Doctors who specialise in anaesthesiology are known as Anaesthetists.

These are the doctors who specialise in administering the anaesthetic agents. The nature of their job often involves looking after unconscious patients and patients on various life supports and, because of this, the Anaesthetist is often a very important member of the intensive care team. The other area of great importance is in the area of pain management. The Anaesthetists utilize their detailed knowledge to administer various drugs which can affect the nerves and to control pain.

Our Anaesthesiologists:

Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system. Heart disease is the commonest cause of death in Malaysia today. Patients with heart disease usually complain of chest pain, shortness of breath, swelling of ankles or legs or blackouts. Another common disease seen by cardiologists is hypertension or high blood pressure. Diseases of the heart can now be treated by medicine, surgery or by putting a thin wire in through a blood vessel in the groin or wrist and rectify the narrowing in the artery that supplies blood to the heart.

Our Cardiologists:

The Surgeon who specialises in operating diseases of the heart, lungs and the thoracic cage is known as Cardiothoracic Surgeon. Our Cardiothoracic Surgeon manages wide range of problems affecting the lungs and the heart and the tissues inside the thoracic cage and the illnesses that require surgical intervention. The more prominent illnesses that require the help of the Cardiothoracic Surgeon are Coronary Artery Bypass, Repair of Valvular Heart disease, VATS - Video Assisted Thoracoscopic Surgery for lung disease especially lung cancer and resection of lung. Sometimes surgical intervention is also needed in order to find out the diagnosis of the disease process that affects the organs in the chest.

Our Cardiothoracic Surgeon:

Oncology is a medical speciality focusing on the treatment of cancer of organs (solid tumours). A physician that works in the field of oncology is called an Oncologist. Proper diagnosis and staging, including clinical examination, blood, urine or other body fluids investigations and histopathology examination, are carried out to come out with suitable therapy for each individual patient. The treatment options available are surgery, chemotherapy, radiotherapy, hormonal therapy, targeted therapy, immunotherapy, and palliative care such as cancer pain management, release of pressure in closed compartments e.g cranium, spinal column,thorax etc.:-

Surgery:
Surgery is the mainstay in cancer management as it can extirpate bulk of the disease. At times, surgery itself is sufficient to cure the cancer.Unfortunately, often the disease tends to relapse despite complete excision. Therefore, further treatment, known as adjuvant treatment is necessary. Adjuvant treatment is given in the absence of any detectable disease postsurgery with a view to “prevent” recurrence disease or prolonged recurrence-free survival.

Chemotherapy:
Chemotherapy is the treatment of cancer using cytotoxic drugs. As these drugs are taken up by all growing cells in addition to cancer cells, certain side effects do occur. Fortunately, medications which can counteract the adverse effects of chemotherapy are prescribed as well. As cancer cells are metabolically more active than normal cells, cytotoxic drugs will preferentially kill more of the cancer cells. Chemotherapy usually is by intravenous infusion (IV line) but some of them can be given orally.

Targeted Therapy:
There are specific receptors present on the cell membrane or inside of cancer cells, some drugs can selectively attach themselves to those receptors exerting cytotoxic effect or cytostatic effect on these cancerous cells with the normal cells being unaffected. Examples of targeted therapy are Herceptin (Trastuzumab), Erbitux (Cetuximab), Panatuzumab, Rituximab etc.

Hormonal Therapy:
Some cancers like breast, prostate, thyroid cancers are hormone-dependent. If specific hormone is blocked, those cancers can be controlled with minimal side effects associated.

Our Clinical Oncologist:

Dermatology unit of LWEH provides various services, which include outpatient and inpatient consultation and day care treatment by certified skin specialist (Dermatologist).

Our Dermatologist :

Ear, nose, and throat surgery is the surgical treatment of diseases, injuries, or deformations of the ears, nose, throat, head, and neck areas. The purpose of surgery to the ears, nose, throat, head, and neck is to treat an abnormality (defect or disease) in these anatomical areas. Ear surgery is usually performed to correct specific causes of hearing loss. Nose surgery can include different types of procedures necessary to treat sinus problems (sinus surgery). Throat surgery can include complicated procedures such as cancer of the larynx (laryngectomy), or more simple procedures such as surgical removal of the adenoids (adenoidectomy) or tonsils (tonsillectomy). Head and neck surgery may be necessary to remove a tumor or reconstruct an area after disfigurement from trauma or injury.

