The document provides information for kidney transplant recipients on caring for their new organ and maintaining their health. It discusses:
1) The recovery process after transplant surgery and following medical instructions closely for medication and checkups.
2) Living a healthy lifestyle with a proper diet, exercise, avoiding risks like germs/illness, and continuing medical monitoring.
3) The importance of taking immunosuppressant drugs correctly and being aware of potential side effects to watch for.
12 July 2012 Organ Donation-The Gift of Life-Hospital RPBChen Hoe Lee
The document provides details about Lee Chen Hoe's experience as a kidney transplant recipient. It describes his life before kidney failure, managing kidney failure through dialysis, and his successful kidney transplant in 1996. After the transplant, Lee was able to further his studies, travel with his family, and engage in advocacy for organ donation awareness. He helped establish support groups and participated in transplant games internationally. The document outlines Lee's journey from illness to health and his efforts to promote organ donation.
Best Kidney transplant hospital in Uttar Pradesh home
Apollo Hospitals Lucknow is one of the best kidney transplant centres in Lucknow, Uttar Pradesh. The hospital offers comprehensive kidney transplantation services and has a dedicated team of transplant surgeons, nephrologists, and other specialists who work together to provide the best care for patients. The hospital is equipped with advanced medical technology, including state-of-the-art operating rooms, intensive care units, and dialysis facilities.
The hospital has a well-established transplantation program and has performed a significant number of kidney transplants with high success rates. The hospital also has a track record of performing complex transplant cases and provides post-transplant care to ensure the best outcomes for patients.
In addition to the technical aspects of transplantation, the hospital also provides psychological and emotional support to patients and their families before, during, and after the transplantation process.
In summary, Apollo Hospitals Lucknow is a notable kidney transplantation center in Lucknow, Uttar Pradesh, known for its experienced team of transplant surgeons and nephrologists, advanced medical technology, high success rates and comprehensive care. It's always important to consult with medical professionals and conduct thorough research when seeking medical treatment.
A 25 year old female presented with a burst abdomen 14 days post-LSCS. Predisposing factors for burst abdomen include wound infection and early stitch removal. Treatment options include immediate re-suture with deep retention sutures and broad spectrum antibiotics to address any infection, leaving the skin open if severe sepsis is present.
This document discusses newborn screening and its importance in the Philippines. It describes how newborn screening tests for various disorders can detect issues early before symptoms appear, allowing for treatment that prevents intellectual and physical disabilities. The document outlines the expansion of newborn screening across the Philippines over time through increased testing sites and an advocacy campaign that led to creating a national newborn screening program and law in 2004.
A pancreas transplant involves surgically transplanting a healthy pancreas from a deceased donor into a person whose pancreas does not function properly due to type 1 diabetes. It can help control blood sugar levels but carries risks of complications from the surgery and side effects from lifelong anti-rejection medications. It is typically only recommended for those with serious diabetes complications that are not well controlled through other means. Recovery requires staying in the hospital for about a week and taking medications for rejection and infections.
HORMONAL CONTRACEPTION & NEWER CONTRACEPTIVES BY DR SHASHWAT JANIDR SHASHWAT JANI
This document provides information on hormonal contraceptives. It discusses the world population growth and India's population statistics. It then focuses on oral contraceptives, describing the different types including combined, progestin-only, and extended/continuous use pills. The document outlines the mechanisms of action, administration, effectiveness, advantages, side effects, drug interactions, and follow-up for oral contraceptive use.
A kidney transplant is a surgical procedure where a failed or diseased kidney is removed and replaced with a healthy donor kidney. Experienced doctors perform the surgery to remove the old kidney, implant the new one, and put the recipient on anti-rejection medications. This allows those with kidney failure due to conditions like diabetes or polycystic kidney disease to live healthier lives. The risks include bleeding, infection, and organ rejection which are managed through close monitoring and immunosuppressive drugs.
Critical Transplant provides information about kidney and pancreas transplants. Kidney transplants are recommended for patients with end-stage renal disease who do not have other serious medical issues. Living donors and deceased donors can donate kidneys. Patients undergo evaluation, preparation, and the transplant surgery itself. After surgery, patients must take immunosuppressants to prevent rejection and follow up closely with medical staff. Transplants can improve quality of life but also carry risks like infections, heart disease, and stroke. Success rates for transplants are generally good.
