My source of passion.....

My in depth passion to educate the public stemmed from deep down within my heart where I genuinely concerned over misinterpretation, wrong knowledge, wrong impression on these wonderful vaccine. I sincerely doubt anyone sees the significance of the discovery of such vaccine which marks a milestone in the history of medicine and mankind.
It all started at around 2006, where the first vaccine, Gardasil was launched. I didn't pay much attention to it. Well of course back then I have not started studying in depth regarding how rampant cervical cancer is. All that I knew back then was 2 things. First, it's an extremely expensive vaccine, and I doubt the community would accept it with open arms. As a matter of fact, I angered a few parents when I merely suggested the vaccine, to my dismay soon I realized the parents whom I spoke to had the impression that I view their daughters to be potentially promiscuous, hence my recommendation for the vaccine.

After several attempts to talk to parents, I knew I failed judging from the reaction from them.
I remember very well, a couple actually condemned me for suggesting it and stormed out from the clinic.
Since then, I stopped promoting the vaccine.
Back then, Cervical Cancer is almost always associated with unhealthy sexual behaviour, which today after studying in details on it, it's not.

One may contract the disease even with only one single partner.

With price exceeding RM800 per jab, I knew for sure it will receive poor response. I gave up then.
Tlhen GSK launched  Cervarix at 2008. The price then was around RM400+. Back then I wasn't paying much attention to it. After several month, GSK slashed the price by 60%,hence making it more affordable for the public.

Now how I developed the passion was an interesting tale. 2009, I had three patients, a man and 2 ladies. I can't recall for what reason they came, but I treat all my patient with genuine and whole hearted. Some how the conversation revolves cervical cancer. The gentleman's eyes started tearing up the moment he mentioned about his deceased with from Cervical Cancer. He claimed that his wife never missed her Pap Smear, and the result was reported normal. However 6 months later, the wife died from cervical cancer. From the conversation we had, I can tell this gentleman will never get a closure to the wife's tragic death. He literally cried, and questioned how was it possible the Pap Smear reported normal, yet she passed away from cervical cancer. I doubt this poor gentleman will ever have a closure and will never except the reality that the wife is no longer around. Who to blame? The test? the doctor?
I felt an overwhelming sadness and how I wished I could comfort the man, but i know its impossible.
The story from the two ladies similarly resembles when their sibling died despite yearly Pap smear stated normal finding. Its  unfair, and I felt the pain when they tell their stories. I was overwhelmed and told myself I will study the faults for the false positive result that cost lives.
The more I delve into finding the faults of conventional Pap Smear, I realized there must be a more accurate screening method to counter the faults of conventional Pap Smear.
Then I found out a more accurate method called Thin Prep Pap Smear which was made available since 1996.
I started promoting TPPS in my blog, but the response was poor.
2009 was the year my aunt was diagnosed to have Pancreatic cancer. Every month, she would come to my clinic for check up. The first time I diagnosed her, she was a hefty 86kg lady. Her 9 months ordeal was the most depressing experience  in my career as a doctor. I see her getting emaciated, the tumour was eating her as time goes by. Until the last visit, she weighs 35kg.
I accompany her to the hospital and was there by her deathbed... I was there when she blew her last breathe.
My uncle was devastated, he lost his appetite,was hospitalized twice, and whenever he's alone at home, he would talk to late wife;s photo,the wife's favourite dog. Out of  the sudden he would burst  into tears, having difficulty sleeping, having to wake up every two hours drenched with sweat.
I was there witnessed the psychological and  mental damage it has one my uncle. Once a week, he would visit my aunt's grave.
Witnessing all these, I was determined that with a vaccine so revolutionary, I try my best, I dedicate this blog purely to educate the public, that now they have a choice to say no to cervical cancer, the number 2 killer among women. I tried hard, and even if I managed to reach out to a single lady to agree to vaccinate,I feel contented. This crusade, to reach out to the masses has become personal to me. I do not want ANYONE to go through what my aunt faced. Even when she's gone, the damage is still felt my the family member.
That is why I don't mind spending hours explaining to patients about this vaccine for free. There are 500,000 new cases everyone, out of which 270,000 is from Asia Pacific.
Patients asked me why am I relentlessly promote this vaccination. After reading this, I hope you'll understand why. I am not making profit from this vaccination, and the price that I offer is the cheapest in the entire nation. Its not fame that I am after, but I want to make this vaccine affordable to all walks of life.