Our Ear, Nose & Throat Surgeons:

Emergency medicine, also known as accident and emergency medicine, is a medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. As first-line providers, emergency physicians manage unscheduled patients of all ages with undifferentiated ailments of all types. They are primarily responsible for initiating resuscitation and stabilization and beginning investigations and interventions to diagnose and treat illnesses in the acute phase.

Emergency physicians generally practise in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units, but may also work in primary care settings such as urgent care clinics. They may subspecialize in fields like disaster medicine, medical toxicology, ultrasonography, critical care medicine, hyperbaric medicine, sports medicine, palliative care, or aerospace medicine.

Our Emergency Physician:

Endocrinology is a specialty that involves assessment of a wide range of symptoms in relation to either too much or too little hormones.  The role of an Endocrinologist is to take a history, perform physical examination and arranging appropriate investigations (mainly blood and urine tests) to accurately diagnose the endocrine condition.  Most endocrine condition can be managed by taking medications but some may require surgery. In such situation, the patient will be referred to the appropriate surgical consultants.

Common conditions treated by an Endocrinologist include:

- Diabetes Mellitus and Diabetes related complications

- Metabolic syndrome which includes diabetes, hypertension and hyperlipidaemia

- Thyroid Disorders, including over and underactive Thyroid

- Osteoporosis and Calcium Disorder

- Testosterone Deficiency Syndrome

- Obesity and Weight Management

- Other rarer endocrine condition includes
   Pituitary Disorder (e.g. Prolactinoma and Acromegaly),
   Adrenal Disorders (e.g. Addison’s Disease )
   Endocrine Hypertension.

Our Endocrinologist:

Radiologists are medical doctors that specialize in diagnosing and treating injuries and diseases using medical imaging (radiology) procedures (exams/tests) such as X-rays, computed tomography (CT), magnetic resonance imaging (MRI), mammography, angiography and ultrasound.

Radiologists diagnose and treat patients using image-guided, minimally invasive techniques such as ultrasound, CT and MRI. They use imaging to carefully guide instruments through tiny incisions in the body, reaching the source of a medical problem and delivering targeted treatments. These treatments are for conditions such as cancer and uterine fibroids, offering less risk, pain and recovery time. These minimally invasive procedures provide an alternative to traditional surgery.

Our Radiologists:

Interventional Radiology is a subspecialty of radiology in which minimally invasive procedures are performed using image guidance. Some of these procedures are done for purely diagnostic purposes (e.g., angiogram), while others are done for treatment purposes (e.g., angioplasty). Pictures (images) are used to direct these procedures, which are usually done with needles or other tiny instruments like small tubes called catheters. The images provide road maps that allow the Interventional Radiologist to guide these instruments through the body to the areas of interest.
Common interventional imaging modalities include fluoroscopy, computed tomography (CT), ultrasound (US), and magnetic resonance imaging (MRI).

Our General & Interventional Radiologist:

Doctors who specialise in general surgery are known as Surgeons. The Surgeons are well known for their skills in performing surgical operation. Many individual surgeons in addition to their general surgical skill would also have developed an interest in a field of their personal liking. Examples are like colorectal surgery, endocrine surgery, and in the recent years endoscopic surgery and minimally invasive surgery. Besides these, surgeons are also familiar and skilled in performing diagnostic and sometimes therapeutic endoscopic examinations.

Our General Surgeons:

A Physician, also known as an Internal Medicine Specialist, is a medical doctor who focuses on the non-surgical treatment of patients’ conditions. Physicians have broad training and experience in handling a wide range of medical conditions and will study the patient holistically rather than a specific organ. Some physicians additionally have speciality training for example in Nephrology, Gastroenterology and Respiratory Medicine. They are able to assist in diagnosing your medical complaints through a physical examination and investigation, and will then advise on your treatment options using a combination of medication and counselling.

If you require more advice such as if your condition is unusual, complex or requires co-management with another colleague, the physician will be happy to refer you for another opinion.

Our Physicians:

GASTROENTEROLOGY is the speciality dealing with the diagnosis and management of diseases of the digestive system, that comprises the oesophagus, stomach, small and large intestine, gall bladder and pancreas.

HEPATOLOGY deals with diseases of the liver such as liver inflammation or hepatitis caused by bacteria, virus, alcohol, drugs and toxic substances, fatty liver disease etc.

