Soek-Siam Tan

Liver specialist working in Malaysia. Views are my own

[Dzulkefly Ahmad @DrDzul]

Tbt…at 15.59 Dr Bee Boon Cheak, Consultant Nephrologist alerted me with this short message..

Hi YB Datuk Seri,
Our deceased organ donor this morning, Selayang Hospital (liver, bilateral kidneys, bilateral corneas, heart and heart valve)..

He later gave a longer whasap and l take liberty to share it here…🙏

This is the story for this kindhearted young donor whose compassion touched everyone around him.

Just one month ago, he spoke to his parents about his wish to become an organ donor. With full understanding and love, they supported his decision.

According to his mother, he did not buy any Raya clothes this year — almost as if, deep down, he knew his time in this world would be short. On his phone, he had kept information about the National Kidney Foundation, a quiet reflection of his intention to give life to others.

Today, on what is also his mother’s birthday, she holds onto his final wish. Through her grief, she finds strength in honoring what he wanted — to give hope and life to others even after he is gone.🌹

With a mother’s love and courage, she pleaded with us to help fulfill her son’s last wish in this life.🥹

At around 4 a.m. this morning, the “walk of honor” took place. In those solemn moments, he was not alone. Surrounded by family and many friends, they walked alongside him — a final journey filled with love, respect, and gratitude.❤️

Though his life was brief, his legacy will live on in the lives he saves.🤲🤲🌺🌺😍😍

Tears welled in my eyes as l wrote back…

Dear Dr Bee,

In a moment of loss, this family chose courage, generosity, and humanity beyond measure. Their decision transforms grief into grace, and sorrow into salvation for others..❤️🌹

May God Almighty envelop this soul in His infinite Mercy-Rahmah, grant them the highest place in His Paradise & place them among those who are received with honour and tranquillity..🤲🌹❤️🤲

[Nature Reviews Gastroenterology & Hepatology @NatRevGastroHep]

New online! Acute-on-chronic liver failure: pathophysiological mechanisms and clinical management https://t.co/XdWDDLUXwp

[MAIDEN @MAIDEN_MAFLD]

Ever wondered why lean people are more likely to die from MAFLD compared to their non-lean counterparts?
🤔#LiverTwitter #medtwitter

New study shows that they have ⬆️ telomere shortening which is linked to increased mortality.

[Soek-Siam Tan @drsstan]

@VanessaSDaniel @KKMPutrajaya @hselayang #Ravidasvir+sofosbuvir in #HCVGT3 with compensated cirrhosis ➡️SVR12/24 of 97.5%. This combo is in @WHO EML and my go-to DAA for #PLHCV with compensated cirrhosis. DDI check in @hepinteractions. TQ @KKMPutrajaya 🇲🇾@DNDi and @EASLnews for accepting poster at #EASLCongress2024

[MAIDEN @MAIDEN_MAFLD]

📣When you manage type 2 diabetes with healthy behaviours, you also manage your risk of fatty liver disease, heart disease and kidney disease.
🚨 #MAFLD, Diabetes, heart disease and stroke, and kidney disease are all connected.
#Livertwitter #Medtwitter

[MAIDEN @MAIDEN_MAFLD]

🚨🚨MAFLD vs. MASLD?
🆕 study in @AnnalsofHepatol
📌 Patients with MAFLD only had 4.73-fold greater risk of CKD than those with MASLD-only.
✅ For improved prognostic value, use #MAFLD!

[Hepatology International @hepinternation1]

Check out the APASL clinical practice guidelines on the management of acute kidney injury in acute‑on‑chronic liver failure published on 05 April 2024

🔗View the guidelines on https://t.co/c0RIGbOnTR

#heptaology #HepatologyInternational #Kidney #liverfailure @APASLnews

[World Health Organization (WHO) @WHO]

#Hepatitis B can be prevented with a safe and effective vaccine. The vaccine is usually given soon after birth with boosters a few weeks later.