12 July 2012 Organ Donation-The Gift of Life-Hospital RPBChen Hoe Lee
The document provides details about Lee Chen Hoe's experience as a kidney transplant recipient. It describes his life before kidney failure, managing kidney failure through dialysis, and his successful kidney transplant in 1996. After the transplant, Lee was able to further his studies, travel with his family, and engage in advocacy for organ donation awareness. He helped establish support groups and participated in transplant games internationally. The document outlines Lee's journey from illness to health and his efforts to promote organ donation.
Best Kidney transplant hospital in Uttar Pradesh home
Apollo Hospitals Lucknow is one of the best kidney transplant centres in Lucknow, Uttar Pradesh. The hospital offers comprehensive kidney transplantation services and has a dedicated team of transplant surgeons, nephrologists, and other specialists who work together to provide the best care for patients. The hospital is equipped with advanced medical technology, including state-of-the-art operating rooms, intensive care units, and dialysis facilities.
The hospital has a well-established transplantation program and has performed a significant number of kidney transplants with high success rates. The hospital also has a track record of performing complex transplant cases and provides post-transplant care to ensure the best outcomes for patients.
In addition to the technical aspects of transplantation, the hospital also provides psychological and emotional support to patients and their families before, during, and after the transplantation process.
In summary, Apollo Hospitals Lucknow is a notable kidney transplantation center in Lucknow, Uttar Pradesh, known for its experienced team of transplant surgeons and nephrologists, advanced medical technology, high success rates and comprehensive care. It's always important to consult with medical professionals and conduct thorough research when seeking medical treatment.
A 25 year old female presented with a burst abdomen 14 days post-LSCS. Predisposing factors for burst abdomen include wound infection and early stitch removal. Treatment options include immediate re-suture with deep retention sutures and broad spectrum antibiotics to address any infection, leaving the skin open if severe sepsis is present.
This document discusses newborn screening and its importance in the Philippines. It describes how newborn screening tests for various disorders can detect issues early before symptoms appear, allowing for treatment that prevents intellectual and physical disabilities. The document outlines the expansion of newborn screening across the Philippines over time through increased testing sites and an advocacy campaign that led to creating a national newborn screening program and law in 2004.
A pancreas transplant involves surgically transplanting a healthy pancreas from a deceased donor into a person whose pancreas does not function properly due to type 1 diabetes. It can help control blood sugar levels but carries risks of complications from the surgery and side effects from lifelong anti-rejection medications. It is typically only recommended for those with serious diabetes complications that are not well controlled through other means. Recovery requires staying in the hospital for about a week and taking medications for rejection and infections.
HORMONAL CONTRACEPTION & NEWER CONTRACEPTIVES BY DR SHASHWAT JANIDR SHASHWAT JANI
This document provides information on hormonal contraceptives. It discusses the world population growth and India's population statistics. It then focuses on oral contraceptives, describing the different types including combined, progestin-only, and extended/continuous use pills. The document outlines the mechanisms of action, administration, effectiveness, advantages, side effects, drug interactions, and follow-up for oral contraceptive use.
A kidney transplant is a surgical procedure where a failed or diseased kidney is removed and replaced with a healthy donor kidney. Experienced doctors perform the surgery to remove the old kidney, implant the new one, and put the recipient on anti-rejection medications. This allows those with kidney failure due to conditions like diabetes or polycystic kidney disease to live healthier lives. The risks include bleeding, infection, and organ rejection which are managed through close monitoring and immunosuppressive drugs.
Critical Transplant provides information about kidney and pancreas transplants. Kidney transplants are recommended for patients with end-stage renal disease who do not have other serious medical issues. Living donors and deceased donors can donate kidneys. Patients undergo evaluation, preparation, and the transplant surgery itself. After surgery, patients must take immunosuppressants to prevent rejection and follow up closely with medical staff. Transplants can improve quality of life but also carry risks like infections, heart disease, and stroke. Success rates for transplants are generally good.