New site of injection

95% of patient who received the injections would complained of pain to almost right off the pain chart, however, I am glad to inform you that alternatively we can inject at the thigh which I had done for a number patients already. They had claimed the new injection site is far lesser pain.
However, the injection is not recommended through the gluteal(buttocks) as the pad of fats prevents the vaccine from being delivered into the muscle as its supposed to. Unless of course you don't mind me using a larger bore needle!

MUST READ!

Many "syabas" and "tahniah" to our Malaysian Medical Association for kick starting a year long program where the cost for Cervical Cancer vaccination is partially subsidized by them. For this particular

campaign, I salute to the policy maker, to whom who had to pull strings to make this happen.
For this

Ribuan Tahniah dan ucapan Syabas.
Current market price for a dose of Cervarix ranges from RM300+ to RM180++. With this campaign specifically targeted at girls of age 14-19 years old will benefit as the cost of vaccination would be subsidized by MMA(why not MOH??)
The total cost for vaccination is RM466 under such program.

So why wait, don't procrastinate any longer, register with the nearest clinic near you that took part in such program to enjoy the price cut. I hope I don't sound much like a salesperson, but merely reaching out to the public to take advantage of this.

1st Dose
Remember to bring the ID of the recepient
and RM 233
2nd dose
- RM 233
3rd dose
FREE!!!

Message from a Cervical Cancer survivor.

Since I can't manage to get a real survivor from cervical cancer, I searched in the internet and stumbled on this two videos.
Imagine the angst, psychological,and emotional trauma one can avoid with a simple vaccination. Please ladies, wait no more..


So ladies, do no hesitate or procrastinate any longer. It can happen to you. Do you know that the 13 minutes spent on watching these videos, 6 women died of cervical cancer.
Talk to your doctor today.

New promotion on Cervical cancer vaccination.

Successful campaign..

First public vaccination campaign-- success..
Hitler managed to convince a crowd of 2 million that their Aryan background is superior, that led to the elimination of 2 million Jewish during the Holocaust.
This man, the greatest orator of all time.....

drove his people to commit this

Genocide to the Jewish.
While Anthony Robbins, the great sort after self improvement speaker,

..Convinced his attendees to practice "Mind over matter" exercises by walking on burning hot charcoal.

While me....tried and  succeeded in getting people to protect themselves against cervical cancer by a painful vaccination.

That's the number of emptied vaccine syringe.
This is very encouraging, and as the effort that I put in creating awareness begins to sap away, this rejuvenates me and justifies and reaffirms my worthwhile effort.
 

All prepared for mass vaccination in IBM.

I am all stocked up now for the first mass vaccination.
At last, the effort and my aspirations materialized. To provide patient with proper health care with an affordable price.
I am considering lowering the price even more, specifically targeted at the lower income group of people.
I am looking at at somewhere around RM150 per dose.
I simply hoped that more people will be aware of the impact cervical cancer has on our society. Unless you know someone who had died of cancer of suffering from cancer, onl then would you able to understand how it felt like.
Death is inevitable, but the question  is, whether or not one dies with their dignity intact.
Trust me, there is no glory nor dignified in dying from cancer.

Are you sure you are telling the truth or out to sabotage?(some photos may be graphical. Viewer's discretion is adviced)

