https://jknsabah.moh.gov.my/hqe1/

BAYU by Respiratory Department, Sabah, Queen Elizabeth Hospital. Karung Berkunci No. 2029, Sabak (2026)

18/03/2026

A very overdue farewell post for our very own Dr Lo Shan Min.

If you’ve ever been confused about NIV settings or anything sleep related, the answer was usually simple… just find Dr Shan Min! Always calm, always approachable and somehow always so chill even when the rest of us were not. He made the complicated feel simple and the busy days feel a little less chaotic.

We truly miss you. Wishing you all the very best in your next chapter!

18/03/2026

More behind the scenes from our QEH Spirometry Workshop.

From small group discussions to hands on sessions, it was great to see everyone fully engaged.

Tag yourselves and your friends if you spot them.

18/03/2026

Our recent QEH Spirometry Workshop brought together doctors and healthcare staff for focused, hands on training in respiratory diagnostics.

From face to face small group discussions with our esteemed speakers to interpreting full lung function tests including spirometry, DLCO, lung capacities and impulse oscillometry, participants were fully engaged in supervised, practical sessions.

Great energy and enthusiasm throughout, highlighting a growing passion for respiratory care and lung health.

More photos available in our album, feel free to browse and tag yourselves!

27/01/2026

In this case, a 76-year-old gentleman with FDG-avid mediastinal lymph nodes required further evaluation to clarify the cause of the abnormal PET findings.

While EBUS-guided needle aspiration (TBNA) is often the standard first step, our team went a step further by performing a transbronchial cryonodal biopsy (TBNC).

Using a cryoprobe placed directly into the lymph node, we were able to obtain larger and more intact tissue samples, which can be crucial when conventional sampling is inconclusive.

Interestingly, the tissue retrieved had an anthracotic appearance, providing a possible explanation for earlier atypical results. Final histology is awaited to confirm the diagnosis.

A wonderful example of how advanced interventional techniques help us refine diagnoses and deliver more accurate, patient-centred care. This is a procedure we perform regularly as part of our advanced respiratory services at Queen Elizabeth Hospital, Sabah.

27/01/2026

We recently managed a 62-year-old non-smoker who was found to have a suspicious left lung lesion discovered incidentally during scans performed for an unrelated medical condition.

Our team proceeded with a combined procedure under general anaesthesia, performing peripheral lung nodule biopsy and linear EBUS for mediastinal staging in the same setting.

Using a slim Vathin bronchoscope, fluoroscopic guidance, radial EBUS, and careful airway mapping, we were able to accurately reach and sample the lung lesion while assessing nearby lymph nodes during the same procedure.

This minimally invasive approach led to a definitive diagnosis of lung adenocarcinoma, enabling timely onward management without the need for multiple procedures.

Follow us for updates on advanced respiratory and interventional care, and to celebrate all things respiratory medicine!

24/01/2026

Thank you for the overwhelming response! Looking forward to seeing you all next week at our spirometry workshop.

13/01/2026

Final Announcement

We’re thrilled with the strong response to the Spirometry Workshop (29–30 January)!
Fewer than 5 seats left — don’t miss this opportunity. Register now before it’s fully booked!

05/01/2026

2nd Announcement

Only 3 weeks to go until the Spirometry Workshop on 29 & 30 January!
Limited seats remaining— secure your spot before they’re all taken!

23/12/2025

1st Annoucement

Join our spirometry workshop to master lung function test happening on 29-30/1/26.
Hands-on skill included. Limited to 60 pax only, don’t hold your breath. Register now! (New QR code for registration)

Registration closes on 16 January 2026

17/12/2025

1st Annoucement

Join our spirometry workshop to master lung function test happening on 29-30/1/26.
Hands-on skill included. Limited to 60 pax only, don’t hold your breath. Register now!

Registration closes on 16 January 2026

24/10/2025

A young patient initially treated for smear-negative, culture-positive pulmonary tuberculosis presented with persistent symptoms and was later found to have complete left lung collapse due to malignant central airway obstruction (MCAO).

✅ Successful recanalisation of the airway was achieved, restoring ventilation to the collapsed lung.

This case highlights the importance of:
- Considering alternative diagnoses when TB treatment fails

Local Data on MCAO: https://pubmed.ncbi.nlm.nih.gov/40740083/

04/10/2025

A 50-year-old lady with progressive esophageal carcinoma (despite chemo-radiotherapy) developed a malignant central airway obstruction at the upper trachea.

Given the critically narrowed airway and location, a self-expanding metallic stent was deployed. This option was chosen because of its strong radial force, ease of deployment and feasibility even in severely narrowed airways.

Aftercare is just as important as the procedure itself. Patients with airway stents require close follow-up for secretion management, granulation tissue, infection, and stent patency.

For further reading on central airway obstruction , refer to
https://journal.chestnet.org/article/S0012-3692(24)04614-2/fulltext

BAYU by Respiratory Department, Sabah

18/03/2026

18/03/2026

18/03/2026

27/01/2026

27/01/2026

24/01/2026

13/01/2026

05/01/2026

23/12/2025

17/12/2025

24/10/2025

04/10/2025

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