Critical Transplant provides information about kidney and pancreas transplants. Kidney transplants are recommended for patients with end-stage renal disease who do not have other major health issues. Living donors and deceased donors can donate kidneys. Patients undergo evaluation, preparation, and the transplant surgery itself. Close follow-up care is needed long-term to monitor the transplant and watch for potential rejection. Transplants can improve quality of life compared to dialysis but also carry risks like infections, heart disease, and strokes due to immunosuppressive drugs. Success rates are around 90% after one year for kidney function.
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This document discusses combined oral contraceptives (COCs), also known as birth control pills. It provides details on the history, mechanisms of action, types, effectiveness and side effects of COCs. It notes that COCs were first approved for use in the 1960s and are now used by over 100 million women worldwide. The document also discusses newer male and female contraceptive methods that are still being researched or tested.
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The document discusses ovarian rejuvenation using platelet-rich plasma (PRP) injections. PRP is extracted from a patient's own blood and contains growth factors that may reawaken dormant follicles in the ovaries. The procedure involves extracting blood, centrifuging it to separate PRP from other blood components, and injecting the PRP into the ovaries under ultrasound guidance, usually once a month for three months. The goal is to stimulate egg maturation and development, helping patients conceive. Side effects are minimal and may include pain, fever, or internal bleeding. Follow-up monitors hormone levels to check for signs of improved ovarian function.
This document summarizes research on kidney dialysis monitors. The researchers developed an optical method to monitor uremic toxins in blood to improve dialysis quality. Their project involves designing the device body/interface and communication between the dialysis machine and users. The background section describes dialysis and its importance, noting its time-consuming nature and high costs. Research methods included online research, mapping dialysis aspects/problems, observing a hospital dialysis process, and interviewing a patient. Key findings were that many patients are unaware of dialysis effectiveness and monitoring their results could positively influence them. The potential for a device with an improved interface and monitoring was identified.
Dr. Richard Rothenberg is a Board-Certified Obstetrician and Gynecologist who has practiced in Morris County, NJ for over 30 years. He specializes in minimally invasive surgical techniques and has served as Chairman of the OB/GYN Department at Saint Clare's Hospital. Dr. Rothenberg is a founding member of Lifeline Medical Associates, a group practice dedicated to providing high-quality and affordable care to women.
This document discusses various methods of family planning, including injections, implants, patches, IUDs, and sterilization. It provides details on the mechanisms of action, efficacy, benefits, procedures, side effects, return to fertility, and contraindications for each method. The injections discussed are progestin-only and combined methods administered monthly or every 2-3 months via intramuscular injection. Implants and IUDs are long-acting reversible options placed surgically or inserted into the uterus. Sterilization methods include vasectomy for men and tubal ligation for women. Comparative information is also provided to help evaluate the options.
Based on the information provided:
- The patient developed sudden cardiac failure in the postoperative period after cesarean section.
- She has signs and symptoms of heart failure like weakness, shortness of breath, palpitations, nocturnal dyspnea, cough and peripheral edema.
- On examination, she has tachycardia, arrhythmia and S3 gallop with no murmur heard.
The most probable diagnosis is peripartum cardiomyopathy. This presents as heart failure in the last month of pregnancy or within 5 months postpartum with no identifiable cause for heart failure.
CASE REPORT ON osteomyelitis.
Osteomyelitis (Femur debridement & Bone cement Spacer with External fixator).
Femur Deridement-
Doctors may recommend a procedure called debridement to remove dead or damaged bone tissue in people with osteomyelitis. During this procedure, the doctor cuts away dead or damaged bone tissue. He or she also washes the wound to remove any dead or loose tissue.
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OBSTETRIC PRACTICES IN PRESENT SCENARIO BY DR SHASHWAT JANIDR SHASHWAT JANI
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This document discusses obstetric embolism, including amniotic fluid embolism (AFE) and venous thromboembolism (VTE). It provides data on maternal deaths in Malaysia from these causes from 2006-2012. It also outlines risk factors for VTE in pregnancy, signs and symptoms, diagnostic methods, and treatment guidelines involving low molecular weight heparin, unfractionated heparin, or warfarin. Strategies to reduce VTE risk include modifying risks factors before pregnancy, awareness and guidelines, and risk-based management during pregnancy and postpartum.
