Cardiologist Malaysia

27/02/2026

Vegan muscles

26/02/2026

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White or black cats 🐈‍⬛ simile

26/02/2026

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25/02/2026

🛌老人躺平行動有礙. 用心由馬來西亞慈濟基金會探討了長者「躺平」現象的成因，以及慈濟如何透過健康促進課程幫助長者重拾活力。

☹️長者「躺平」現象：馬來西亞心臟科德威醫生指出，現在不只年輕人流行「躺平」，許多長者也因為雙腳無力或感到孤獨，而對社交失去興趣，選擇窩在家中 [00:01]。

⭕️健康促進課程：雪隆慈濟志工從 2025 年 8 月起，每月舉辦一次「長者健康促進課程」，共計六堂課。課程內容涵蓋全身平衡訓練及手部動作，旨在刺激大腦發育並強化體魄 [00:32]。

💪🏼參與者回饋：
* 有長者表示參加後走路不再歪斜，手腳麻痺的情況也有所改善，走路變得更有信心 [00:46]。
* 長者們非常享受群體交流的氛圍，認為這能防止一個人在家胡思亂想，增進心靈健康 [00:58]。
* 社會背景與使命：隨著馬來西亞邁入高齡化社會，長期照顧的需求日益迫切。延緩衰老、提供溫情陪伴是課程的核心目標，這也符合證嚴法師創辦慈濟 60 年來始終堅持的關懷精神 [01:16]。

💡 這段影片所呈現的計畫，反映了現代高齡化社會中幾個關鍵的健康與社會議題：

1. 肌少症與平衡訓練的重要性
影片中提到的「腳沒有力」在醫學上常與**肌少症（Sarcopenia）**有關。長者若缺乏運動，肌肉流失會導致平衡感變差、容易跌倒 [00:20]。透過專業設計的訓練課程，可以有效強化核心與下肢力量，這對於維持長者的獨立生活能力至關重要。

2. 社交連結與心理健康
「孤獨」是長者健康的無形殺手。影片強調了「社交」的功能 [00:58]。集體活動不僅能提供情感支持，減少憂鬱與焦慮，透過與人對話和學習新事物（如手部協調動作），還能有效預防失智症，維持認知功能的活躍。

3. 從「長照」轉向「預防」
馬來西亞面臨高齡化挑戰，若能在進入長期照顧階段前，先透過「預防醫學」和「健康促進」來延緩老化速度[01:24]，將能大幅減輕家庭與社會的醫療負擔。這種「活躍老化」（Active Aging）的概念，正是課程的核心價值。

4. 社區共融的守望相助
慈濟志工的介入提供了一個溫暖的社會安全網。對於長者而言，他們需要的往往不只是醫療藥物，更是「有人關心」的溫度。這種社區導向的照顧模式，能讓長者感到自己仍是社會的一部分，生活更有尊嚴與目標 [01:40]。

觀看完整影片： https://youtu.be/q3Yg4l3JAWQ
YouTube

家有一老，如有一寶。樂齡人士是國家重要的資產之一，因為他們擁有難以被取代的歷練和知識。不過，老人家需要更多的關心和照料，這是當今社會漸漸缺乏的部分。雪隆志工相繼開設樂齡長者班，八打靈再也志工準備了六堂...

24/02/2026

Yearly CNY celebration at iheal 2026 FIRE 🔥 HORSE 🐎

Gratefulness to founder Dr David Khoo and team for providing a conducive centre for my first full time cardiology practice since 2010

23/02/2026

CNY + RAMADAN
Social interaction

Higher social interaction during the month of Ramadan may increase exposure risks, the ministry says.

23/02/2026

Dementia surgery?

23/02/2026

WHO 🇺🇸 USA

🚨The United States has officially left the World Health Organization.

This marks a historic shift in global health leadership that leaves behind a $278 million debt and severs ties with vital international disease-tracking networks.

The United States has made history as the first nation to formally exit the World Health Organization since its inception in 1948.

