together and/or separately from their parents. Feedback regarding the presenting problems and management plans will be discussed with the family at the end of the session. The assessment and treatment are confidential and individualized to the specific client and their difficulties. In some cases, the school or any other relevant authorities/ persons will be contacted to help the team assess the difficulties and manage each client.

Some clients may need to undergo further assessment e.g. intelligence test or examination by another clinician in a similar or different unit. Follow-up sessions at the unit will be arranged if required. The follow-up sessions will last for about 30 - 60 minutes depending on the type of difficulties and therapy offered.

Clients and their family are required to be punctual for the appointments and to inform the unit if they are unable to keep their appointment. A unit staff will call the family if the clinician is called away sick or have other duties, another appointment date will then be given. Clients, who have missed their appointment and want to be seen again, will be rescheduled on the next available date.

Services fee

The service is free for all government school students, thus a letter from the school is required to show the schooling status of the child. For other non-government school going children who are Malaysian, a minimal fee of RM30/- for consultation and RM10/- for therapy is charged. These charges do not include the cost of medication.
Documents required for registration are:

• Birth certificate / IC / Passport
• Government school letter (that shows client is schooling in the respected school)
• Guarantee letter (valid for 3 months only) / Pensioner card (if any)
• Social Welfare Department card (if any)

THE TEAM

The unit consists of clinical and supporting team.

Clinical team

Supporting team

CONTACT US

Address

Psychiatry Adolescent & Child Unit
Department of Psychological Medicine
Complex of Psychological Medicine
University Malaya Medical Centre
59100 Kuala Lumpur, Malaysia.

Clinic hours

The team request calls made by parents to be done during the above stated operation times, preferably after 2:00 pm.

Clinic numbers

Phone enquiries, if possible: 2 p.m. - 4 p.m.

The nurses are trained and will handle all clinical enquiries e.g. where, how and if parents should seek help, appointment times or change in appointments, so as not to interrupt the doctors clinical sessions with their clients. Urgent and important enquiries are discussed with the clinicians directly.

Location

The unit is on the 1st floor of Kompleks Perubatan Psikologi, University Malaya Medical Center. Parking is extremely limited thus clients and their family are encouraged to come early.

Services:

• General Services
• Rehabilitation Medicine Consultation
• Physiotherapy
• Occupational Therapy
• Wheelchair Management Service

Specialized Services

• Specialty Clinics - Rehabilitation Medicine Consultation
• Neuro-surgical Rehabilitation
• Neuro-medical Rehabilitation
• Diabetic Footcare and Wound Management Consultation
• Spinal Cord Injury Rehabilitation
• Amputee Rehabilitation
• Paediatric Neurodevelopmental Rehabilitation
• Geriatric Rehabilitation
• Sports Rehabilitation
• Upper Limb and Hand Rehabilitation
• Burns Rehabilitation
• Diabetic Footcare and Wound Management
• Orthotics and Prosthetics
• Pre-Driving Assessment
• Work Resettlement
• Psychosocial Rehabilitation
• Swallowing
• Musculoskeletal Rehabilitation
• Scoliosis
• Women’s Health
• Cardiac Rehabilitation
• Wheelchair Seating Clinic
• Vestibular Rehabilitation

Standards for Determining Medical Appropriateness of Inpatient Rehabilitation

STANDARD OPERATING PROCEDURES FOR ADMISSION

1. All patients referred to rehabilitation team must be assessed and reviewed by medical officers in rehabilitation medicine and rehabilitation medicine specialist/consultant before admitted for inpatient rehabilitation.
2. Admissions can be from UMMC’s inpatient, other general hospital or private hospital and outpatient rehabilitation clinic.
3. All cases must be informed to medical officer and staff nurse in charge of the rehabilitation ward prior to transfer for inpatient rehabilitation.

GENERAL ADMISSION CRITERIA

Determination to admit patients is based first upon patient characteristics that are related to their needs for both medical management and rehabilitation programs. These characteristics apply to patients with physical and/or cognitive impairments from all diagnostic conditions.