GASTROENTEROLOGY AND HEPATOLOGY certified physicians have additional training and experience in these fields. They will take a history and conduct a physical examination and carry out necessary investigations which may include laboratory blood tests, urine and faecal examination, ultrasound or radiological scans. In some cases it is necessary to visualise the gastro-intestinal tract using endoscopes to photograph and or to sample areas that appear abnormal in order to confirm a diagnosis. Certain diseases can also be treated endoscopically such as to arrest bleeding in the stomach or intestine, to remove stones from the bile duct of the liver, and to remove polyps that may be pre-cancerous in the intestine.

Gastroenterological and Hepatic conditions sometimes require management by surgery. In such situations after discussing the diagnosis the specialist will refer the patient to the appropriate surgical colleague.

Our Physicians, Gastroenterologists & Hepatologists:

Geriatric medicine is a branch of medicine concerned with all aspects of health and illness in elderly. Doctors who specialise in the health and illness of elderly are known as Geriatricians. They are specially trained to evaluate and manage the unique healthcare needs of elderly, alongside with prevention of disease and disability in older people. Geriatricians are concerned with health problems that frequently affect older adults, such as falls osteoporosis, immobility, cognitive impairment (delirium and dementia), incontinence, medication side effects and managing multiple chronic conditions. Another important aspect of geriatric medicine is the evaluation of an elderly patient's ability to perform daily activities such as bathing, dressing, eating and assisting them by co-ordinating rehabilitation of elderly people.

Our Physician & Geriatrician:

Nephrology is a specialty of internal medicine which involves kidney function, kidney infection, autoimmune disease, electrolytes imbalance and renal replacement therapy (dialysis and kidney transplantation). A nephrologist is a medical doctor who specializes in the care and treatment of kidney diseases. He treats acute kidney injuries and chronic kidney diseases (CKD) and manages dialysis care for people with end stage renal disease. Procedures a nephrologist may perform include kidney biopsy and dialysis access insertion (temporary vascular access lines, tunnelled vascular access lines, peritoneal dialysis access lines).

Our Nephrologists & Physicians :

Neurosurgery is a surgical specialty that deals with the nervous system, including the brain and spinal cord. Surgeons who practise in this field are known as neurosurgeons. Neurosurgical diseases that are commonly managed by neurosurgeons include traumatic head injury, cerebrovascular problems (haemorrhage and aneurysms), brain tumour, surgery for congenital abnormalities, degenerative diseases of spine. Neurosurgeons play an important role in the management of brain injury especially when it comes to preventing further damage to the brain.

Our Neurosurgeons:

Doctors who specialise in looking after female reproductive life are known as Obstetricians & Gynaecologists. These two areas of work often are fused and trained as one. Obstetrics is basically the specialty that involves looking after the process of pregnancy and delivery in female patients while gynaecology involves the management of problems that arise from the female reproductive organs. This field is very wide but the doctors in this field can expertly treat many seemingly unrelated problems like urinary incontinence in female. The other very important area often investigated and treated is infertility. Menopause issues and women with other sex hormone imbalances can also be helped by getting the right advice and treatment from the Gynaecologist.

Our Obstetrics and Gynaecology Specialists are expertly skilled trained and committed to provide the highest quality of service to patients from all walks of life and their expertise covers a wide range of treatments which include all aspects of Obstetrics and Gynaecology. Our specialists possess years of valuable experience and are dedicated to improving and advancing women's healthcare for you and your loved ones.

Our Obstetricians & Gynaecologists:

Reproductive Medicine is a specialty that deals with prevention, diagnosis and management of reproductive problems. The goals of this branch of medicine include improving or maintaining reproductive health and allowing patients to have children at the time of their choosing. Methods of evaluation may include: imaging techniques, laboratory methods and reproductive surgery. Treatment methods include counseling, pharmacology (eg. Medications for fertility), surgery, and other methods. In vitro fertilization has evolved as a major treatment method that has enabled the pre-implantation study of the embryo.

Our Obstetrician, Gynaecologist & Reproductive Medicine Specialist:

Doctors who are specialised in treating eye conditions are known as Ophthalmologists. They are trained to examine the eyes in detail and to make accurate diagnosis. They will then advise on the optimal treatment for the specific condition with medication, surgery or both. Detailed examination of the eyes sometimes can also reveal underlying systemic illnesses like diabetes, high blood pressure etc.