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The document describes a case study of a 25-year-old unmarried woman who presented with heavy menstrual bleeding and was diagnosed with septic incomplete abortion and severe anemia. She was treated surgically and received blood transfusions and antibiotics. The document then provides background information on unsafe abortion, its prevalence in Nepal, and the country's abortion law which legalized abortion in certain conditions. It discusses methods of surgical and medical abortion and challenges to accessing safe abortion services in Nepal.
The document discusses esophageal cancer rates rising rapidly in the US. It notes that the rate of esophageal adenocarcinoma, a common form of esophageal cancer, has increased sixfold from 1975 to 2001. Researchers ruled out overdiagnosis as a cause, and found that death rates from this cancer also increased sevenfold over this period. The document then provides several testimonials from doctors and patients who saw health improvements, and in some cases cancer being cured, after taking a natural immune-boosting product called Transfer Factors.
The presentation can be used for training of Doctors and Staff nurses on Emergency Obstetric care and MMR reduction strategies in Low Resource settings.
A kidney transplant involves surgically removing a failed kidney and replacing it with a healthy donor kidney. The new kidney is connected to blood vessels and the bladder. Patients typically stay in the hospital for 2-5 days after the transplant and must carefully follow medication and lifestyle regimens to prevent rejection and support the new organ. Common challenges include managing side effects of anti-rejection drugs and adjusting to lifestyle changes.
This document contains answers to 18 frequently asked questions about gynecological issues. Dr. Sarita Kapoor provides advice on issues like irregular periods, infertility treatments, pregnancy-related questions, and more. The questions cover a range of women's health topics and Dr. Kapoor offers personalized medical guidance to help address each concern.
Century-old school raises RM 600K-Sunday, 1st Jan 2023.pdfChen Hoe Lee
1. SJK(C) Chap Khuan, a century-old primary school in Batu Arang, Selangor, recently held its centenary celebration that was delayed twice due to the Covid-19 pandemic.
2. At the event, which drew 1,420 attendees, the school raised RM600,000 for its building fund. This was an unprecedented fundraising achievement for the small former coal mining town.
3. The school was established in 1920 by Chinese immigrants and staff of the Malayan Collieries Ltd coal mining company, and currently has an enrollment of around 240 students, 52% of whom are Indian and Malay.
Mum, I miss you...... -Lee Chen Hoe.pdfChen Hoe Lee
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Based on the information provided:
- The patient developed sudden cardiac failure in the postoperative period after cesarean section.
- She has signs and symptoms of heart failure like weakness, shortness of breath, palpitations, nocturnal dyspnea, cough and peripheral edema.
- On examination, she has tachycardia, arrhythmia and S3 gallop with no murmur heard.
The most probable diagnosis is peripartum cardiomyopathy. This presents as heart failure in the last month of pregnancy or within 5 months postpartum with no identifiable cause for heart failure.
CASE REPORT ON osteomyelitis.
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Femur Deridement-
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OBSTETRIC PRACTICES IN PRESENT SCENARIO BY DR SHASHWAT JANIDR SHASHWAT JANI
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1. What Every Kidney Recipient Should Know
Sunday, September 11, 2011
Lee Chen Hoe
Deceased Donor Transplant Recipient
Kuala Lumpur Hospital
July 27, 1996
1
3. Coping with CAPD
-Took me 4 months to finally accept the fated illness
- A supportive family and my loving twin girls
-I was reassigned to desk job in charge of Material
Control from Technical Service
-Had to stop once or twice in the North South
Highway to take a cat nap before continuing my
journey of 60 km to work
-To put up with unfriendly and hostile remarks
-A strong determination to pull through 3
5. My Preparation for Transplant Operation
-Signing up for the Waiting List
-A Positive mind set
-Walking exercise
-Practice of Wai-tan-kung tai chi exercise to stay healthy