It took me 4 days of writing and then erase my write ups as each time I feel there is so much better ways to convey my message?
To begin this long winded post, let's talk about human psychology. (at this point, I sincerely doubt if anyone is reading this post as it's boring to most) a peculiar feature than makes a man, is self interest. What seemed important to them, they would go all out to get it,but it, hunt for it, study for it, etc.... but to what seem trivial not to mention potentially harmful to them, we will go all the way dispel them off, even against Government. Whether the Government is corrupted or not is another issue altogether.
Now, lets get back to the point here. It's been reported that increasing number of adverse effect leaning towards Gardasil is being reported, and that cases due to Cervarix is gaining.
What the the adverse effect?
Guillen Barre Syndrome,seizure, convulsion,anaphylactic shock, paralysis, chronic fatigue, autoimmune diseases, blood clots, urticarial rashes, shock,  pancreatitis, transverse myelitis, and many more.
Now this is the point where each time I erase the whole write up and rewrite them all over again..
There are often times when i actually contemplated to video blog rather than to write it due to it's lenght.
Some goes all out to say that the figures in charts and graph are all made up to create a hype in the need to find a solution for such condition such as cervical cancer.
I've checked with Makna that back in 2006, cervical cancer was ranked 3rd among all mortality due to malignancies. Why would Makna(an NGO) want to do anything as such.Cervarix wasn't even out to the market at 2006.
I sincerely think the our western counterparts have exaggerated this  a little bit. For any products that is classified as medical product are obligated to list down the possible side effect, no matter how remote it maybe. Whether it's 100% or 0.00001%,the possible side effect must be listed down.
By now, everyone should know the westerns are well known for their views on personal/liberty rights.They are the first to stand in front of a legislative building with sign boards, shouting slogans on human rights , social injustice,racism,etc..
I am not at all surprised when they decided to go all out against state legislature on making cervical cancer vaccination compulsory for school going children as the public perception on cervical cancer is totally different from Asia Pacific region. Cervical cancer being ranked 15th or 16th in UK and US with mortality of less than 1% obviously would not be seen as national threat!
99% of the reported side effects came from the western world. UK and US in particular.  Just because the mortality rate is low due to cervical cancer in their country, it NOT necessarily means it;s not important nor it being any less revolutionary.
As a physician coming from Asia Pacific region where Cervical Cancer has plaque women in our countries for years, the discovery of such vaccine is the closest thing short of a miracle.In my humble opinion, it marks as a milestone in the progress in health and science.Progress has been constant and gradual all these years, but it is incidences as such that marks it;s progress by leaps and bounce. This belong to the same group in terms of significance as the discovery for Polio vaccine, the discovery for Malaria drugs, TB vaccination, and in future, the only thing that is in par with such discovery is the cure for AIDS.
Complications, convulsions, development of Guillen Barre Syndrome, urticarial rashes.. these are not discoveries, but its well documented as possible adverse effect in the leaflets within each and EVERY VACCINES, and not only in cervical cancer vaccines only.
Vaccines don't cause a urticarial rash, convulsions, or Guillen  Barre Syndrome. They merely triggers off these already present condition. One don't contract epilepsy. Anything under the sun, stress,heat, fear, pain may triggers off a convulsion, but that doesn't make a person epileptic.

The same goes for Guillen Barre Syndrome, a rare autoimmune disease that normally manifest itself in middle age. If it's not being triggered off by the vaccine, it will  triggered off by something, somewhere. If it happened spontaneously, who are you to blame? Bloody Helios?
As I had mentioned earlier, all form of medical products whether it's vaccine, contraception, antibiotics, painkillers, etc... carries a leaflet stating all their possible side effects, no matter how remote it may be.
At least its better than some products that doesn't state them, and if anything were to happen, the consumer were to be blamed or a pat on the shoulder saying sorry, it happened to you.
Just like any medical product, Cervarix carries its leaflet stating all effects, both possible and remotely.

I simply couldn't understand why come  party says pain at the side of injection is an "adverse effect". I though when you're poke through with any sharp object, that's the reaction, a normal reaction. Not a side effect.

Some party claimed the possibility of contracting cervical cancer is enhanced with the vaccination! Based on what?? Did these independent body of investigators conduct their own studies or do they simply come out with a number as how is it possible when the vaccine is engineered by producing it's vaccine by means of production of it's plasmids(the protein /capsule that does not contains the viral DNA that cause the actual damage to the body. Yup, you got me right. What makes up the vaccine is nothing but an empty capsid for the body immune system to form an immunity against the actual harmful virus. By that, how is it possible that someone came out with the statistic that the percentage of increased possibility of post vaccination cancer is more than 40%.

The listed adverse reactions are listed in the leaflets, ranging from pain at the site of injection, to numbness, headache, nausea, to urticarial rash. These are listed and known possible side effects, not something new yet to be reported.

Other possible side effects is so rarely seen, that it's categorized under "possible side effects".
The possible complication of urticarial rash is clearly stated in the leaflets. Please don't ever complain that it is a side effect!.
As I've mentioned earlier, these effects aren't only seen in Cervical cancer vaccine, but in all other vaccines and medicines as well.

Take for example hepatitis B vaccine.

The leaflet for Engerix B, Hepatits B vaccine which comes along with each units of vaccines.

Observe the listed undesirable effect which is classified under common, uncommon, and remotely common.

Can't see clearly???

What is written right at the middle of the leaflet? Guillen Barre Syndrome!
But how come I don't see any reports by parents from anywhere who rejects this vaccine? Why no voice of opposition despite the similar percentage of side effect?

There, enlarged. Can you see it now? Why with the discrepancy? Why is it that there was absolutely no opposition nor anyone wrote anything against Hepatitis B vaccine but majority of complaints from the western "developed" countries are taken so seriously, that there are dedicated blogs, organizations formed against Cervical cancer vaccination?
Before I come out with my personal conclusion, let me reaffirm the bias the westerners have on this vaccine.

What about vaccine against Pneumococcal infection. If anyone were so sure that i am affiliated directly or indirectly to GSK, there, Prevenar is NOT FROM GSK.

