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A Conversation with Dr. Lye

Mount Elizabeth Hospital, Dhaka office recently organized a formal lunch honoring the Bangladesh Visit of Dr. Lye Wai Choong, Senior Consultant, Mount Elizabeth Hospital, Singapore at Lakeshore Hotel on 11 December 2017. During the gathering, ICE business times interviewed Dr. Lye regarding the recent advancements in renal medicine in dialysis and kidney transplantation of Mount Elizabeth Hospital and probable future directions of renal medicine.

Dr. Lye Wai Choong is a renal physician at Mount Elizabeth Hospital. He graduated with first-class honors in Medicine from New South Wales and obtained his Masters in Medicine in the early 1980s. He then pursued his training as a Specialist of Renal Medicine from the Academy of Medicine in Singapore.

Dr. Lye was previously a Visiting Assistant Professor for the Laboratory of Immunogenetics and Transplantation at Oregon Health Sciences University in the United States, and a Consultant Nephrologist & Physician at National University Hospital. He has also held the post of the President of the Transplant Society of Singapore.

Dr. Lye is involved in renal education and research. He has published over 100 peer-reviewed indexed journal articles and abstracts in addition to speaking engagements at International Congresses and Seminars. His latest clinical research is on Steroid Withdrawal Low Dose Tacrolimus Immunosuppression in Living Donor Kidney Transplantation: A 10-Year Experience, which is an abstract that has been published in the Journal of the American Society of Nephrology, 2007. Dr. Lye also won the first prize at the XII International Congress of Nephrology in the year 1993.

Dr. Lye Wai Choong, together with a team of surgeons, is the first doctor in Southeast Asia to perform ABO-Incompatible and cross-match positive kidney transplants. Dy. Lye cites that dehydration due to diarrhea, cholera, gastroenteritis, and hypertension is a primary cause of kidney failure. Overweight and sedentary lifestyle with salty diet leads an individual to the chronic kidney failure in the later stage of life. He further elaborates, “Acute glomerulonephritis leads young people (age range 20-40 years) to the chronic kidney failure. Untreated and Uncontrolled hypertension increases the probability of kidney failure.”

Dr. Lye explains that detecting kidney disease has become cheap in Bangladesh and Singapore, “Testing blood creatinine, Urine and KUB (kidney urinary Bladder radiography) and yearly checkup of an individual will help to detect early stage of kidney disease and to get treatment plan to prevent chronic conditions.” He is proud of the strides that Singapore has made in renal medicine, “Singapore is becoming the global center for kidney transplantation due to advanced diagnostic skills, pathology, proper care, and treatment. Bangladesh is also advancing in regards to kidney transplantation and preventing renal disease.”

Though dialysis is the highly recommended procedure worldwide, kidney transplantation needs more attention and precautions because a disease-free donor who was not affected by previous potential health hazards may not be available to the patients. When describing the prevalence of kidney transplantation in Singapore, Dr. Lye postulates, “Out of every 1 million, 1,000 patients need kidney transplantation treatment. Within 10 to 20 years Xenotransplantation (from Pig) and ABO-incompatible kidney transplantation (ABOi-KT) would be another concern in this treatment procedure.”

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