Page 61 - MASALA Magazine Vol.15 Issue 5 | June - July 2024
P. 61

Many people in the Thai-Indian     might come directly or be referred if their   How does speaking multiple
             community and beyond see           condition falls within the scope of colorectal   languages enhance your ability to
             Bumrungrad International Hospital   surgery. With advancements in laparoscopic     provide patient care?
             as the gold standard of medical    surgery, we now prefer minimally invasive   Speaking multiple languages is a significant
             care in Thailand. What sets it apart   techniques, but open surgery remains   advantage because communication is
             from the rest?                     essential in many cases.           crucial in medical practice. You can learn

             Bumrungrad International Hospital                                        all there is to learn about medical
             has grown from a small hospital to                                       science, but treating a patient, steering
             a large, internationally-recognised                                      them towards a treatment plan, making
             institution. Our teamwork, standardised                                  sure they understand the procedure
             procedures, and dedication to                                            and why it is necessary - this is all an
             providing the right treatment without                                    art. At Bumrungrad International
             going off track are key factors. Over                                    Hospital, we have interpreters for over
             my 40-year journey here, the hospital                                    16 languages, but personal language
             has expanded from 100 beds to over                                       skills can enhance this connection
             500, continually improving facilities                                    further. I speak English, Punjabi,
             and services.                                                            Hindi, and Urdu. But truthfully, had
                                                                                      I known I would see so many patients
             New research shows that young                                            from Bangladesh, I would have learned
             adults are getting colon and                                             Bangla too. [Laughs]
             rectal cancer at alarmingly high
             rates. As someone whose special                                          Can you describe a memorable
             clinical interests includes colon-                                       case or patient that had a
             rectal surgery, do  you  see a                                           significant impact on you?

             similar trend in the patients you                                        During my training in Chonburi,
             see at Bumrungrad International                                          known as a ‘Cowboy Town,’ I frequently
             Hospital?                                                                treated gunshot wounds, often opening

             Yes, I have observed a similar trend.                                    abdomens every other night. These cases
             Lifestyle and dietary changes, such as                                   were challenging but provided immense
             increased consumption of processed                                       satisfaction when we could save lives.
             food and red meat, might contribute                                      Knowing that you made a difference
             to this rise. However, we can’t pinpoint                                 in a critical situation, knowing that you
             specific foods as direct causes without                                  intervened to keep them alive - those are
             considering the context. The fact is,                                    the cases that stick with me.
             improved technology, better global
             health literacy, and increased use                                       You have been working with the
             of colonoscopies allow us to detect these   One of your special clinical interests is   Indian diaspora for a very long time
             cancers at a more frequent rate, naturally   also Minimal Invasive (Laparoscopic)   in terms of health and your speciality.

             leading to more diagnoses. The upside is   Abdominal Surgery. How has the field   What are your key observations?
             that early detection gives the patient more   of laparoscopic surgery evolved since   The Indian community here has been with us

             treatment options and better chances for   you began your practice?   for a long time and feels confident consulting
             entering remission.                Laparoscopic surgery has revolutionised the   with Indian doctors. However, many are also
                                                field with its minimal scarring and faster   comfortable with Thai doctors due to their
             What  specific  criteria  need  to  be   recovery times. The basic surgical principles   fluency in Thai and familiarity with the
             met before you refer a patient for   remain the same; the difference lies in   local medical system. We see patients from
             colorectal surgery?                using smaller instruments. We adopted   all over the world, and referrals often come

             Initially, general surgery covered everything,  laparoscopic techniques early on, around   when cases are particularly complicated,
             but over time, specialities like colorectal  1988, soon after they were developed in   highlighting our reputation for reliable,
             and breast surgery branched out. Patients   Europe.                   team-based care.


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