H Ambulatory Care Centre

H Ambulatory Care Centre H Ambulatory Centre is not exactly a hospital, neither it is a normal outpatient clinic. It stands i

H Ambulatory Care Centre is an excellent choice for patients whose sicknesses are too severe to be treated as outpatients in a conventional clinic and at the same time do not need a high cost, less personalised sophisticated hospital with multidisciplinary management. The benefits of this category of care center go beyond just cost saving. Being not too big, not too complex, and low patient volume

medical center, HMC is intrinsically easier to manage with smart management to ensure value care and a more personalised human care with optimal communication that can be very comforting and satisfying.

Warmest Wishes on the Birthday of TYT Penang 2025Selamat Menyambut Ulang Tahun KelahiranTuan Yang Terutama Tun Dato' Ser...
12/07/2025

Warmest Wishes on the Birthday of TYT Penang 2025
Selamat Menyambut Ulang Tahun Kelahiran
Tuan Yang Terutama Tun Dato' Seri Utama Haji Ramli Ngah Talib
Yang di-Pertua Negeri Pulau Pinang

May this special day be filled with blessings, good health, and continued wisdom in leading our beloved Penang toward a bright and harmonious future.

Happy Penang Heritage Day!Let’s celebrate the rich culture, timeless architecture, and vibrant spirit that make Penang t...
07/07/2025

Happy Penang Heritage Day!
Let’s celebrate the rich culture, timeless architecture, and vibrant spirit that make Penang truly unique. 🏮🌊

Hari Raya Haji reminds us of the strength in sacrifice and the beauty of giving.May your day be filled with faith, famil...
07/06/2025

Hari Raya Haji reminds us of the strength in sacrifice and the beauty of giving.
May your day be filled with faith, family, and moments of inner peace. 🌿

Today we honour His Majesty, the Yang di-Pertuan Agong on his official birthday.May our nation grow ever stronger, guide...
02/06/2025

Today we honour His Majesty, the Yang di-Pertuan Agong on his official birthday.
May our nation grow ever stronger, guided by wisdom and unity.

03/04/2025

🌟Wound Care QnA🌟

Dr.Sreedharan Muniandy: I Heard Your Center Use Worm For Treatment, Is That True?

Maggot therapy, also known as larval debridement therapy (LDT), is an FDA-approved medical treatment in which sterilized maggots (typically from the Lucilia sericata species, or green bottle fly) are applied to chronic or infected wounds. These maggots help remove dead tissue, fight infection, and stimulate healing.

How Maggot Therapy Works
1. Debridement: Maggots secrete enzymes that break down necrotic (dead) tissue into a semi-liquid form, which they then consume, leaving behind only healthy tissue.
2. Antimicrobial Action: They release antimicrobial compounds that help kill bacteria, including antibiotic-resistant strains like MRSA (Methicillin-resistant Staphylococcus aureus).
3. Wound Healing Promotion: The movement of the maggots stimulates the wound bed, encouraging new tissue growth and reducing inflammation.

Uses of Maggot Therapy
• Diabetic foot ulcers
• Pressure sores (bedsores)
• Venous leg ulcers
• Infected post-surgical wounds
• Necrotic wounds that do not respond to conventional treatment

Advantages
• Effective against biofilm-forming bacteria that resist antibiotics.
• Selective debridement—only dead tissue is removed, preserving healthy tissue.
• Faster wound cleaning compared to some conventional methods.
• Non-invasive and cost-effective.

Challenges & Limitations
• Psychological discomfort for some patients.
• Requires frequent dressing changes (every 48–72 hours).
• Availability and regulation issues in some regions.
• May not be suitable for patients with bleeding disorders or severe infections that need immediate surgical intervention.

Recent Developments

New research is exploring genetically modified maggots with enhanced wound-healing properties and maggot secretions as potential injectable treatments.




31/03/2025

🌟Wound Care QnA🌟

Dr.Sreedharan Muniandy: How To Manage Diabetes Wound In Different Climates?

Managing wound healing in different climates requires adapting care to environmental conditions that may impact moisture balance, infection risk, and circulation. Here’s how to optimize wound healing in various climates:

1. Hot & Humid Climates (e.g., tropical regions)
• Risk: Increased sweating, bacterial and fungal infections, excessive moisture causing skin maceration.
• Management:
• Keep the wound dry and clean; change dressings frequently.
• Use breathable, moisture-wicking bandages.
• Avoid excessive sweating and friction around the wound area.
• Apply antiseptics to prevent infections.