Our Ophthalmologists:

An Oculoplastic and Orbital Surgeon is an Ophthalmologist who performs cosmetic and reconstructive surgery of the periocular area, which includes the eyelids, orbit (bones and anatomic structures around the eyeball) and tear duct.

Oculoplastic surgery, the services provided are:

• Botulinum Toxin Injection for wrinkles and blepharospasm
• Dermal filler for upper lid trough, tear trough, cheek, buccal , laugh lines, smile lines, lip and chin augmentation (cosmetic)
• Double Eyelid Surgery (Cosmetic)
• Blepharoplasty for excess skin
• Eyebag Surgery (Cosmetic)
• Ptosis Correction including brow suspension techniques
• Brow lift
• Epiblepharon (eyelashes poking eyes secondary to lower lid inturning due to excess skin common among Chinese children) Correction
• Abnormal Lid Position (Entropion/ Ectropion ) Correction
• Oncology: Tumour Removal and Reconstruction
• Lid Fornix (eyelid pocket) Reformation
• Evisceration/ Enucleation
• Secondary Orbital Implant

Lacrimal surgery, the services provided are:

• External Dacryocystorhinostomy (for blocked tear duct)
• Endonasal (scarless) Dacryocystorhinostomy (for blocked tear duct)
• Lester Jones Tube (for blocked upper tear duct)

Orbital surgery, the services provided are:

• Orbital Biopsy (anterior & posterior i.e. deep eye socket behind eyeball)
• Orbital Decompression (2 walls & 3 walls for thyroid eye disease)
• Orbital Fracture Repair
• Enophthalmos (sunken eyeball) Correction
• Exenteration with skin graft (for extensive eye socket tumour )

Our Ophthalmology, Oculoplastic & Orbital Surgeon:

Retina Specialists are ophthalmologists that specialize in the treatment of diseases pertaining to the posterior segment of the eye (ie vitreous, retina, choroid). These diseases are subdivided into Medical and Surgical Retina Pathologies depending on their primary treatment modality. Although most ophthalmologists can treat Medical Retina conditions such as Diabetic Retinopathy, Retinal Vein Occlusion and Age Related Macular Degeneration with laser and intravitreal injection therapy, Medical Retina Specialists have extensive in-depth knowledge and experience to manage the complicated ones.

Vitreoretinal (VR) Surgeons specialise in treating posterior segment surgical conditions such as :

• Retinal Detachment
• Non-Clearing Haemorrhage in the vitreous gel due to various causes (ie. Advance Diabetic Retinopathy or Retinal Vein Occlusion)
• Macula Hole
• Epiretinal Membrane and Vitreomacular Traction
• Endophthalmitis and Vitritis
• Penetrating Eye Trauma with Embedded Foreign Body
• Dislocated Cataract or Intraocular Lens, etc.

Such surgeons normally require 2-3 years of additional training in this field after completing their ophthalmology residency. It is one of the most advanced field in medicine requiring specialized machinery to perform complex microsurgery such as :

• The Removal of the Vitreous gel (Vitrectomy)
• Endolaser Retinopexy or Cryopexy
• Scleral buckling procedures
• Intravitreal Insertion of Gas or Silicone Oil Tamponade
• Epiretinal Membrane and Internal Limiting Membrane Peel
• Desegmentation and Delamination of Proliferative Neovascular Membranes
• Subretinal Drainage of Fluid and Blood Clot etc.

Most VR surgeons are also accomplished cataract surgeons where a major part of their work involves managing difficult cataracts such as the subluxated ones with poor zonular support (eg. Patient with Marfan Syndrome) or those that have dislocated into the Vitreous Cavity (eg. Ocular Trauma).

Sometimes, VR surgeons are also called upon by their colleagues in different subspecialty to co-manage cases such as Retinopathy of Prematurity (by the Paediatric Ophthalmologists) and Aqueous Misdirection (Glaucoma Specialists). In fact, it is becoming a common practice for Glaucoma patients needing the insertion of Glaucoma Drainage device to undergo Vitrectomy prior to the insertion of these tubes through the pars plana to avoid cornea injury.