This departure follows a year-long notice period but remains contested by international officials due to an outstanding $278 million in unpaid membership dues.

While the administration maintains that no further payments will be made, the WHO asserts that the withdrawal is technically incomplete until all financial obligations are settled. This rupture marks a significant turning point in American foreign policy, prioritizing domestic autonomy over traditional multilateral health governance.

Public health experts warn that the exit could have immediate consequences for national security, specifically regarding the Global Influenza Surveillance and Response System. By losing access to this international platform, the U.S. may struggle to monitor emerging flu strains and develop effective annual vaccines for its citizens. Groups like the Infectious Diseases Society of America have condemned the move, cautioning that bypassing global coordination could impair the country’s ability to detect threats like Ebola or future pandemics. While the decision aims to save costs, critics argue the long-term price of isolation could be measured in lives.

source: CIDRAP. (2026). US formally withdraws from World Health Organization, leaving debt. Center for Infectious Disease Research and Policy.

22/02/2026

Animals has similar needs of love, respect, security and family

22/02/2026

黄德威／服用降脂药 节庆更要控酒控糖 免加重肝负担
- 14 February 2026

问：我今年52岁，体检发现胆固醇长期偏高。这一年多来已调整饮食、运动并减重，但胆固醇仍无明显下降，医生因此建议开始服用降胆固醇药。

Q1：在生活方式无法有效降胆固醇的情况下，是否一定需要用药？长期服药会否影响肝脏或造成肌肉不适？
Q2：农历新年期间聚餐与应酬增加，服用降胆固醇药者在饮食、饮酒与作息上该如何调整，才能兼顾过年与健康？
Q3：服药期间有哪些需要特别留意的突发症状或警讯，一旦出现就应尽快就医？

医生解答：

对于胆固醇长期偏高的患者，是否需要服用药物，必须视个别情况而定。首先需详细检视饮食内容，因为不少人自认为“健康”的饮食，其实仍暗藏高胆固醇风险。一般而言，若要有效改善胆固醇居高不下的问题，理想方式是以全植物性饮食为主，但这类饮食模式并非人人都能接受。

因此，对多数患者而言，较实际的建议是减少高胆固醇与高饱和脂肪食物的摄取，包括鸡蛋（尤其是蛋黄）、奶制品及煎炸食品。长期落实这类饮食调整，才是预防胆固醇过高的关键。

服药与否 先看整体风险

至于是否“一定”需要服药，答案并非绝对。若患者本身没有合并高胆固醇相关并发症或高风险因素，例如中风、心脏病、血管阻塞，甚至下肢组织坏死（gangrene）等情况，未必需要立即开始药物治疗。不过，是否属于高风险族群，仍须由医生透过体检与相关检测，进行整体心血管风险评估后才能确定。

服用降胆固醇药物确实可能出现副作用，其中较常见的是肌肉酸痛。不过，真正出现严重肌肉不适的比例少于1%。若症状明显且持续，通常不适合继续使用该类药物。极少数病人可能出现横纹肌溶解症（rhabdomyolysis），其表现包括严重肌肉疼痛及排出深褐色尿液，属于可能危及生命的情况，必须立即送院检查与治疗。

此外，少部分患者在服药后会出现肝功能指数升高的情况，但多数在停药或调整剂量后即可恢复，通常不会造成永久性伤害。整体而言，降胆固醇药物对大多数病人而言，仍属安全且耐受性良好。

若在服药期间出现明显疲倦、持续性肌肉酸痛、黄疸、尿液颜色变深等症状，皆属警讯，应尽快就医检查。

遵循“QQF”饮食原则

至于农历新年期间的饮食与应酬，建议遵循“QQF”原则，即Quantity（分量）、Quality（品质）与Frequency（频率）。美味但不健康的食物应减少摄取份量，优先选择瘦肉、少油少盐的烹调方式，同时避免频繁进食，例如将高风险食物控制在每周1次为限。

新年期间碳水化合物、高糖饮料及酒精摄取量往往增加，若同时服用降胆固醇药物，将进一步加重肝脏负担，因此应特别节制饮酒，并保持规律作息，以兼顾节庆与健康。

22/02/2026

If You Are Taking Cholesterol-Lowering Medication, Control Alcohol and Sugar Intake During Festive Seasons to Avoid Overburdening the Liver
– 14 February 2026

Question:
I am 52 years old. My health screening shows that my cholesterol has been persistently high. Over the past year, I have adjusted my diet, exercised, and lost weight, but my cholesterol levels have not improved significantly. My doctor has therefore recommended starting cholesterol-lowering medication.