-Closely followed my dedicated CAPD nurse’s advice
-Had my teeth checked by the dentist to prevent infection
-Resourceful on pre and post transplant care
-Emotionally, mentally, physically and psychologically
prepared for the transplant operation
5
6. Post Transplant Operation
The success rate of transplant operation in
Malaysia is 90+ %, compatible to any part of the
world
-You will be back to normal
-No need to stick to Haemodialysis /CAPD schedule
-Sexual life
Can start 3 or 4 weeks post transplant operation
when the site of the wound is alright
6
7. Post Transplant Operation
-You will be placed in the Intensive Care Unit
-Transfer to a Single Occupant Quarantine Room for about
two weeks
-Follow closely to the heavy dosage of anti rejection
immunosuppressive drugs
e.g. Cyclosporine, Tacrolimus, Mycophenolate,
Prednisolone, Azathioprine (Imuran) Twice daily
-Hypertensive drugs e.g. amlodipine, Atenolol,
-Cholesterol drugs e.g. lovastatin
-Store medicine in cool and dry place away from children
- Be wary of the expiry date of the drugs
7
8. Post Transplantation Operation
Medical Follow up with Kuala Lumpur Hospital
-Ultrasound or Computerized Topography (CT)
Scan
-Nuclear Magnetic Resonance (NMR), if necessary
Doctor will prescribe 2 to 3 months of medical leave
for you to recuperate after the transplant operation
8
9. Post Transplantation Operation
Medical Follow up with Kuala Lumpur Hospital
Blood Test
-Urea (1.7-8.3 mmol/l)
-Sodium (125-145 mmol/l)
-Potassium (3.5-5.0 mmol/l)
-Creatinine Level (65-122 mmol/l)
-Uric Acid ( Male 202-416 µmol/l)
Female 142-239 µmol/l)
-Urine Test ( Free of albumin)
9
(Source: Nephrology Department of Kuala Lumpur Hospital)
10. Post Transplantation Operation
-Meet the Dietician
-Stay in touch with the Transplant Coordinator
-Observant of any bodily changes for the first six (6) months
caused by the immunosuppressive drugs
e.g. Cyclosporine will cause
-Moon Face
-Hairy body/ Ladies will start to grow moustache
-Pimples
-Will put on for a few kilos of bodily weight
-Temperamental/Emotional caused by Prednisolone
10
-Drink at least 3-5 litres of water during the initial
11. Post Transplant Operation
Signs of graft rejection
-Fever
-Pain or swelling in the graft area
-Less urine output
-Report immediately to our “Holiday Resort”
-Creatinine level will increase from the normal
level to ≥ 200 mmol/l
11
12. Post Transplant Operation
Three types of graft rejection
-Hyperacute rejection occurs within first 24
hours of transplantation
-Acute Rejections occurs first few weeks or
months after transplantation
-Chronic Rejection
12
13. Post Transplant Operation
Administer of Medication for rejection
-Intravenous Methylprednisolone
-Change anti rejection drugs
e.g. FK506
-ATGAM/Thymoglobilin-Very costly drugs
10 – 14 injections
13
14. Post Transplant Operation
Precautionary Measures to take
-Wear a face mask during the initial first 3 to 4 weeks
when going out
- Do not go to crowded places
-Keep away from pets
--Keep away from people who have a cough or fever
--Keep away from family members who have
chickenpox or measles
-No taking of herbs or direct sales stuff
-Don’t be your own doctor, i.e. subtracting the drugs
14
15. How I look before and after Kidney Transplant Operation
Pre Kidney Transplant-1994 Post Kidney Transplant – 1999
15
Hb 7+gm/dl Hb 13+gm/dl
21. My Post Transplantation Self Care
1. Regular medical follow up in Kuala Lumpur
Hospital
2. Look at life differently and positively
3. Consume more fibrous diets-lots of fresh fruits,
vegetables, and less meat
4. Exercise-brisk walking, badminton, wai-tan-
kung tai exercise
5. Drink about 3.0 liters of water daily
6. Non smoking or drinking
7. Leading an absolutely normal quality of life 21
22. MBA Graduation- August 2, 1999
Continue education to
enhance your market
values by returning to
university
With my mother at the
Universiti Putra
Malaysia
22
23. Or…
-Start your own business so that you are
financially independent
e.g. Insurance agent, unit trust, will writing
-Start your own family
-Ladies need to discuss with the doctors should
they decide to conceive a child
23
24. I am Grateful:
-Thankful to the donor family
-The doctors and medical staffs of
Kuala Lumpur Hospital
-My parents, my wife, my twins and
siblings
-Involve in Organ donation awareness
campaign 24
25. Many organ recipients take things for
granted and never say a word of thanks
to the DONOR family !
