One thing Malaysia has done very well (and used our size for advantage) albeit quietly is in the clinical trial research space. Last two months, spoke to 3 companies that are moving their regional office from Singapore to KL
@hasnul_hayat@zaryl2k@ggljeje@According2Fahmi@jhnrdzi Pencen kena bayar tax lebih, coz youll have more net income, your contribution to EPF tak dikenakan tax..so yg pilih EPF automatic pay less tax too and more savings. This is my understanding la
The magnesium LOE was rated as high; but really 66% of patients came from a single study and most patients received digoxin (rather than CCB or BB). it may be an adjunct to use in difficult-to-control rates, but alone not a magic bullet with limited evidence
Jamie Dimon's 2022 Letter to Shareholders
On interest rates:
"When you analyze a stock, you look at many factors: earnings, cash flow, competition, margins, scenarios, consumer preferences, new technologies and so on. But the math above is immovable and affects all."
I've watched this a few times, and have questions -
1 - the patient asked the surgeon to film it, everyone is OK with, and she puts it on her own tiktok...Wow?
2 - why not get the guy in the dark blue to hand him the tube?
3 - why a Miller blade? (never used one in an adult)
5/
Indirect evidence of a dissection on u/s include:
✨enlargement of the artery but eccentric intraluminal stenosis / occlusion.
Direct evidence:
✨a floating intimal flap (as seen here)
✨tapering stenosis and string sign
✨double lumen appearance (👇)
"I had almost all-in EPF in my life. Now I consider myself retired".
Age: 51-54
EPF: RM1.49 Million
Dividend: RM72521 in 2022 (RM6043/month)
This is an anonymous sharing on FB. This is what he did 🧵
Priorities Tan Sri @DGHisham:
1. Contract staff
2. Emergency Dept staffing
3. Low on-call allowance
4. Exploitation of HCW including bullying, overworking, theft
5. No sub specialist allowance
6. Recognise non-clinical doctors with postgrad as specialists
7. Banyak lagi…
Patients may present with elements from different stages (“rows”) of cardiogenic shock
More hemodynamic data = higher chance of upgrading the severity of shock
In conclusion after the budget.
Case and progress noted.
S/B YB
Plan.
1. Allow to ventilate.
2. Cont supportive management
3. Cont others as planned.
4. No active intervention from primary team.
5. For GP to take over.