It offers nearly 100% protection against the virus.

https://t.co/bpVhI1mnZy

[HepatitisSA @hep_sa]

Viral hepatitis catches up with tuberculosis as 2nd leading infectious cause of death after COVID, killing 1.3 million pa globally @WHO Global Hepatitis Report 2024 also sets out strategies for elimination.https://t.co/OlsqAU494e
#WorldHepatitisSummit @HepAus @drsstan @SAHealth

[Dr Nipun Verma @drnipunverma]

https://t.co/Mba2BsZiLR

♨️♨️♨️ off press guidelines for AKI in ACLF

Huge contributions from panel of experts across the 🌎

@drshivsarin @MaiwallRakhi @ProfPaoloAngeli @AnandVKulkarni2 @drsuniltaneja @ajay_duseja @RohitMehtaniDM @APASLnews @INASL_Liver @EASLnews @AASLDtweets

[HepatitisSA @hep_sa]

New @WHO #hepB guidelines sets out simpler treatment criteria, easier prophylactic access for pregnant women to prevent mother-to-child transmission, better hepatitis D co-infection diagnosis. @HepAus @hepBfoundation @hepatitisbfree @drsstan @RACGP
https://t.co/WCSstj3ynF

[Anand V Kulkarni @AnandVKulkarni2]

These two proposals (ACLF re-defined & re-classified) are inclusive of various definitions. We must focus our efforts on therapeutic aspects to improve survival of patients. @rabataller @JonelTrebicka @ajay_duseja @sonalasthana @MarcoArreseMD @juanpabloarab @salvatore_piano

[Anand V Kulkarni @AnandVKulkarni2]

There are various definitions of ACLF but a clear & standardised definition is lacking. Here we propose steps for harmonisation. @EASLnews @EASLedu @AASLDtweets @BavenoCoop @APASL_AARC @APASLnews @ProfPaoloAngeli @drshivsarin @JHepatology #livertwitter
https://t.co/tDATUp1fIg

[Sombat Treeprasertsuk @battan5410]

..Checkout for the latest expert consensus in Hepatology International ; March 2024..#HEPI
#HepatologyInternational
https://t.co/6JeIwLWiSp

[MAIDEN @MAIDEN_MAFLD]

📣When you manage type 2 diabetes with healthy behaviours, you also manage your risk of fatty liver disease, heart disease and kidney disease.
🚨 #MAFLD, Diabetes, heart disease and stroke, and kidney disease are all connected.
#Livertwitter #Medtwitter

[Soek-Siam Tan @drsstan]

@hep_sa @hepqld @HepAus @hepvic @ASHMMedia @ntahc @HepatitisWA @HepatitisNSW @HIVAIDS @hepatitisbfree 新年快乐 🍊

[MAIDEN @MAIDEN_MAFLD]

If you or a loved one is affected by #MAFLD, our #MAIDEN website has lots of information and advice in multiple languages.
Including advice on risk factors & information on tests and treatments.
#livertwitter #medtwitter

[British Liver Trust @LiverTrust]

1/2 Sad to hear about the passing of Professor Sir Roy Calne, the pioneer of Europe's first successful liver transplant in 1968. His groundbreaking work at Addenbrooke's Hospital changed the history for those with life-threatening liver diseases, offering a second chance at life.

[MAIDEN @MAIDEN_MAFLD]

The Benefits of Physical Activity:

1. ⬇️ Blood Pressure
2. ⬇️ Adiposity
3. ⬇️ Inflammation
4. ⬇️ Insulin Resistance
5. ⬇️ Resting HR
6. ⬇️ Sympathetic Activity
7. ⬆️ HDL-C
8. ⬇️ LDL-C
9. ⬇️ Stress
10.⬇️ Depression
11. ⬇️ Anxiety
12. ⬇️ Fatty liver
13. ⬆️ Cognitive Function

#livertwitter #medtwitter #MAFLD

[MAIDEN @MAIDEN_MAFLD]

https://t.co/1XZTiilPAm