The Transplant Coordinator got to
purchase a Thank You card as if it was
from the recipient and send to the donor
family as appreciative of their noble and
altruistic act of organ donation, the Gift
of Life! 25
27. “You must give something to your fellow
men even if it’s a little thing, something
for which you get no pay but the privilege
of doing it”
Albert Schweitzer
27
28. Chen Hoe Lee:
I'm so glad to see how healthy you two
are looking! Thanks for keeping me up to
date on your progress and on all the work
you do for transplant issues. My family is
so happy that my husband's kidneys have
served you so well!
Best wishes, Madge Bender
(May 28, 2009)
28
29. Dear Chen:
I'm so pleased that we were able to make
your life and your "twin's" life longer
and happier. Your efforts to make
transplants more common and acceptable
in your country and your region are
commendable. Keep up the good work
and good luck with it!
Best, Madge Bender
(May 29, 2009)
29
30. The Visionary Leader and Nephrologist
Dato Dr. Zaki Morad
Mohd Zaher
Senior Consultant
Nephrologist
Head of Nephrology
Department
Kuala Lumpur Hospital
1985 to 2006
NKF Kidney Walk-March 15, 2008
30
31. Nephrologist
Dr. CC Tan
Consultant
Nephrologist
Head of Nephrology
Department
Hospital Tengku Ampuan
Rahimah
Klang
NKF Kidney Walk-March 15,2008
31
33. Had it not due my twins in giving me the
motivational inspiration to courageously drive
on plus a shower of medical care and touch
from Dato Dr. Zaki Morad, his team of
doctors and medical staff from the Nephrology
and Urology Department of Kuala Lumpur
Hospital to remain healthy to this day, it
would have been difficult to persevere for 19
years in seeing them through their education,
was the proudest moment and achievement of
my mission in life
33
39. 1. Carry more than enough medication that you need
during long distance travel or holidays
2. Carry your medicine prescription booklet with you
or a doctor’s letter stating your dosage in the event
there is immigration or custom checks
3. Carry two (2) sets of medicine - one set kept in the
check in luggage and another in hand luggage, or
ask travel partner to carry one (1) set
4. A list of Healthcare providers and contact nos.
5. Ask the doctors for a short supply of antibiotics,
e.g. diarrhea, nausea, giddiness
(Reference: Roche Pharmaceuticals)
39
40. 6. Drink your own boiled water and lots of it
7. Keep your watch at home time if you are traveling
to countries of different time zones
8. Carry your insurance card with you
9. Have your blood test check one (1) week or so before
your travel
10. Upon return, take a rest for a few days before
going for a blood test because you would be
dehydrated during travel.
11.Use sun block for out doors activities
- Our risks of contracting cancer is 5 x higher than
that of a normal person 40
41. Green Ribbon Support Association
1. To promote and provide support, care
and counselling to patients who
have undergone transplant of organs
to return to lead normal life again in
the society.
2. To create awareness of major health
diseases leading to end stage organ
failure.
3. To improve donor rates in the country.
41
42. Be There for the newly diagnosed patients-
Prof. Masuri Othman of UKM-Feb. 27, 2003
Ms Marzianna wanted to donate a kidney
to her 8 years old daughter-
December 5, 2009
42
48. I always have these PICTURES in me whenever I
am out for Organ Donation Awareness Campaign
P-A burning passion and love for the job
I-Taking the initiative to strike a conversation on
Organ Donation
C-Communicate in the simplest possible language
on the topic
T-Take time off from my appointments or work
U-Understand from the viewpoint of the other person
R-Research on the topic and responsible for my work
E-Enjoy the work and ever grateful being given a
chance in this noble act. Expect nothing in return
S-A sincere and supportive family and derive the
48
greatest satisfaction for the work done as it saves lives
49. World Transplant Games-
Gold medalist in Badminton
1997-Sydney, Australia
1999-Budapest, Hungary
2001- Kobe, Japan
2003-Nancy, France
2005-City of London, Canada
Silver medal
2007-Bangkok
2009-Gold Coast, Australia
49
50. What are the Financial Assistance?
1. SOCSO
• Must have made at least 24 contributions to SOCSO
• Below 55 years old
• Claimable for Invalidity Pension Scheme
• Claimable up to 50 to 65% of your maximum income
of RM 2,000 per month
• Dialysis is taken care of by SOCSO
2. Social Welfare Department
• Claimable up to RM 300 /month 50