Hands-on ENT Workshop for Family Practitioners – 6 Feb 2010
Once again, it’s time of the year… Gong Xi Fa Cai! Its Lou Hei Time…
The first lou hei happened even before new year after the hands-on ENT workshop attended by a focused group of 30 family practitioners at Pine Valley Restaurant (Laguna National Golf & Country Club) last Saturday.
Before that, all three doctors presented these ENT topics at their respective stations:
Station 1:
“Approach To A ‘Sinus’ Patient – How To Syringe The Ear And Douche The Nose” by Dr Leong Jern-Lin
Station 2:
“Approach To A Giddy Patient – How To Do A Dix Halpike Test For BPPV And The Epley’s Maneuvre ” by Dr Eng Soh Ping
Station 3: “How To Understand A Sleep Study Report & How To Examine The Throat For An FB” by Dr Ignatius Mark Hon Wah
To allow all GPs to have a chance to ask, the group was split up… downside was to have to repeat the presentation more than once… but of course they wouldn’t mind for the benefit of our GPs… awghhhh… so touched… Well, our doctors had also brought some models and made innovative apparatus and “gadgets” to illustrate better while explaining…
“Oh… this model is great… how I wish I had that back in medical school days” exclaimed one of the GPS who’s thrilled over this model which the parts can be dismantled to view the inner part of the ear and assembled back.
Dr Eng brought along this balloon that contains gravels in it to illustrate how the canaliths (small crystals of calcium carbonate normally attached to the otolithic membrane in the utricle of the inner ear) can get detached and travel from the utricle and collect within the semicircular canals. What happened in a giddy patient is when his/her head moves, the canaliths shift, stimulates sensitive nerve hairs to send false signals to the brain. This is the reason for dizziness and other symptoms. Dr Eng demonstrated the canalith repositioning procedure (CRP), a simple but practical approach done in his clinics with aim to move the displaced canaliths, stopping these false signals and the debilitating symptoms they can cause.
The Nose expert, Dr Leong shared with the GPs on the syringing the ear… He relates an interesting incident where an innovative method was used for the removal of ear cerumen. Due to limitations on an island, Super Soaker Max-D 5000 instead of a syringe was used on the man who had bilaterally impacted cement-like ear cerumen. The article was published in the Canadian Medical Association Journal five years back. Pretty impressive but PLEASE DO NOT TRY THIS AT HOME!!!

Innovative method to syringe the ear - using Super Soaker Max-D 500 (but use it when u have no other resources!)
Workshop ended but this is not the end of the day… its lo hei time!! Yeah!!!
During dinner, Dr Eng also gave a short presentation on Gastroesophageal Reflux Disease (GERD)… unfortunately I had to leave earlier… missed the session… but let me check it out on the next blog… what’s GERD…
It was a wonderful evening and this is all thanks to our sponsor, Eisai (Singapore) and organiser, Parkway Health for doing a fantastic job!















