Radio DJ Chris Ho has kicked the bucket

[eatshitndie]

Is it a true fact that those seafood u mentioned are the real major cause of stomach cancer ?

fish sauce, dried shrimp and fish that are uncooked or not properly cooked, shrimp paste in sauces that are not cooked, raw fish from river, chinchalok a.k.a. cincalok, fermented shrimp, uncooked belachan, dried kiam her, etc. if h. pylori can survive in your stomach it can survive in the most hostile conditions, including being left out to dry in the sun within the dehydrated flesh of fish and shrimp. like a microbe, it can most likely survive in a rock in space too.

 

[nayr69sg]

fish sauce, dried shrimp and fish that are uncooked or not properly cooked, shrimp paste in sauces that are not cooked, raw fish from river, chinchalok a.k.a. cincalok, fermented shrimp, uncooked belachan, dried kiam her, etc. if h. pylori can survive in your stomach it can survive in the most hostile conditions, including being left out to dry in the sun within the dehydrated flesh of fish and shrimp. like a microbe, it can most likely survive in a rock in space too.

https://cancer.ca/en/cancer-information/reduce-your-risk/get-vaccinated/helicobacter-pylori

There is no general recommendation for screening for H Pylori to reduce gastric cancer.

H. pylori infection is a major cause of stomach (gastric) cancer. H. pylori causes long-lasting gastritis, which is thought to be the first step in developing stomach cancer.

But it’s important to know that fewer than 3% of people with H. pylori infection develop stomach cancer.

You can request for the test but there is no evidence that screening programs have resulted in actual reduction in mortality from gastric cancer.

 

[Confuseous]

I would say he and William Xavier are the only 2 DJs I would listen to including B. Richmond for the oldies section on Sunday mornings. The rest are all crap and talk cock.

Vernetta Lopez is quite okay, if not for 180km speed at which she speaks.
All of others have fake accents. Worst is Mike Kassem, the Singaporean-wanna-be A-hole

 

[nayr69sg]

Vernetta Lopez is quite okay, if not for 180km speed at which she speaks.
All of others have fake accents. Worst is Mike Kassem, the Singaporean-wanna-be A-hole

This Mike Kassem is son of Casey Kassem.

Casey Kassem is host of American Top 40 radio program for many years. So is American. Casey Kassem is of Lebanese background.

Why Mike move to SG?

 

[blackmondy]

This Mike Kassem is son of Casey Kassem.

Casey Kassem is host of American Top 40 radio program for many years. So is American. Casey Kassem is of Lebanese background.

Why Mike move to SG?

How many of us grew up listening to America's top 40 with Casey Kassem ?

 

[nayr69sg]

How many of us grew up listening to America's top 40 with Casey Kassem ?

I Kee Chiu!!!

Saturday mornings to noonish if I recall correctly? On Power 98?

Or was that Roger Kool? The blind DJ.

 

[eatshitndie]

https://cancer.ca/en/cancer-information/reduce-your-risk/get-vaccinated/helicobacter-pylori

There is no general recommendation for screening for H Pylori to reduce gastric cancer.

H. pylori infection is a major cause of stomach (gastric) cancer. H. pylori causes long-lasting gastritis, which is thought to be the first step in developing stomach cancer.

But it’s important to know that fewer than 3% of people with H. pylori infection develop stomach cancer.

You can request for the test but there is no evidence that screening programs have resulted in actual reduction in mortality from gastric cancer.

that’s based on canadian-american data or cases. there are no equivalent study, research, and data for east asia, especially south east asia. i believe the numbers are way higher in east asia where questionable or contaminated seafood consumption is widespread and food hygiene is less stringent. even in so called “modern” 1st world japan, cases of stomach cancer are relatively high compared to other oecd cuntries.

 

[nayr69sg]

that’s based on canadian-american data or cases. there are no equivalent study, research, and data for east asia, especially south east asia. i believe the numbers are way higher in east asia where questionable or contaminated seafood consumption is widespread and food hygiene is less stringent. even in so called “modern” 1st world japan, cases of stomach cancer are relatively high compared to other oecd cuntries.

Not sure what the latest recommendations in SG are. But I remember during my time as an MO in Gen Surg the gastro specialist surgeons were still debating whether to call H. Pylori a gastric cancer risk factor or not. But during my time as GP and in Polyclinic I do not recall ever doing asymptomatic H. Pylori screening as evidence based medicine.

The private GP health screening packages will have the H. Pylori serology as part of some higher more sexpensive package but not EBM.

@porcaputtana any thing to add on this?

 

[blackmondy]

I Kee Chiu!!!

Saturday mornings to noonish if I recall correctly? On Power 98?

Or was that Roger Kool? The blind DJ.

For me, this music box was my world for AT40 since the early 70s.

 

[rambo22]

should be 65 yo

 

[nayr69sg]

that’s based on canadian-american data or cases. there are no equivalent study, research, and data for east asia, especially south east asia. i believe the numbers are way higher in east asia where questionable or contaminated seafood consumption is widespread and food hygiene is less stringent. even in so called “modern” 1st world japan, cases of stomach cancer are relatively high compared to other oecd cuntries.

I read a few articles from Singapore context.

http://www.smj.org.sg/article/diagnosis-and-management-h-pylori-infection-singapore

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817935/

https://www.cfps.org.sg/publications/the-singapore-family-physician/article/1113_pdf

It is clear that if one detects H pylori then we should eradicate it with treatment.

It is also clear that for any patients who have dyspepsia they should be screened for H Pylori.

What is not clear is whether to extend this H Pylori screening to asymptomatic patients. I can't seem to find anything on this. And even if we do screen asymptomatic patients then how often? Once a year?