1. The patient is judged to have significant functional deficits and medical and nursing needs regardless of diagnosis that require:
   1. Cognitive function: The patient must be able to retain new information learned in therapy. (Patients with moderate-to-severe dementia may be a poor rehab candidate.)
   2. Medical status: The patient must have stable medical status with no contraindications to do physical therapy.
   3. Motivation: The patient must have good motivation in order to benefit from rehabilitation (although lack of motivation due to depression is NOT a contraindication).
   4. Social support: The patient must have adequate social support to continue and complete rehabilitation.
   5. Therapy requirements:
      • The patient must be able to tolerate therapy for at least 3 hours/day, 5 days/week.
      • The patient requires at least two different therapies (i.e., physical therapy, occupational therapy, speech therapy).
2. The medical stability of the patient and management of medical or surgical co-morbidities are considered to be:
   1. Manageable in the rehabilitation ward : The patient must have stable medical status with no contraindications to do therapy. E.g on mechanical ventilation, continous oxygen therapy, ongoing chemotherapy & radiotherapy, sepsis.
   2. Sufficiently under control which allows participation in intensive rehabilitation. All acute medical problems has been stabilized.
3. The patient presents as capable to actively participate in the inpatient rehabilitation program (in unusual situations, when it is unclear as to whether the patient is able to fully participate in the program, a brief period of inpatient care may be required to make the final determination - these circumstances may be referred to as an evaluative admission or a trial admission).
4. The patient has clear functional goals identified to warrant the admission for safe discharge:
   1. goals are realistic
   2. rehabilitation interventions can offer practical improvements
   3. goals are expected to be achieved within reasonable time periods.
   4. has a main caregiver for patient who has limited capacity to actively participate in rehabilitation, for a ‘caregiver training’ within a stipulated timeframe (maximum of 2 weeks)
5. The patient in most circumstances has a home and available family or care providers such that there is a likelihood of returning the patient to home or a community-based environment.

Clinic Schedule

Support Group Activities

Apart from providing the core rehabilitation services, the Department of Rehabilitation Medicine is also involved in co-ordinating various activities such as the following :

• Stroke Support Group
• Amputee Support Group
• Active Spinal Rehabilitation Camp
• Paediatric Support Group
• Cerebral Palsy Network
• Persatuan Douglas Bader Kuala Lumpur

Medical Rehabilitation Welfare Fund

In view of the pressing need for financial assistance in purchasing aids and equipment as well as other general needs for the under-privileged patients, the Medical Rehabilitation Fund was established on 8 January 1999. For further information with regards to contribution in monies and kinds to the Medical Rehabilitation Fund, the Operations Chairperson (Mr. Soh Say Beng) can be contacted at 03-79492594.

View Clinicians CV : Click here
Visit Department of Rehabilitation Medicine website : Click here

What is Sports Medicine?

Sports, in its individual categories of popular sports, sports for health, performance and also high performance sports, have been an important part of our lives for a long time.

Sports Medicine has become an important branch of medicine, particularly over the past 20 years. It is widely recognizes in many countries as an independent branch in research, teaching and practice. The definition adopted by the International Federation of Sports Medicine is “Sports Medicine includes those theoretical and practical branches of medicine which investigate the influence of exercise, training and sports on healthy and ill people, as well as the effects of lack of exercise, to produce useful result for prevention, therapy, rehabilitation and the athletes”.

The principals of Sports Medicine are essential to the coaches, trainers and also the athletes. Athletes are physiologically and psychologically a different group of individual with their own peculiar set of medical problems. The high intensity and diversity of present day sports requires that the coaches and trainers in specialized sports appreciate better the scientifically basis of training, the medical problems encountered by athletes, how doctors may help in the speedy recovery of the injured sportsmen and how to improve the performance of national athletes to achieves to achieve sports development and excellence.

In society, Sports Medicine role in and functions is to advice and assists by providing expertise and services in all the medical and scientific aspects of spots for all and sports excellence program and policies as advocates in the National Sports policy. It is of vital importance that this aspect is developed appropriately to help prevent “sports injuries for all” situation and to assists recreational and competitive athletes to achieves maximum performances and benefits from sports and with minimum risk.

Clinic Time-table :

Sports Medicine Clinic
Level 1, Menara Utama
University Malaya Medical Centre
Tel : 03 - 7949 2994

Services :

1. Sports injuries
2. Preparticipation Evaluation for elite / recreational athlete
3. Healthy lifestyle / WELLNESS CLINIC
4. Exercise prescription for :
   • Diabetics.
   • Osteoarthritis.
   • Obesity.
   • Cardiac disease.
5. Sports for elderly.

1. Breast & Endocrine Surgery
2. Cardiothoracic Surgery
3. General Surgery
4. Hepatobiliary Surgery
5. Neurosurgery
6. Paediatric Surgery
7. Plastic & Reconstructive Surgery
8. Transplantation
9. Urologic Surgery
10. Vascular Surgery

View Clinicians CV : Click here
Visit Department of Surgery website : Click here