2. Hot & Dry Climates (e.g., deserts)
• Risk: Dehydration, dry skin leading to cracking, slow tissue repair.
• Management:
• Keep the wound moisturized with appropriate ointments (e.g., petroleum jelly).
• Stay hydrated to maintain skin elasticity and promote healing.
• Avoid direct sun exposure to the wound to prevent drying and discoloration.
• Use dressings that help retain moisture, such as hydrogel dressings.

3. Cold & Dry Climates (e.g., winter or high-altitude areas)
• Risk: Poor circulation slowing healing, dry skin causing cracks, frostbite risk.
• Management:
• Maintain body warmth to promote blood flow to the wound.
• Use moisturizing ointments and hydrating dressings to prevent dryness.
• Avoid extreme cold exposure; keep the wound covered.
• Eat warm, nutrient-rich foods to enhance healing.

4. Cold & Wet Climates (e.g., rainy or coastal regions)
• Risk: Prolonged dampness, bacterial infections, difficulty keeping dressings intact.
• Management:
• Use waterproof or moisture-resistant dressings.
• Keep the wound clean and dry, changing dressings often.
• Wear protective clothing to shield the wound from rain and cold.
• Boost immune function with proper nutrition to prevent infections.

5. High Altitude Areas
• Risk: Reduced oxygen levels slowing wound healing, increased dehydration risk.
• Management:
• Stay hydrated to support oxygen transport in the blood.
• Use oxygen therapy if necessary for severe wounds.
• Eat iron-rich foods to enhance red blood cell production and oxygenation.
• Keep wounds warm and covered to prevent constriction of blood vessels




Eid Mubarak from all of us at H Ambulatory Care Centre! May your Hari Raya be filled with happiness, good health, and pr...
31/03/2025

Eid Mubarak from all of us at H Ambulatory Care Centre! May your Hari Raya be filled with happiness, good health, and precious moments with your loved ones. We’re here to support your health journey whenever you need us. Maaf Zahir & Batin! 🌙

28/03/2025

🌟Wound Care QnA🌟

Dr.Sreedharan Muniandy: How To Ensure Proper Nutrition For Wound Healing?

Proper nutrition plays a crucial role in diabetic wound healing by promoting tissue repair, reducing inflammation, and supporting immune function. Here are key dietary recommendations:

1. Protein for Tissue Repair
• Essential for collagen production and new cell formation.
• Sources: Lean meats, poultry, fish, eggs, dairy, tofu, legumes, and nuts.

2. Healthy Fats for Reduced Inflammation
• Omega-3 fatty acids help combat inflammation and support healing.
• Sources: Fatty fish (salmon, tuna), flaxseeds, walnuts, and olive oil.

3. Carbohydrates for Controlled Blood Sugar
• High blood sugar slows wound healing. Choose complex carbs with fiber to stabilize glucose levels.
• Sources: Whole grains, legumes, vegetables, and berries.

4. Vitamins and Minerals for Healing
• Vitamin C: Supports collagen production and immune function.
• Sources: Citrus fruits, bell peppers, strawberries, and broccoli.
• Vitamin A: Aids in skin regeneration.
• Sources: Carrots, sweet potatoes, and leafy greens.
• Zinc: Promotes wound healing and immune defense.
• Sources: Meat, shellfish, nuts, and seeds.
• Magnesium: Supports cellular repair.
• Sources: Nuts, seeds, whole grains, and dark chocolate.

5. Hydration for Blood Circulation
• Proper hydration is essential for nutrient transport and wound healing.
• Sources: Water, herbal teas, and water-rich foods like cucumbers and watermelon.

6. Avoid
• Processed sugars & refined carbs: Can spike blood sugar and delay healing.
• Excess sodium: Can lead to poor circulation and swelling.
• Alcohol & smoking: Impair immune function and slow healing.