Q1: If lifestyle changes are not effective in lowering cholesterol, is medication definitely necessary? Will long-term use affect the liver or cause muscle discomfort?

Q2: During Chinese New Year, social gatherings and banquets increase. For those taking cholesterol-lowering medication, how should diet, alcohol intake, and daily routines be adjusted to balance festive celebrations and health?

Q3: While on medication, what warning signs or sudden symptoms should prompt immediate medical attention?

⸻

Doctor Wong’s Response:

For patients with persistently high cholesterol, whether medication is necessary depends on individual circumstances. First, the diet must be carefully reviewed, as many people who believe they are eating “healthily” may still unknowingly consume foods high in cholesterol.

In general, to effectively address persistently high cholesterol, a predominantly whole-food plant-based diet is ideal. However, this dietary pattern may not be acceptable or practical for everyone.

For most patients, a more realistic recommendation is to reduce the intake of high-cholesterol and high–saturated fat foods, including eggs (especially egg yolks), dairy products, and fried foods. Consistent long-term dietary modification is key to preventing elevated cholesterol levels.

⸻

Medication: Assess Overall Cardiovascular Risk First

Whether medication is “definitely” required is not absolute. If a patient does not have cholesterol-related complications or high-risk factors—such as stroke, heart disease, vascular blockages, or even lower limb tissue necrosis (gangrene)—immediate drug therapy may not be necessary.

However, determining whether someone belongs to a high-risk group requires a comprehensive cardiovascular risk assessment by a doctor, based on physical examination and relevant investigations.

Cholesterol-lowering medications can cause side effects. The most common is muscle soreness. However, the incidence of severe muscle symptoms is less than 1%. If muscle discomfort is significant and persistent, continuation of the medication may not be appropriate.

In rare cases, patients may develop rhabdomyolysis, characterized by severe muscle pain and dark brown urine. This is potentially life-threatening and requires immediate hospital evaluation and treatment.

A small proportion of patients may experience elevated liver enzyme levels after starting medication. In most cases, liver function returns to normal after stopping the drug or adjusting the dosage, and permanent liver damage is uncommon.

Overall, cholesterol-lowering medications are generally safe and well tolerated for most patients.

If you experience marked fatigue, persistent muscle pain, jaundice, or dark-colored urine while taking the medication, these are warning signs and you should seek medical attention promptly.

⸻

Follow the “QQF” Dietary Principle During Festive Seasons

During Chinese New Year celebrations, it is recommended to follow the “QQF” principle:
• Quantity – Control portion sizes
• Quality – Choose healthier options
• Frequency – Limit how often indulgent foods are consumed

Tasty but unhealthy foods should be eaten in smaller portions. Prioritize lean meats and cooking methods that use less oil and salt. Avoid frequent indulgence—high-risk foods should ideally be limited to once per week.

During the festive season, intake of carbohydrates, sugary drinks, and alcohol often increases. If you are taking cholesterol-lowering medication, excessive alcohol consumption may further burden the liver. Therefore, alcohol should be taken in moderation, and regular sleep routines should be maintained to balance celebration with health.

问：我今年52岁，体检发现胆固醇长期偏高。这一年多来已调整饮食、运动并减重，但胆固醇仍无明显下降，医生因此建议开始服用降胆固醇药。 Q1：在生活方式无法有效降胆固醇的情况下，是否一定需要用药？长期服药会否影....

21/02/2026

Equanimity

8058 likes, 541 comments. Check out 亞谷台技’s video.