2023-08-17 11:00:00
Imagine working on a stand for hours without knowing the exact time off work. face pressure and stress all the time at the cost of bringing people back to live longer If you know this, would you want to do this job or not?
Dr. Phadungkiat Set Piroon Dharma Thoracic surgeon Specializing in pulmonary and thoracic surgery with single incision laparoscopic and robot-assisted surgery. Bangkok Heart Hospital Is one of the doctors who still adhere to this profession He recalled that at the age of 15, he had to experience a turning point in his life. When father fell ill with sudden ischemic heart disease Seeing a father who was always strong had to be seriously ill. with the time of waiting to see a doctor each time made him understand the suffering of his patients These are the things that drive the young man to see the importance of the medical profession for the first time. therefore decided to study at the Faculty of Medicine Siriraj Hospital Mahidol University
but then one day A medical student who is struggling with her studies finds out that her mother is sick. lung cancer The more it reinforces the same feeling during the father’s illness. Images of patients and relatives waiting in line for surgery replayed. It was the intention of helping people recover from illness and return to good health again.
Inspiration for thoracic surgeon
after mother got sick lung cancer and found that preserving the lungs was important especially the treatment lung cancer that spreads quickly and is the number one cause of death from all cancers is the driving force for him to continue his studies in the field of thoracic surgery It is said to be the hardest and most time-consuming field to study.
The first step to becoming a thoracic surgeon It started at the Faculty of Medicine Siriraj Hospital. Mahidol University Before flying to seek knowledge in gastrointestinal and thoracic surgery (Foregut and Thoracic Surgery) at Harvard Medical School, Brigham and Women’s Hospital, USA for 2 full years.
“Dr. Phadungkiat” therefore brings the knowledge gained came to pioneer the establishment of a lung cancer surgery center at Bangkok Heart Hospital By aiming for excellence in all aspects from diagnostic procedures, techniques, treatment methods to patient care in the recovery period. to perform holistic treatment
Bangkok Heart Hospital with a variety of examination and treatment techniques
In the case of lung specks as small as millimeters found from screening lung cancer With low-radiation computed tomography (low-dose CT), biopsies can be very difficult. Bangkok Heart Hospital It is one of the few hospitals in Thailand that has all 3 lung spot examination techniques, namely bronchoscopy. Computed tomography guided chest wall puncture and endoscopic surgery or robot-assisted surgery
Techniques for using electromagnetic guidance in conjunction with bronchoscopy (Electromagnetic Navigation Bronchoscopy/ENB) can accurately see spots on the lungs or nodules from endoscopic surgery. Surgical techniques for treating lung cancer with laparoscopy It causes less pain, quicker recovery, and hospital stay is only 1-3 days. Robotic assisted thoracic surgery (RATS) helps patients experience less pain.
Quick treatment, the patient can quickly return to normal life.
The shorter the treatment period, the more The faster the patient returns to normal life. There are many cases where patients recover in a shorter period, such as patients with thymus gland tumors. With only 2 days of recovery after surgery, you can go home. and exercise normally or some cases after surgery able to drive home to other provinces It is a confirmation that a good treatment method It is another key to make patients recover quickly.
Assistant Professor Dr. Sira Laohathai Another thoracic surgeon a doctor who specializes in treating pulmonary diseases Micro incision technique and treatment of hand sweating Bangkok Heart Hospital who turned to be a thoracic surgeon because of one patient He said Being born and raised in a family of doctors This made him absorb the feeling of wanting to be a doctor from a young age.
Change of perspective because of one patient
until studying at the Faculty of Medicine Ramathibodi Hospital Mahidol University An incident of a heart patient Changed his perspective while in his 6th year of medical school when patients came to see the doctor every month. and had to wait in line for surgery until the patient died before the surgery
“I saw a patient who came to check every month. Had to wait in line for surgery for up to 3 years and we couldn’t do anything. because the surgery queue is long Finally, that patient died. became a driving force that If we can do heart and thoracic surgery Seems to help a lot of people. Because in Thailand there are very few cardiothoracic surgeons.”
Such a turning point made “Assistant Professor Dr. Sira studied to be a residency in thoracic medicine at Ramathibodi Hospital. Mahidol University to request to be another cog in the development of thoracic surgery in Thailand especially endoscopic surgery And in order to increase the body of knowledge, he applied for the Asian Thoracic Surgery Scholarship. Until receiving the opportunity to study thoracoscopic surgery in South Korea for 1 year, after graduating I also have the opportunity to go to training in Japan and Taiwan to study various surgical techniques. Including a study visit to lung surgery in the United States.
Thoracic Surgery An overlooked branch?
Studying lung surgery from both the western and eastern hemispheres to study a wide range of knowledge therefore returned to work in lung surgery in Thailand Which, if going back about 10 years ago, will find that surgeons who graduated in heart and lung surgery each year there are only less than the number of fingers that can be counted
until now in Thailand There are only about 200 cardio-pulmonary surgeons, as this is a field that takes five years to study, is hard-working, stressful, and requires constant stress.
At present, Assistant Professor Dr. Sira specializes in lung surgery. especially technique for lung surgery with laparoscopy Surgery with only one incision (Uniportal VATS), all devices will pass through the incision at the posterior edge of the breast about 3-4 centimeters in size.
besides surgery lung cancer also performed thymus gland surgery hand sweat reduction surgery with endoscopic surgery through the thoracic cavity to cut the nerve Including surgery for dented chest patients Each year, more than 800 patients are operated on and have changed the lives of patients with more than 2,000 surgeries in total, which can be said that He is one of the most invasive thoracic surgeons in Thailand.
Assistant Professor Dr. Sira said that what facilitates surgery to be performed at full efficiency is the potential of the hospital. Bangkok Heart Hospital It is ready in terms of personnel and equipment comparable to medical schools. Including postoperative care physical therapy for patients that makes the patient recuperate and return to normal life faster
“I’m at a point where I can decide whether to accept patients or not. But always keep in mind that the patient is like a parent or a member of our family. If they were in my hands Then we can help. I will. So I have never refused to accept cases from anywhere in the country who need help with lung surgery. no matter how difficult no matter how far If you think you can fight I’m ready to fight Which is considered that I have paid back to the country Teachers in this life are considered born to be worthwhile. Assistant Professor Dr. Sira concluded
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