I have a feeling is the assumption is if someone gets H Pylori they will likely become symptomatic at some stage of the infection ie have dyspepsia. Hence there is no need to screen asymptomatic. No symptoms = unlikely to have H Pylori?

 

[Confuseous]

For me, this music box was my world for AT40 since the early 70s.

View attachment 123786

They used to have bill collectors coming to your house every month.
Can't remember how much my grandfather was paying

 

[blackmondy]

They used to have bill collectors coming to your house every month.
Can't remember how much my grandfather was paying

$7 for my time. I still wonder how the music was channelled to the household.

 

[Balls2U]

He should be in his mid 60s @most, just a wild guess !
RIP Chris Ho, you'll gonna be missed.
Have always enjoyed your radio shows all these years!

He was from SJI in the early 70s. So he's in his 60s.

 

[Confuseous]

$7 for my time. I still wonder how the music was channelled to the household.

Cables. Silver and Gold Network. Only two channels, right?

 

[nayr69sg]

@eatshitndie

For all my patients who have epigastric pain and dyspepsia I always offer them UBT to screen for H Pylori.

Most will go for it. Some will decline.

Quite often is +ve especially for the Asian chinese patients - even in Canada. Maybe is the diet here? Or maybe they picked it up before in their home country?

I also encountered people get treated. Then later have again.

I checked my old notes and remembered this was something controversial also. One source says to check for eradication ie -ve UBT 4 weeks after treatment. But my residency program lecturer said no need to test for eradication unless symptoms persist or there were alarm symptoms to begin with.

So I had not been ordering confirmation eradication tests.

See many things got controversy one. Not everyone agrees in medicine. What is right or wrong?

But I have not ordered UBT for totally asymptomatic patient and dont remember anywhere recommending we should.

H Pylori incidence is higher in lower SES and racial groups Asian, African, Hispanic etc....

 

[blackmondy]

Cables. Silver and Gold Network. Only two channels, right?

One Chinese and one English I think. Sometimes will switch between English and Chinese within a channel. Another favorite celebrity of those days.

 

[eatshitndie]

I read a few articles from Singapore context.

http://www.smj.org.sg/article/diagnosis-and-management-h-pylori-infection-singapore

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817935/

https://www.cfps.org.sg/publications/the-singapore-family-physician/article/1113_pdf

It is clear that if one detects H pylori then we should eradicate it with treatment.

It is also clear that for any patients who have dyspepsia they should be screened for H Pylori.

What is not clear is whether to extend this H Pylori screening to asymptomatic patients. I can't seem to find anything on this. And even if we do screen asymptomatic patients then how often? Once a year?

I have a feeling is the assumption is if someone gets H Pylori they will likely become symptomatic at some stage of the infection ie have dyspepsia. Hence there is no need to screen asymptomatic. No symptoms = unlikely to have H Pylori?

mine was asymptomatic. but luckily, it was discovered when i had an ulcer checked and patched. the gi tract specialist is a young chiobu who graduated from stanford. one of 6.9 practising gastroenterologists in palo alto and atherton. besides endoscopy, she also performed colonoscopy on (in) me. she sexplained that there’s no recommendation in the general directive in the chain of clinics and hospitals for all gi tract patients to go thru’ the h. pylori test. she didn’t actually prescribe the test. it was suggested by my gp or family doc after he read the endoscopy report. chiobu wrote that she suspected h. pylori infection after seeing spots near duodenum. my gp prescribed the test, and results came back positive. treatment was 14 days of powerful cocktail anti-biotic drugs plus omeprazole. he said it was very common among his “asian” patients, not so among whites.

 

[eatshitndie]

@eatshitndie

For all my patients who have epigastric pain and dyspepsia I always offer them UBT to screen for H Pylori.

Most will go for it. Some will decline.

Quite often is +ve especially for the Asian chinese patients - even in Canada. Maybe is the diet here? Or maybe they picked it up before in their home country?

I also encountered people get treated. Then later have again.

I checked my old notes and remembered this was something controversial also. One source says to check for eradication ie -ve UBT 4 weeks after treatment. But my residency program lecturer said no need to test for eradication unless symptoms persist or there were alarm symptoms to begin with.

So I had not been ordering confirmation eradication tests.

See many things got controversy one. Not everyone agrees in medicine. What is right or wrong?

But I have not ordered UBT for totally asymptomatic patient and dont remember anywhere recommending we should.

H Pylori incidence is higher in lower SES and racial groups Asian, African, Hispanic etc....

yes, my gp also said very common among older “asian” patients but not so among whites. most likely picked up in old cuntries as he said younger asians born in america have much lower incidence among his patients. the bacteria may already be in there in the gi tract among far east asian immigrants but it may becum more malignant as person ages.

 

[nayr69sg]

mine was asymptomatic. but luckily, it was discovered when i had an ulcer checked and patched. the gi tract specialist is a young chiobu who graduated from stanford. one of 6.9 practising gastroenterologists in palo alto and atherton. besides endoscopy, she also performed colonoscopy on (in) me. she sexplained that there’s no recommendation in the general directive in the chain of clinics and hospitals for all gi tract patients to go thru’ the h. pylori test. she didn’t actually prescribe the test. it was suggested by my gp or family doc after he read the endoscopy report. chiobu wrote that she suspected h. pylori infection after seeing spots near duodenum. my gp prescribed the test, and results came back positive. treatment was 14 days of powerful cocktail anti-biotic drugs plus omeprazole. he said it was very common among his “asian” patients, not so among whites.

You got ulcer means symptomatic liao.

In Singapore anyone go for OGD will have the H pylori test done. I can't remember the name of it I think is CLO test. CLO +ve means H Pylori +ve.

North America I think they different cos not so common.

So it is diet?