Now, let's look at the leaflet on Prevenar and it's content.

Let's see now.. oh, see! Seizure! Convulsions! Irritability, Urticarial rash!

Oh, my!!Dyspnea, bronchospasm!!
Anaphylactic shock! Isn't that life threatening?! Of course! In such conditions, if no active and immediate intervention,death is imminent.
But, my... why have I not heard any complaints from anyone?? Despite the warning??? Is it because the risk associated with pneumococcal infection and hepatitis b infection vaccines is "more acceptable"? Is death due to hepatitis B /pneumococcal infection is less "severe" than cervical cancer? Come on.. Which moron would ever come out with such idiotic and moronic conclusion? Yet, ask ourselves, how come no opposition for other vaccines but only on cervical cancer vaccine??
Still not convince on the discrepancy?

The box says inactive hepatitis A and rDNA hepatitis B vaccine, which means they are actually injection the ACTUAL VIRUS, but just being attenuated. Compared to VLP (Virus like particle) which is molecularly engineered, wouldn't live attenuated vaccine which still contains the DNA is more dangerous than VLP which have the structure of the virus but devoid of the DNA? But why no complains on Twinrix???

Check out the possible adverse effect! Anaphylactic shock, paraesthesia, syncopal attacks. Goodness! Doesn't it's risk is in par with cervical cancer vaccine??

YIKES!!! URTICARIA!!!!

Look!Convulsion! Syncopal attacks!

Ooh.. Now that's an eye catcher. Guillen-Barre syndrome! But more! Encephalopathy! That's inflammation of the brain! Isn't that how Bruce Lee died??
My,oh,my. Look at these adverse effects? How?
If everyone were to form opinion based upon individual ideas and experiences, there would be multiple organizations who are against ANY VACCINES! No BCG, No MMR,No Polio, No Hep A & B, No nothing!! The whole TB, measles, mumps, rubella, hepatitis a and B are nothing but man-made diseases simply for :-
a. Population control - which moron came out with idea as such?
b. Monetary gains through sales of vaccines!!! Yeah! That's the most popular rationale.

All these diseases must be part of some worldwide conspiracy. Ideally no doctors exist, and everyone lives till 500 years old!
But wait, not only are these vaccines part of some widespread conspiracy, but antibiotics too!

 

Ideally there shouldn't be microorganisms like pneumococcal, staphylococcus, streptococcus..

All these are man made, simply created by mankind to cheat mankind!(do you see how dumb that sounds?) Why?..Once you get the infection, there's always the possibility of dying without treatment, and of course all possibilities of dying due to "adverse effect" of these antibiotics too!!

SIDE EFFECTS!!!!???

Anaphylaxis!!!???  Or die from the disease??? Let me think...???

Steven Johnson Syndrome!!!!?????
Now that's life threatening!
If you are wondering how Steven Johnson syndrome looks like and what is it,...
Well, basically it's a exaggerated and life threatening form of skin allergy towards any medication of unknown reason.

(Picture taken from Wikipedia)

ANY MEDICATION MAY LEAD TO STEVEN JOHNSON'S SYNDROME! ANY!!
So, as you are reading this post, how old are you today, and how many times have you visited the doctors, how many times were you prescribed antibiotics? How many times did you ended up being like what these poor individuals had?

Hmm.. What about Augmentin? A high end antibiotic that belonged to Penicillin group of antibiotic.. Since nearly 80% of antibiotic are Penicillin based or structurally similar to penicillin, how safe is it??

Oh,no!!! risk of anaphylaxis, again???

Oh!!! Goodness! Even Augmentin may put you at risk of developing Steven Johnson's Syndrome!!!????!!!
Which one may die in hours or days...... or...

...or die in minute from convulsion!

The point that I am trying to highlight is that any medicine... ANY medicine may have side effects, depending upon individuals.
If the benefits of a medicine far outweighs the "possible" side effects, then reason for consumption is validated. However, if the region where you're living in isn't plagued with disease such as Cervical cancer in Asia Pacific, I sincerely hope your opposition towards this "unnecessary vaccine" or the ingenious theory that cervical cancer is a hoax is expressed with discretion. Just because NHI of UK and FDA of US had devised a more aggressive and comprehensive method in detecting early stages of precancerous lesions, hence intervened early to prevent death, it isn't so in our region. 
Have some respect for your fellow man who discovered the pathology and vaccine of this deadly disease.
Publishing books and blogs to discredit such revolutionary vaccines/medicines NEVER HELPS! Unless you've got the disease, I doubt those who are against this vaccine will ever come close to comprehend the significance of such vaccine.