Knowledge Sharing with Pejabat Kesihatan Daerah Barat Daya Pulau PinangWe were honored to welcome colleagues from the So...
27/03/2025

Knowledge Sharing with Pejabat Kesihatan Daerah Barat Daya Pulau Pinang
We were honored to welcome colleagues from the Southwest District Health Office today for a professional exchange on advanced wound management techniques.

Our Medical Director Dr Sreedharan Muniandy shared insights into:
* Current best practices in wound assessment
* Innovative approaches to dressing material application
* Emerging techniques for complex case management

It's always humbling to collaborate with fellow healthcare professionals who share our commitment to patient-centered care. These exchanges remind us how continuous learning and open dialogue help elevate standards across Penang's medical community.

Our clinical team remains dedicated to advancing wound care through evidence-based approaches, and we're grateful for opportunities to contribute to our region's collective medical knowledge.


26/03/2025

🌟Wound Care QnA🌟

Dr.Sreedharan Muniandy: How Does Obesity Affect Wound Healing?

Obesity negatively affects wound healing through several mechanisms:

1. Impaired Blood Flow and Oxygenation – Excess adipose tissue can reduce circulation, leading to poor oxygen delivery to the wound, which is essential for cell function and repair.

2. Increased Inflammation – Obesity is associated with chronic low-grade inflammation, which can disrupt the normal healing process by prolonging the inflammatory phase and delaying tissue repair.

3. Weakened Immune Response – Obese individuals often have altered immune function, making them more prone to infections, which can further slow healing.

4. Poor Collagen Formation – Collagen is critical for wound strength and closure, but obesity can impair collagen synthesis, leading to weaker scars and an increased risk of wound dehiscence (reopening).

5. Higher Risk of Infection – Skin folds, moisture retention, and impaired immune response contribute to an increased risk of bacterial and fungal infections, which can complicate wound healing.

6. Increased Mechanical Stress – Excess weight can place additional stress on wounds, especially surgical incisions, making them more likely to open or heal improperly.

7. Metabolic Dysfunction – Conditions associated with obesity, such as diabetes and insulin resistance, further impair wound healing by reducing glucose regulation and slowing cellular repair processes.

Overall, obesity prolongs wound healing time, increases complications, and heightens the risk of chronic wounds or non-healing ulcers. Managing weight, optimizing nutrition, and controlling underlying conditions can help improve healing outcomes.




25/03/2025

🌟Wound Care QnA🌟

Dr.Sreedharan Muniandy: Are There Any Home Remedies For Diabetes Wound?

Chronic wounds should not be treated with home remedies. They require medical assessment and evidence-based wound care to prevent complications like infections, tissue necrosis, and even amputation. Here’s why:

Why Home Remedies Are Risky for Chronic Wounds
1. Risk of Infection – Unsterile treatments (e.g., honey, herbal pastes, or household items) can introduce bacteria and worsen the wound.
2. Delayed Healing – Improper care can lead to prolonged inflammation, poor tissue regeneration, and complications.
3. Uncontrolled Moisture Balance – Some home remedies dry out wounds, while others create excessive moisture, both of which can impair healing.
4. Masking Underlying Conditions – Chronic wounds often indicate diabetes, peripheral artery disease (PAD), or venous insufficiency, which require medical treatment.
5. Inappropriate Use of Antiseptics – Frequent application of hydrogen peroxide or alcohol can damage healthy tissue and delay healing.

Proper Management of Chronic Wounds
• Medical Evaluation – Determine the wound’s cause (e.g., venous, arterial, pressure ulcer, diabetic foot ulcer).
• Debridement – Removal of dead tissue to promote healing.
• Infection Control – Use of prescribed antibiotics or antimicrobial dressings if needed.
• Advanced Dressings – Hydrogels, foams, or negative pressure therapy as per medical guidelines.
• Pressure Offloading – Essential for diabetic foot ulcers.
• Optimizing Blood Flow & Nutrition – Especially in PAD or malnourished patients.

When to Seek Immediate Medical Attention
• Signs of infection (redness, warmth, pus, foul odor, fever).
• Increasing pain or swelling in the wound area.
• Blackened tissue (necrosis) or non-healing ulcers.
• Worsening of diabetes symptoms in diabetic patients.




Address

L-01-21, Setia SPICE Canopy, Jalan Tun Drive Awang, Bayan Lepas
Relau
11900

Telephone

+6046118919

Website

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