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Hi, thank you for the talk, would like to know the specific functions of the different registries mentioned. Is there a need for the few mentioned, wouldn't having just one registry suffice?

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Assalamualaikum Dr Hasdy, I’m wondering if there are any economic burden study done estimate the cost of transplantation to the country. Or at the very least to allocate budgeting to the service

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Is therapeutic drug monitoring of Mycophenolic acid commonly done in Malaysia

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Thank you for the very informative lecture. Based on the TRANSFORM trial, mTORi + TAC showed excellent results, just wonder is there any contraindication to use this combination?

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there are many pharmacogenomic studies on transplants medicines, would it be possible to have the service (the precision medicine clinics) in Malaysia once the studies have confirmed its role in therapeutic benefit and side effects on transplant patients?

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How long usually pre-transplant workup takes prior to transplantation?

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How common is PTLD in Malaysia, and is the risk higher by using any particular immunosuppressant? Thank you.

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How common is PTLD in Malaysia, and is the risk higher by using any particular immunosuppressant? Thank you.

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Hello Dr Wong, thank you for your informative lecture. I just want to ask whether patient on everolimus will required therapeutic monitoring? Which hospital would be able to run this TDM sample?

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Does your setting routinely run mycophenolate levels or just for specific patients?

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How do we balance the optimisation of immunosuppression when transplant pts develop cmv infections for eg? 

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How do we balance the optimisation of immunosuppression when transplant pts develop cmv infections for eg? 

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is preemptive transplant the way forward? do we encourage this more now?

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is preemptive transplant the way forward? do we encourage this more now?

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Is it lawful for family members to override a donor’s wish upon death of the card carrying donor?

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in patient developed portal vein thrombosis post transplantation, does NOAC is a good choice?

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Thank you Mr Mohan for your interesting presentation. In one of your slides mentioned on tacrolimus side effect of causing squamous cell carcinoma, may I know how soon SCC was developed in your patient after patient was given with tacrolimus?

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any idea why is Melaka has the 2nd highest referrals after Selangor? Any strategies to increase access?

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In regards to increasing the number of organ donation, would you recommend for opt-out option as opposed to opt-in, that is currently being practiced in Malaysia? Thank you.

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In regards to increasing the number of organ donation, would you recommend for opt-out option as opposed to opt-in, that is currently being practiced in Malaysia? Thank you.

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Hi Dr Foo, is there any support groups for paediatric-adolescent transplant patient/ carer?

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Can I know more details on what is covered in MTAC as outpatient post transplant as most of the time changes are managed by doctors. What topics and what challenges are there?

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Pn Nadia, can you imagine if there could be a blue print for tx pharmacist as we know the service has evolved.

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In general we mention to take them with a 12h gap. In reality, do you counsel patients to take at 9am and 9pm or you tailor according to their preference or lifestyle?

How do you manage this timing with regards to their meals? what are the challenges and ways to overcome.

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If patients do not follow strictly with the 12 hour gap, have you seen it affecting the levels ?

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How would you identify pt with moderate to high risk for CMV infection?

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How do you advise patients that are travelling overseas with regards to timing to take immunosuppressants? Especially when travelling to different time zones with 24h differences.

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May I know how you counsel for them?

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Hi Ms Chiau Ling, will post-transplant patient download to Klinik Kesihatan level after they are stable? What is the pharmaceutical continual care or counseling point that should be given to patients by community pharmacists?

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Tx pts tend to have complicated management of their medicine they are taking. what is the important counseling points beside ensuring adherence?

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what condition that post transplant does not need steroid (prednisolone) in maintenance?

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What is your opinion of using generic IS in transplantation, any important considerations?

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In the case a pt travelled abroad for working purposes for a few yrs, would the pts be able to interchange easily the immunosuppression agents safely? How could pharmacist advice?

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Dr, besides immunosuppressant, for patient on diltiazem , do we need to maintain them on the original brand too?

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How frequent would BKPyV infection take place among transplant pt? Any prophylaxis?

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QnA