00:00It's very difficult for them to even actually imagine that on the second day after surgery,
00:05they are already doing their exercises, walking and they have to go to the gym.
00:09In IJN, they have to go to the gym on day four.
00:12Many Malaysians still fear of the hard surgery.
00:15Although, I mean, like now you have mentioned regarding the ISNAP is actually faster.
00:19I mean, the teams are much more well equipped, well, you know,
00:24I mean, they have a lot of, we have advanced in terms of now we have the enhanced recovery after surgery.
00:29But some of them are still worried because they feel that surgery is the last resort.
00:35So how do you actually reassure your patients?
00:38Because sometimes they are, some of them are still reluctant.
00:40They keep on coming, giving TCA again and again, but they still haven't come up through the decision for surgery.
00:45Well, actually the most important thing that has, you know, is explaining to the patient, right?
00:50So most of the time they think that after cardiac surgery, they will be bed bound for weeks.
00:57and you know, they cannot do their daily activities.
01:00So when you explain they, it's very difficult for them to even actually imagine that on the second day after surgery,
01:08they are already doing their exercises, walking and they have to go to the gym.
01:12In IJN, they have to go to the gym on day four, right?
01:15So they actually go down from the ward to the gym, do their treadmill or they do their cycling especially, right? Exercise.
01:23And it's a requirement. So for, when they hear that, then they realise that, hey, wait a minute, this is almost like nothing lah.
01:30You know what I mean? Of course there's risk. And we will always explain the risk.
01:35There's some patients that are low risk, there's some are high risk, you know.
01:39Some patients would not be able to have a quick recovery. We know, especially those with a poor heart or many risk factors.
01:46But in essence, when we explain to the patient and in, in Nigeria, we have what we call a palm talk, if I'm not sure you remember.
01:53So the patients will be shown videos of how the recovery is like and how the ICU is like.
01:59So when they see, they have an understanding of what happens to them.
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