Our Ophthalmology & Vitreoretinal Surgeon:

Doctors who specialise in orthopaedics are known as Orthopaedic Surgeons. The orthopaedic surgeons are skilled in treating diseases affecting the bone, skeleto- muscular system and the joints. They are well known for fixing fractured bones, they are also skilled in treating various painful conditions due to degenerative changes or other pathological processes that are affecting the bone, muscle or the joints.

Our Orthopaedic Surgeons:

Our Orthopaedic, Arthroscopy & Sport Surgeon:

Spine surgery is a branch of orthopaedic surgery to treat conditions of the spine.

Our Orthopaedic & Spine Surgeons:

Doctors who specialise in paediatric are known as Paediatricians. Paediatricians are skilled in treating illnesses that affect the children. Special training is needed because many diseases that affect the children can be very different from that of adults. Moreover, certain complications may be very different, for instance the patients seen by the Paediatricians may be affected by illnesses that are congenital or are hereditary. Another example is that the young patients are still growing, hence the disease process is quite apart from causing problems to the particular system that may also disturb or delay the developmental process of the patient. Like fields in medicine, the psychological and the social impacts for the patient of any particular illness may also be very different from that of adults. A Paediatrician who has his counterpart in the General Physician is skilled in using medications in treating a very wide range of illnesses.

Our Paediatricians:

Neonatology is a subspecialty of paediatric that consists of the medical care of newborn infants, especially the ill or premature newborn infants. It is a hospital-based specialty, and is usually practised in neonatal intensive care units. The principal patients of neonatologists are newborn infants who are ill or requiring special medical care due to prematurity, low birth weight, intrauterine growth retardation, congenital malformations (birth defects), sepsis, or birth asphyxias.

Our Paediatricians / Neonatologists

Our Paediatric Nephrologist:

Pathology is a systematic scientific study of diseases.  It is in general comprises scientific knowledge and diagnostic procedures essential for the understanding of illnesses and their causes.  This information in turn is vital for their effective prevention and appropriate treatment.

Pathology essentially embraces the functional and structural changes observed in diseases. These changes are seen from the molecular level to the effects on the individual patient.  It is a continually evolving discipline as new research illuminates our knowledge and facts of diseases.

The primary aim of pathology is the identification of the causes and mechanism of the disease. These will eventually lead to successful therapy and disease prevention. Without pathology, the practice of medicine would still be reliant on fiction and assumptions, and consequently be ineffective.

Pathology in clinical practice includes several subspecialties.  The subspecialties comprise of histopathology, cytopathology, haematology, microbiology, immunology, chemical pathology, medical genetics and forensic pathology.  These subdivisions are more important professionally than educationally.  This is because pathology must be approached in an integrated manner, for the body and diseases make no difference between these professional subdivisions.

Our Pathologist:

A Prosthodontist is a Dental Surgeon who specialises in procedures such as union and bridgework, denture work, tooth implants, root canal treatment and other cosmetic dentistry and restorative dentistry like fillings and extractions.

Our Prosthodontist:

Doctors who specialise in psychiatry are known as Psychiatrists. A Psychiatrist is skilled in treating mental illnesses. The recent advances in the field of psychiatry has equipped Psychiatrists with a wide range of medications that are able to restore the imbalances to the chemicals in the brain when there is mental illness. A Psychiatrist is also trained in treating patients who become mentally disturbed due to certain traumatic life events by guiding and identifying the problems for the patient- Psychotherapy.

Our Psychiatrists:

Respiratory, pulmonology or chest medicine is a specialty that deals with diseases of the lungs and the respiratory tract. This specialty is considered a branch of internal medicine and is closely related to intensive care medicine and thoracic surgery. When dealing with patients requiring mechanical ventilation, respiratory medicine is combined with the diagnosis and treatment of lung diseases as well as secondary prevention as in tuberculosis.

Our Respiratory & Internal Medicine Physicians:

Urology is the surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professionals specializing in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological disorders. The organs covered by urology include the kidney, ureter, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis). Urology combines management of medical (i.e., non-surgical) problems such as urinary infections, and surgical problems such as the corrections of congenital abnormalities and the surgical management of cancers.

Our Urologist:

Medical Officers serve as advisors on health issues and disease control, provide medical support, discover inconsistencies and investigate problems. Medical Officers can oversee clinical programs where clinical trials take place and require recruiting of individuals to participate in the trials.

Our Medical Officers:

Dental service is one of the critical health services. Dental officers play an important role in providing dental treatments to patients.

Our Dental Officers: