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A Publication of the American Association of Malaysia PP 4353/05/2013 (033269) March 2015 american KL

KL American - March 2015

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  • 1KL American March 2015A Publication of the American Association of Malaysia

    PP 43

    53/0

    5/20

    13 (0

    3326

    9)

    March 2015 americanKL

  • 2 KL American March 2015

    CR ad AAM Mac2015.indd 1 2/13/2015 3:18:07 PM

  • 3KL American March 2015

    Contents

    4 Presidents Message

    5 Editorial

    6 Membership

    7 AAM Messages

    8 Community Service

    11 Weekly Activities / Help Wanted

    12 Whats On at the AAM

    18 Digital Shoebox: Diving In and Around Malaysia

    20 Diversions: Hanoi - A Timeless Town

    22 Perspectives: KL Konfidential - Embassy Security Briefing

    24 Memories

    28 Health Care in Malaysia

    29 AAM Community Bulletin Board

    30 AAM Calendar, March

    AAM March 2015Advertisers IndexAdvertisers (A-Z) Page

    24Under the Sea; Photo by Kaya and Lovie Alptunaer

    Aidea Arts

    Asian Tigers Transpo

    City Motors

    Crown Relocations

    Eastern Carpets

    The Expat

    Martas Kitchen

    RSDHC

    Tropicana Medical Centre

    p.11

    Back Cover

    p.11

    Inside Front Cover

    Inside Back Cover

    p.7

    p.10

    p.10, 30

    p.28

    20

    18

    22

    8

  • 4 KL American March 2015

    Happy spring time everyone!

    As I sit here writing, I cannot believe how quickly time flies, especially when the weather outside only changes slightly. Watching everyones Facebook feeds counting down the days until Spring and Summer, I cant help but breathe a sigh of relief that I dont have to trudge through snow or unbury the car.

    I also find that I have less down time than when we lived in the US because of all the activities and events at the AAM keep my time so busy. The AGM is upon us and I

    want to take a minute to thank all of the Directors who worked tirelessly volunteering full time while also dealing with all that they do in their personal lives including travel, family, and household duties. To those leaving the Board, Im sad to see you go and hope to see you often, not only around town but at future events. For those who are motivated to join the Board, I welcome you and will try my best to help you to do the best job that you can do. I was so impressed by the recent Charity Coffee Morning, where Marilyn did a wonderful job of connecting us all with the local charities that we donated to on behalf of our members. I look forward to working as a team to make 2015 a great and memorable year for new and old members.

    My sincere thanks as well to all of the people who volunteer to help us make our activities and events successful. We could not do it without you.

    Stephanie EmiloPresident

    Presidents Message

    Board of DirectorsPresident Stephanie Emilo [email protected]

    1st Vice President Nicole Fitch [email protected]

    2nd Vice President Peggy [email protected]

    Secretary Ann Blacklock [email protected]

    Treasurer Donna Sawyer [email protected]

    Publications Director Kim Starr [email protected]

    Major Events Director Sherlyn Bourne [email protected]

    Membership Director Morgan Mehta [email protected]

    Community Service Director Marilyn Kindy [email protected]

    Corporate Relations Director Heather Weber [email protected]

    Bazaar Directors Lovie Alptunaer and Mary Mantei [email protected]

    Liaison DirectorsAmerican Malaysian Chamber of Commerce Stephanie Chua

    ISKL Hilda Alposilva

    US Embassy Jessica SchneppleSamantha Elfmont

    General Manager Ann Tan

    Presidential

    EagleAMCHAM Coca-Cola Malaysia Halliburton Santa Fe Relocation Services

    Corporate Partners For 2014

    Liberty

  • 5KL American March 2015

    This space available...

    Do you love your KLAmerican as much as I do? Then, I have good news for you! I have decided not to pursue a third term as the AAMs Publications Director, and that means YOU can be the next Editor of the KLAmerican! I have greatly enjoyed my two years on the Board and putting together this newsletter for our community to enjoy. It is a great way to stay abreast of all the AAMs happenings, past and present, while also having the opportunity to influence the future of the organization. You do not need to be a journalist or graphic designer; you just need a passion for sharing news and information with your fellow Americans. If this sounds like you, be sure to let our Membership Director know before or at our Annual General Meeting!

    March always brings our Annual General Meeting which will be held on 19 March this year. Two of our usual monthly activities have changed venues. First Fridays will now be held poolside at The Troika and the Book Club will now meet at the In Colonial Restaurant in the Intermark. You can volunteer your time at our monthly Bingo game with the Little Sisters of the Poor on the 3rd, get into shape with Zumba classes on the 9th and 23rd, learn about the history of KL with walking tours on the 13th and 26th, celebrate St. Patricks Day with Lunch Bunch on the 17th and learn about the many ways to prepare noodles on the 24th. And if thats not enough excitement for you, then there are our two big April events to look forward to -- the Ball and the Ladies Trip to Vietnam! Hope to see you at one or more of these activities!

    This months issue of KLAmerican features the stunning underwater photography of Lovie and Kaya Alptunaer in the Digital Shoebox. Debz Rafferty recaps our recent security themed coffee morning at the Ambassadors residence and Stephanie Nguyen whets our appetite for a visit to Hanoi! There are also photos of our Open House at the AAM Villa @ The Troika as well as lots and lots of other memories.

    Because I work one month ahead, this issue is not my last. That will be in April. But if you are at all inspired to help publish this venerable newsletter, then please let us know of your interest and start dreaming now of your first issue as Editor with the May KLAmerican!

    Kim StarrPublications Director

    Editorial

    KLAmericanMagazine Team

    American Association of MalaysiaUnit 19-1, 19th Floor, Tower BThe Troika, 19 Persiaran KLCC50450 Kuala Lumpur

    Mon, Wed, & Thu. 9 a.m. 5 p.m.Tue & Fri 9 a.m. 1 p.m.Closed from 1 2 p.m. every work day for lunchClosed Sat, Sun and public holidays

    Tel: (03) 2161-9008 / 9009Fax: (03) 2181-7005E-mail: [email protected] website: www.klamerican.com

    GPS Coordinates:N3 9 28.899 E101 42 58.217

    Editor Kim Starr

    Photo Editors Judy Pescio

    Kim Starr

    Contributors Carol Antell

    Kaya AlptunaerLovie Alptunaer Randee DuncanStephanie Emilo

    Shannon IllerMarilyn KindyMary Kosco

    Morgan MehtaStephanie Nguyen

    Debz RaffertyStefani Sieberg

    Proofreaders Randee DuncanStephanie Emilo

    Marilyn KindyHelen Mastache

    Ann TanPeggy Uptigrove

    Editorial Support Ann Tan

    Designer Yap Wai Kuan

    Advertising Sales Ann Tan

    Tel: (03) 2161-9008 / 9009

    Printer Seng Hoe Printing Process

    33, Jalan Hang Tuah 2 Taman Salak Selatan 57100 Kuala Lumpur

    Tel/Fax: (03) 8941-7603

    Publisher American Association of Malaysia

    The KLAmerican is published 10 times per year. The deadline for inclusion is at least six weeks prior to publication which is the 1st of the month.

    Advertising for non-profit organizations is free-of-charge on a space-available basis. The magazine staff reserves the right to edit copy for clarity, brevity, and accuracy. Information on AAM members is not to be used commercially.

    Reproduction, in whole or in part, without written permission, is strictly prohibited.

    WEVE MOVED! PLEASE NOTE OUR NEW LOCATION.

  • 6 KL American March 2015

    Its springtime!

    So many exciting things are happening at the AAM this year. As you know we have just moved into our new space at The Troika. First Fridays is moving too, and starting this month, will be located outside by the pool so be sure to stop by.

    Im excited to share that I am working on a date for a wine night. Ive been asked by more than a few of you about doing a wine tasting. This will be a new, fun activity and hopefully will be well attended.

    Im also looking for volunteers who are willing to be a buddy to a new arrival. This would just be a point of contact -- a friend to say Lets grab a coffee or If you have any questions, call me. I feel this is a way of us making a new member feel a little less lost. Please email me with your information and I will add you to the list if you are interested in taking part.

    Also please look for a survey headed your way. We are interested to hear what activities and social groups here at the AAM that you and your family are looking for. Please take a few minutes to fill out this survey, because this is a way for us to make the organization better.

    Im really looking forward to the year ahead. Please feel free to email me if you have any suggestions.

    Morgan MehtaMembership Director

    Membership

    Selamat Datang ke AAM! to our new members for January:

    Janelle & David Gelaude

    Carole & BL Tan

    Julia & Stan Stanbrook

    Shameena & Shyabu Musthafa

    Gloria & Kenny Chang

    Shannon Schroeder

    Cynthia & Scott Crowder

    Debz & Robin Rafferty

    Now on sale at the AAM

    Tel: (03) 2161-9008 / 2161-9009

    12th edition

    price per set (2 volumes): RM50

    Selamat Datang

    AAM Annual General Meeting Coffee Morning/Potluck LunchAll members are invited to stop by the AAM Villa @ The Troika on Thursday, 19 March for the AAMs Annual General Meeting. Enjoy coffee and refreshments while we vote in the new Board for 2015/16. Plan to bring a dish to share and stick around for a potluck lunch after the formalities are concluded. See page 12 for details.

    As the school year continues, why not drop off any papers, pencils, backpacks, or other school supplies at the AAM for a back-to-school-drive for our charities? There is a basket at the AAM where you can donate supplies to help meet the needs of our kids.

    School Supply Drive

  • 7KL American March 2015

    AAM Messages

    Do you have any ideas or suggestions for new activities, events or workshops that may be of interest to our members? Can you think of ways we can improve our current line-up? Any concerns about the AAMs building facilities? Your feedback, whether positive or negative, is always welcome. Kindly drop us a note in the Suggestion Box located in the villa or email [email protected].

    Your $0.02

    Solicitation PolicySolicitation of business by any member or guest is not allowed at any AAM function without prior board approval. Members are requested to respectfully observe the policy that membership information is to be used solely for AAM business and is not to be used for personal or business solicitation purposes. If you are interested in sharing your talents/services with the AAM, please contact the AAM office.

    Membership Renewal To avoid missing any issues of the magazine and to continue receiving discounted prices for AAM events, please make sure your membership is up to date. Renewal notices will be emailed to you one month before expiration. Dues can be paid by cash or check in person at the AAM Villa @ The Troika by or cash deposit to the AAMs bank account directly.

    Reservation & Payment Policy

    EXPATTHE

    AAM Online Communities

    The AAM is on Facebook! Like the AAM Facebook fan page by logging on, typing American Association of Malaysia in the Search bar at the top of the page and clicking Like. Youll get the latest information on all of AAMs exciting events and activities!

    Introducing the AAM Google Group - a forum for members to consult with other members on queries and recommendations for anything from best family hotels to dentists to household help. Members can join in two ways. First, you can send an email to [email protected] with the email addresses you would like to add to the Google Group. Please put Need AAM Google Group Invite in the header of the email. The second way to join is you can go to Google Groups, search for American Association of Malaysia and then ask to be invited and the Administrator can add you. When you receive the invite via email, you must respond to complete the registration process. For more information, go to http://www.klamerican.com/online-communities.

    Event and Activity reservations can be made via email to [email protected], in person or via fax.

    If the reservation is made via email or fax, the AAM office will send you an acknowledgment receipt and advise whether or not the activity is still available.

    Fees MUST be paid within 48 hours of signing up for an event or activity. You will not be confirmed for the event/activity until payment in full has been received by the office.

    You may pay by cash or check in person at the AAM Villa @ The Troika or cash deposit to the AAMs bank account directly. If you wish to deposit cash payments to the AAMs bank account, please contact the AAM office for account information and instructions (your bank may charge you a minimal fee for this service).

    We cannot accept credit card payments at the office. We are currently working on details to secure an on-line payment system for your convenience. Further information to come.

    Cancellation Policy Reservations MUST be cancelled FIVE BUSINESS DAYS prior to the

    activity in order to received a refund. If you do not cancel your reservation within this time period or you are a no-show the day of the Event/Activity, a refund will not be issued.

    For Events/Activities that have a required minimum attendance, AAM reserves the right to cancel or reschedule when circumstances warrant.

    Each Event/Activity will have a sign up deadline date and we must adhere to those dates. This allows instructors of classes to gather all required materials or tour companies to arrange the proper transportation for our group.

    If you still have not made payment by the reservation deadline for an Event/Activity, your name will be automatically removed from the sign-up sheet and there will be no further correspondence from the AAM office. To avoid disappointment, please make your payment within 48 hours of making your reservation.

    School Supply Drive

    There are no public holidays in March. The AAM offices will be open daily. Hours of operation are listed on page 5.

    Holidays in March

  • 8 KL American March 2015

    Community Service

    Hi everyone,

    Community Service is alive and well at AAM! During the course of 2014, the AAM raised over RM102,270! These funds were raised during the Mardi Gras and Pink October events; the AAM Annual Bazaar, including the bake sale and the white elephant sale; the quilt auction; the Giving Tree; the happy meal voucher drive; and a generous donation from the AAM general fund voted on by the Board. We all know there is a lot of belt tightening at the moment, within businesses, corporations and perhaps our own families, so the fact that we, as an organization, can still give so much back to our local community is commendable. Not only does the AAM have a new location, but a new perspective on Community Service.

    I hope you were there to help us share the love during the AAM Annual Charity Check Presentation in February. Charitable organizations that consistently strive to help their community received their donations from the AAM. Most of these charities are those, who by nature of their work, are not able to participate in the AAM Bazaar.

    Now lets take a look forward at some new Community Service happenings. Zumba anyone? March Madness is a phenomenon that grips our national sports psyche. At the AAM, were doing the same with Zumba and Boot Camp classes on 9 and 23 March. Proceeds from these healthy and fun activities will be generously donated by our instructor, Gosia and will go to the AAM general charitable fund. And now Coffee Mornings at The Troika, organized and hosted by our Membership Director, will help to support AAM charities too.

    Interested in visiting one of our charities? Id like to arrange for a group of us to pay a visit to donate the happy meal vouchers and/or funds during the month of March. If youre interested, please send me an email and together we can arrange the how/when/where. (As of 31 December 2014 approximately RM784 was raised. The Lighthouse Children Home and Rumah Hope had approximately 54 children each at that time.)

    Yes, I can say that Community Service at the AAM is alive and well and so is the perception of the service itself. It includes an ongoing learning process, evolving and changing. The AAM is trying new things, taking a new approach, and, as always, open to suggestions and volunteers.

    Thank you for all of your support.

    Marilyn KindyCommunity Service Director

    Photos by Randee Duncan

  • 9KL American March 2015

    Lovie AlptunaerBazaar Director

    Morgan MehtaCorporate Relations Director

    VacantPublications Director

    ANNUAL GENERAL MEETING 2015Thursday, 19 March

    11 a.m.AAM Villa @ The Troika

    The Annual General Meeting will be held on 19 March prior to this months coffee morning/potluck lunch. The AAMs ordinary membership will vote in person or via proxy for the candidates slated for the Executive Committee (see below). All other positions are by appointment. Our by-laws state that each member of the Executive Committee and the Mem-bership Director must be American citizens. Your membership is highly valued and your attendance would be greatly appreciated! Formalities of the meeting will be followed by a potluck lunch so please bring a dish (serving 4 6) to share.

    Executive Committee (elected by AAMs ordinary membership)

    Ordinary Directors(positions already appointed by Executive Committee)

    (positions to be filled)

    Peggy UptigroveSecond Vice President

    Stephanie EmiloPresidentAnn Blacklock

    First Vice PresidentCindy GrosSecretary

    Donna SawyerTreasurer

    Mary ManteiBazaar Co-director

    Vacant Major Events Director

    Vacant Community Service Director

    VacantMembership Director

  • 10 KL American March 2015

    Organize at your chosen venue the most fun and tasty catering. Impress your guests with live cooking Spanish paella. Be delighted by the taste of tapas and Sangria. Enjoy, have fun, put a festive touch to your party.

    Paella is a wonderful, addictive and delicious meal that brings together the people you love!

    Contact [email protected]

    We will put all our energy and passion to create for you a unique and unforgettable event..

    New in KL PAE LLA & TAPAS

    CATERING

  • 11KL American March 2015

    HELP WANTED

    Its never too late!AAM is looking for a few good people! This section will be dedicated to the open Board positions that need to be filled. Not sure you want a Board position but still want to help out? We will also list any help that will be needed for upcoming events. Keep checking for your opportunity to make a difference!Social Media Coordinator: Are you a social media

    maven who can help bring the AAM up to date? This is a job that can be done through the comfort of your own computer and will help us to get the Facebook Page, Google Group and other untapped social media outlets working to get the word out about us and our activities.

    Roadrunners Coordinator We are currently looking for someone who enjoys running and is willing to be the main point of contact in forming a running group for AAM members. The Coordinator sends weekly emails to those in the group and sets the time and place for a weekly run. Put your best foot forward and contact Peggy at [email protected] if you are interested in volunteering.

    Activities Coordinators Have you been on a great tour that you want to share with the rest of the AAM community or heard about a fun thing to do that you are dying to try but need more people? Well, the AAM has a monthly Activities Meeting and we are in search of people who would like to coordinate activities for our membership. You can assist with just one specific activity, or you can come to the meeting and coordinate one of the many activity ideas brought by other members. For more information, please contact Peggy at [email protected].

    Webmaster This position keeps our members informed of all important information including fun events by updating our Google-based website. Responsibilities include attending the monthly Activities Meeting to receive information for the website and updating information on the website in a timely manner. If you have the skills and can volunteer your time, please contact the AAM office at [email protected].

    All activities are at the AAM Villa @ The Troika unless noted.

    MONDAYMahjong1:00 3:00 p.m.Members: free. Non-members: RM30 (Non-members are welcome. The first two visits are complimentary.)Get rid of those Monday blues by playing a lively game of mahjong. Well shuffle the tiles, make pungs and kongs and enjoy the afternoon. Beginners are welcome. Please email mahjong Coordinator, Randee at [email protected] to confirm.

    WEDNESDAYStitching Friends10:00 a.m. 1:30 p.m.Members: free. Non-members: RM30 (Non-members are welcome. The first two visits are complimentary.)New and seasoned sewing enthusiasts work together to share their love of the stitching arts. We meet at the AAM Villa @ Troika. Please contact Coordinator, Diane Tenney at [email protected] for details. Please be sure to put Stitching Friends in the subject line.

    Weekly Activities

  • 12 KL American March 2015

    Whats On in . . . March

    Mondays, 9 and 23 March10:00 a.m. 11:00 a.m.AAM Villa @ TroikaCost (for both sessions): RM 150 Members / RM 180 Non-membersProfits go to the AAMs overall charitable giving fund.

    March Madness: Zumba & Boot Camp Classes for CharityAre you ready to get in the best shape of your life? Its now or never! Join us for a unique workout and get shredded. Whether you are a competitive dancer or you are just trying to get in shape, this workout will bring you results. You will be participating in two one-hour classes, each incorporating 30 minutes of Zumba and 30 minutes of Boot Camp. AAM member Gosia, a professional Latin American dancer who is certified in Zumba and Zumba toning, will teach the classes. Best of all, proceeds from the classes will be donated to the AAMs overall charitable giving fund. Come ready to workout. Lets start 2015 off by getting healthy and fit!

    RSVP: E-mail [email protected] by Monday, 2 March.

    Tuesday, 3 March10:00 a.m. 11:00 a.m. St. Francis Xavier Home for the ElderlyTaman Sri Bahtera, Batu Lima CherasTel: (03) 9131-1464

    Bingo with Little Sisters of the PoorJoin our monthly bingo game to help spread the joy at this home for the elderly! We will bring prizes for the winners.

    The bingo morning is one of the highlights of the month for the residents.

    Please email [email protected] if you can join us.

    Friday, 6 March9:30 a.m 11:30 a.m.AAM Villa @ The Troika, poolside (level 3A)Cost: Individual; all proceeds go to charity.Parking is available at The Troika or nearby shopping malls. LRT to Ampang Park station.

    First FridaysArriving in KL can be overwhelming in the beginning, but the AAM is here to help! First Fridays is a social gathering designed especially for expats newly arrived to KL to provide an opportunity to ask questions, gather information, and take a second to relax with new friends. All members are encouraged to drop by the AAMs Villa @ The Troika and help us welcome newcomers. Coffee, tea and a light breakfast will be provided. Please join us and pass on the invitation to new neighbors and friends.

    RSVP: Appreciated but not necessary. E-mail [email protected].

    NEW LOCATION!

    Friday, 13 March10:30 a.m. 1:30 p.m.Meet outside of the Pasar Seni LRT station (bottom of escalator). This station is four stops from KLCC station. Please arrive by 10:30 a.m. sharp.Cost: Members RM100/Non-Members RM130; Min. 10/Max. 15 participants

    Walking Tour: The Classical Trades of Petaling StreetExplore the history and artisans of Petaling Street. Known as the Chinatown of Kuala Lumpur, Petaling Street is a place that is filled with hidden gems and artisan trades that have been passed down from generation to generation. Enriched with deep Chinese tradition, you can expect to enjoy and experience its delicious local delights, as well as its heritage. On this tour you will taste and see the art of making handmade delicious char siew pao (steamed pork bun); experience and know more about the Chinese tea ceremony, the rituals, the dos and donts and the art of enjoying a good cup of Chinese tea; listen to stories of the old trades of Petaling Street such as the cheongsam master, the dentures maker and the traditional fabric shop traders that have been in business for generations; enjoy delicious local dishes; and venture around Petaling Street and its back alleys. Join us and let us take you deeper into the Chinese culture and show you the real Petaling Street. Keep an open mind and an empty tummy. Please wear comfortable walking shoes and bring a water bottle. Sign up for this adventure now! Price includes a certified foodie tourist guide, food and non-alcoholic beverages.

    RSVP: E-mail [email protected] by Friday, 6 March.

  • 13KL American March 2015

    Did you know that there are two green beer days each year? One is a rite of passage for American university students the Thursday before Spring Break. The second is a party celebrated around the world on March 17th.

    Whether you are Irish or not, join us at Malones this March 17th for a St. Patricks Day pub style lunch. Consumption of beer of any color is optional. Malones Irish Restaurant & Bar in KLCC Suria will be an especially popular destination on St. Patricks Day; hence, our suggested meeting time is 11:45am. Your Lunch Bunch Coordinator will try to hold seats.

    RSVP: Email [email protected] by noon on Monday, 16 March.

    Malones Irish Restaurant & Bar

    Tuesday, 17 March11:45 a.m.Malones Irish Restaurant & BarKLCC Suria location, Ground Floor (fountain view ; Malones is only accessible via the outside corridor of KLCC Suria.)Cost: Individual(Parking: KLCC Suria; LRT: KLCC station)

    Tuesday, 17 March 11:00 a.m.In Colonial RestaurantG-13 The Intermark, 348 Jalan Tun RazakCost: Individual

    AAM Book ClubPlease join us for the AAMs most stimulating monthly activity, the AAM Book Club, which meets the third Tuesday of every month at the In Colonial Restaurant in the Intermark Mall.

    Our current book is Wild Swans: Three Daughters of China by Jung Chang (538 pages). Because the chosen book is long, we discussed what weve read so far at the February meeting. At our March meeting, we will discuss the books ending. Happy reading everyone!

    Book Synopsis (reprinted from Amazon):

    In Wild Swans Jung Chang recounts the evocative, unsettling, and insistently gripping story of how three generations of women in her family fared in the political maelstrom of China during the 20th century. Changs grandmother was a warlords concubine. Her gently raised mother struggled with hardships in the early days of Maos revolution and rose, like her husband, to a prominent position in the Communist Party before being denounced during the Cultural Revolution. Chang herself marched, worked, and breathed for Mao until doubt crept in over the excesses of his policies and purges. Born just a few decades apart, their lives overlap with the end of the warlords regime and overthrow of the Japanese occupation, violent struggles between the Kuomintang and the Communists to carve up China, and, most poignant for the author, the vicious cycle of purges orchestrated by Chairman Mao that discredited and crushed millions of people, including her parents.

    RSVP: Appreciated but not necessary. E-mail [email protected].

    Book for February and March: Wild Swans: Three Daughters of China

    NEW LOCATION

    Whats On in . . . March

  • 14 KL American March 2015

    Whats On in . . . March

    Thursday, 26 March8:30 a.m. 1:00 p.m.Meet at Starbucks, Avenue K/Ground Floor (trip leaves early due to some Temples closing for the afternoon; same return point)Cost: Members RM65/Non-Members RM95; Min. 9/Max. 15 participants

    Walking Tour: Little IndiaPut on your walking shoes and join us for this fascinating walking tour of Little India. Come and learn about the significance of the buildings, temples and churches in and around Little India. Our English-speaking tour guide will have all sorts of interesting facts and information about the area and will highlight several points of interest along the tour route.

    Lunch will be on our own at a traditional Indian restaurant (price for lunchNOT included in tour price). After lunch, we will load back up on the bus, put our feet up and enjoy the ride back to our drop off location.

    Some of the tour highlights include Vivekananda Ashram, The Hundred Quarters, Little India Fountain, Little India Street/District, Our Lady of Fatima, Maha Vihara Buddhist Temple, traditional wooden houses in Malay style, Temple of Fine Arts, and much more.

    Hope you can join us!

    RSVP: E-mail [email protected] no later than Thursday, 19 March. Payment must be made at time of reservation to confirm your spot.

    Coffee Morning Annual General Meeting and Potluck LunchAll members are invited to stop by the AAM Villa @ The Troika for the AAMs Annual General Meeting. Enjoy coffee and refreshments as we vote in the new Board for 2015/16.

    Plan to bring a dish (serving 4 to 6) to share and stick around for a potluck lunch after the formalities are concluded. The AGM will begin at 11:00 sharp. Lunch will begin at noon.

    RSVP: E-mail [email protected] by Wednesday, 11 February.

    Thursday, 19 March11:00 a.m. NoonAAM Villa @ The Troika Cost: NoneSponsored by:

    Tuesday, 24 March10:00 a.m. 1:00 p.m.AAM Villa @ The TroikaCost: Members RM70/Non-Members RM100; Min. 10/Max. 16 participants

    Cooking Class: Oodles of Noodles!As many of us know, Malaysia is full of different races from different places and we have access to endless kinds of foods. In fact, one can find food on just about every corner of the city. One of the most interesting foods has to be stirfry noodles. Just like people, noodles come in all different shapes and sizes! These different kinds of noodles add a special flare to any dish you make and can add creativity to an ordinary meal.

    Join Chef Judy as she talks to us about the different noodles and shows us the many ways they can be prepared. A few dishes we will discover include Mamak Fried Mee, Singapore Fried Vermicelli, Hokkien Fried Noodles and more. Once Chef Judy has completed her demonstration we can eat! Drinks and dessert will also be offered.

    RSVP: E-mail [email protected] by Tuesday, 17 March.

  • 15KL American March 2015

    Whats On in . . . April and beyond...

    AAM 2015 Ladies Spring TripVietnam

    29 April 3 MayTime for the AAM 2015 Ladies Spring Trip! Pack your bags and get ready for a fun-filled, sightseeing, whirlwind tour of Vietnams capital city and beyond. We modified the dates to avoid Easter weekend and school holidays. Hope you can join us! To confirm availability, or if you have questions, please contact Peggy at [email protected].

    Looking Ahead... Be sure to mark your calendar for these activities in April and beyond:

    03 April First Fridays, now at the AAM Villa @ The Troika

    13 April All Souls Day Tour

    15 April Lunch Bunch at an award winning Italian villa

    21 April Book Club

    25 April A Great Gatsby Ball

    29 April 3 May Ladies Trip to Vietnam

    Nestled in a corner at pool level in the Sheraton Imperial Hotel is an Italian trattoria known for its fine food and ambience. This will be our venue for Lunch Bunch in April. The hotels Culinary Director has created a four-course menu for AAM priced at only RM75 per person. For the main course, you will have a choice of chicken, sea bass or risotto. If the mood strikes you, please wear something reminiscent of spring. For this special Lunch Bunch, there will be three steps in the registration process: 1) Provide the office with your name and contact details; 2) Inform us of your choice for the main course; and 3) Pay RM75 to the office before the deadline. We regret that your name will not be shown on the confirmed attendance list until all three parts of the registration have been completed.

    RSVP: Email [email protected]. The 3-step registration process must be completed by Friday, 10 April.

    Villa Danieli

    Wednesday, 15 AprilNoon

    Villa DanieliPool Level, Sheraton Imperial Hotel, Jalan Sultan Ismail

    Cost: RM75 (prepaid by the deadline)

    Drinks: Cost includes coffee/tea. Other drinks may be purchased separately

  • 16 KL American March 2015

    Photos from the 2014 Fall Rug Auction.

    Friday, 20 March 2015 Safir Room, Hotel Istana

    73 Jalan Raja Chulan6:30 p.m.

    Viewing of rugs, light dinner and drinks

    7:30 p.m. to Midnight

    Auction

    Members: RM30 Non-Members: RM45

    Lucky draws throughout the night

    *Eastern Carpets is an AAM preferred carpet seller.

    RSVP [email protected] by 13 March.

    The Spring Rug Auction

    AAM and Eastern Carpetspresent

  • 18 KL American March 2015

    Digital Shoebox

    Diving In and Around MalaysiaPhotos by Lovie and Kaya Alptunaer

    AAM members and friends were treated to a talk and slide show by the AAMs very own Bazaar Director, Lovie Alptunaer, at the Travel Talk Coffee Morning held at the Villa Seavoy last October. Lovie and her husband are accomplished divers, and their beautiful photos were too good not to share. Enjoy!

  • 19KL American March 2015

    Digital Shoebox

  • 20 KL American March 2015

    Diversions

    One has said to visitors to China that the visitors should go to Xian, Beijing and Shanghai to see the 1,000 years, 500 years and 100 years of Chinese history respectively. You can experience all the history of Vietnam in Hanoi. Hanoi, with more than 1000 years of history, is a capital city of contrast and blending -- oriental vs. western influence, traditional culture vs. modern lifestyle. Such a combination can be found on every corner of the city.

    I was born and raised in Hanoi but I have lived far from the city for the last 15 years. I always feel like a tourist whenever I go back to my hometown. Hanoi has changed considerably and is very different from the Hanoi I remember before the year 2000. When I walk out of the airport, the first thing I tell my sister, who usually picks me up, is to drive me to the citys old quarter for a bowl of noodles. After that, I want to sit at an outdoor caf by Hoan Kiem Lake to observe the busy road traffic, to look at the calm water of the lake and to enjoy the special taste of Vietnamese coffee. At that moment, I satisfactorily feel that I am truly back to my home sweet home.

    My children were born and raised in Kuala Lumpur, Malaysia. I always find the chance to bring them home and to show them where I was born, how I was brought up in Hanoi with my family and what family and traditional Vietnamese values have passed down generation after generation. I always bring them out to walk around the town, to try different street foods, to observe how people work and live busily in the old quarter, the soul of Hanoi, as they did a hundred or even a thousand years ago. With that, I hope my kids can find a connection with our culture roots.

    There are many delicious street foods in Hanoi. However, pho, banh mi and trang tien ice cream are our favorites.

    Pho, the chicken or beef noodle soup, is a cultural treasure of Hanois. A bowl of pho is a delicious combination of three different cuisines. The broth and the garnishing are strongly influenced by French cuisine. The noodles are from Chinese cuisine. The spices are from India. We can eat pho everyday and at any time. Pho Suong, Pho Bat Dan and Pho Thin are the

    Hanoi - A Timeless TownStory and photos by Stephanie Nguyen

    long standing pho shops in the old quarter of Hanoi.

    Banh mi, the Vietnamese baguette sandwich, is another street food which is beautifully created from French and Vietnamese cuisines. The baguette and the pat are definitely French products. The meat and the sauces are to local tastes. Visitors can try this delicious and cheap food on every street of Hanoi.

    Trang tien ice cream, for which the recipe was brought by the French in early 20th century, is a signature ice cream that most Hanoian kids have grown up with. It is the best ice cream in the world ever, to me and my kids. Trang tien ice cream has distinctive Vietnamese flavors such as coconut, green rice

    and mung bean. The ice cream production is still produced at the original production site on Trang Tien street.

    There is a quote from a famous architect: A city without old buildings is like a man without a memory. Besides the green and beautiful lakes, I love all the old tube houses in the old quarter, the French Colonial villas, the churches and the government buildings of Hanoi. My favorites are the ancient pagodas or temples like the One Pillar Pagoda or other pagodas located around the West Lake area. These sacred places in town are always my hidden places to soothe my mind after a hectic day. These buildings are the witness to Hanois history over centuries.

    My kids love to spend time with their cousins and grandparents in the Imperial Citadel, the Vietnam Museum of Ethnology, the Temple of Literature Museum of Ethnology, the Temple of Literature (the first National University of Vietnam), the Hanoi Hilton site, the History Museum and the legendary Hoan Kiem Lake. They have learned a lot of stories about the history and the legends of Hanoi, their motherland, from those historic places. Sometimes, they see the huge turtle that emerged from the Hoan Kiem Lake. That really strengthens their belief in the lakes legend.

    Tastes of Hanoi (clockwise from right): Pho, Banh Mi (Vietnamese Baguette), and Trang Tien ice cream

    Sights of Hanoi (clockwise from top left): Old Quarter, Hoan Kiem Lake, Literature Temple, and Cathedral

  • 21KL American March 2015

    Diversions

    I like to walk through the narrow and busy streets in the cool weather of spring or winter, even in the drizzling rain. I find myself lost in a live symphony, with chaotic sounds of different vehicles on the streets, of people talking or bargaining from the street shops and of the craftsmen knocking on or carving a piece of stone in their workshops or even right on the pavement of the streets. These are the unique sounds and echoes of Hanoi in modern days and of a thousand years ago.

    My kids always ask me when we pass by some old coffee shops or food vendors on the streets, What is that delicious smell? These sensational fragrances really test our noses and make us feel hungry all the time. Hanoi, in my mind, does not only have a noisy energy but also has the tastes, the colors and the flavors of the food and the aroma of roasted coffee every morning. There is also the fresh fragrance of different seasonal flowers blooming around the city. When you walk or slowly drive a scooter around the town after a rain in the spring or autumn, you can deeply feel an earthy, fresh and sweet fragrance of yang yang, milk or sua flowers in the air. People who have lived in Hanoi never forget such sensations.

    I let my 10 and 13 years old daughters cross Hanois scarily busy streets full of motorbikes by themselves once. I told them, Be alert, look around and keep walking steadily. Think as you are a moving stone and the traffic is a water flow. Motorbike drivers will avoid you. They first were very scared, but they did cross the road and found that it is not as scary as it looks.

    When the kids get tired after walking around, we hop on a cyclo or rickshaw that is one of Hanois oldest means of public transportation. If Hanoi is a playground for photographers, then the cyclo is the best way for us to sit back, relax and enjoy the exciting street show. We can really enjoy the soul of Hanoi with its vivid colors of daily life. The green color of the tree-lined boulevards goes together with the green from the vegetables displayed on the pavement. Different colors from flowers and fruits are seen on every corner of Hanois streets. The yellow paint on the more than 100 year old French colonial houses in the French Quarter accentuates the red lanterns hanging Halong Bay

    The colorful streets of Hanoi

    along the old streets, which stand out from the timeless grey color of the traditional tube houses walls and tile roofs. It is a classic picture that has been drawn on the canvases of many Hanoi artists.

    My expat friends usually ask me for recommendations on where to go and what to do in Hanoi. It is not easy to give advice if I dont know that friends interests because there are so many things one can do and see in Hanoi. I usually tell my friends, Please tell me what you prefer to do in Hanoi. There are many tours organized by professional tourist companies such as history and culture, Vietnam cuisine and cooking classes, Hanoi street-food, art and architecture tours, natural beauty, handicraft villages, cycling, Hanoi by night, and many more. You can arrange your own trips. The travel agencies will give you good advice for a safe and sound trip.

    I asked one of my friends who has traveled a lot in Vietnam, How can tourists have a good week trip in Hanoi and surrounding areas? He said to me, You should join in a package tour. The first day you should have a city highlight tour to visit some popular Hanoi attractions like the old quarter, Imperial Citadel of Thang Long, Temple of Literature and National University, Vietnam Museum of Ethnology, Ho Chi Minh Mausoleum and so on to learn about the history and changes of Hanoi over its one thousand years. On the second day, it is better to join in a food tour, tasting street foods or coffee, or spending time shopping in the old quarter. You may get lost in the street shops on Hang Gai, L quc Su or Hang Trong street where local handicraft and decorative products from surrounding traditional craft villages are sold. In the next two days, you should visit Halong Bay, experience the romantic feeling of floating on the turquoise water, witnessing sunrise or sunset and tasting fresh seafood with your beloved at one of the great natural wonders of the world. For the last two days, you can experience the highland areas like Sapa or Moc Chau where there is the colorful and charming culture of the hill tribe people in the picturesque highland areas of Northern Vietnam. It would be a mistake if you dont try to dine out in some French restaurants or fusion French and Vietnam cuisine on the last day in Hanoi.

    There are endless things I can say about Hanoi. However, if I were a visitor to Hanoi, I would immerse myself in the sounds, the colors, the tastes and the lifestyle of Hanoians and I would discover on my own taste in the mixture of the old and new, the Eastern and Western charm of my timeless Hanoi.

  • 22 KL American March 2015

    Perspectives

    On 22 January, our members took part in a coffee morning hosted by Mrs. Melanie Billings-Yun, wife of the U.S. Ambassador to Malaysia, Joseph Y. Yun. This exclusive event was co-sponsored by the U.S. Embassy and the American Association of Malaysia in conjunction with Asian Tigers. After coffee and delicious cakes, a security talk was given by Samantha Elfmont, Community Liaison Office Coordinator and Bernard (BJ) Green, Regional Security Officer.

    First to speak was Samantha who entertained us with her delivery of important information. I know that may be an odd thing to say, but she not only passed on important information but she injected humor into the event, and kept us both interested and smiling. BJ was also an engaging speaker, managing to convey security information in a clear and non-dramatic manner. Here are the key points they discussed.

    An example of services offered by the Embassy:

    1. Assistance with births and deaths2. Help with extreme medical emergencies and hospitalization3. Victim support and how to navigate the legal system4. Notary (USA)5. Passport services6. Up-to-date travel security information

    Actually the list is very long the Embassy will help with almost anything.

    When you arrive in Malaysia, you should personally register with the Embassy. It only takes five minutes and can be done online at https://step.state.gov/step/. The Embassy can only contact you in an emergency situation if it has your information. Usually this is done via SMS and email. The USA takes the safety of its citizens very seriously, and it is estimated that there are 14,000 US citizens in Malaysia, including tourists. Dont be the one who did not get the message.

    If you wish to contact the Embassy you can email [email protected] or call 03-2168-5000 (from within Malaysia) or 60-3-2168-5000 (from outside Malaysia). If it is outside of normal business hours, press zero when you get through to the exchange and an on-duty Marine will facilitate contact with the Duty Officer.

    Please visit the Embassy website (http://malaysia.usEmbassy.gov/service.html) for up-to-date information in Malaysia and with links to other countries. The Embassy operates a No double standard policy. If Embassy staff know about a security or safety situation, then private citizens must also be given this information per US law. This is also very useful if you have visitors. You can give them the link to read, and this will save time when relatives visit and have questions. The Embassy cannot tell you not to go somewhere that may put you at risk, but it can make sure you know the facts before you travel so you can make an informed decision. For example, the coast of eastern Sabah should be avoided because of the frequency of kidnappings for ransom. US citizens are not the only ones at risk in this area. Recent victims included a Malaysian policeman who was subsequently killed.

    One of the topics that I found particularly interesting was the

    KL Konfidential - Embassy Security Briefing Story and photos by Debz Rafferty

    What is it illegal for you as an expat to do?

    1. It is against the law for you to proselytize, which means to try to persuade someone to change their religious or political beliefs or way of living to your own. The dos and donts -- do check to ensure that any organization where you volunteer is registered with the government. If you are taking part in a Bible study group, take care about where you meet and who is attending; and do not teach religious education. When it comes down to it, you have to use common sense. For example, if your Christian maid asks you to bring her back a Bible from the USA, this is OK if she is already a Christian.

    2. You cannot take part in ANY demonstrations. It does not matter how benign the event, do not attend, and avoid all protest areas. Even watching could lead to your arrest.

    3. Do not consume or carry drugs, including cannabis. No discretion or special treatment is given, and judges cannot change the sentencing for foreigners. The penalty for drug smuggling in Malaysia and most Asian countries is death! (And a South African expat was recently sentenced to death in Malaysia.)

    Cyber SafetyThe Embassy receives fifteen to twenty calls a week from people who have been scammed for money via contact made on the Internet. It is an epidemic and is centered in Malaysia. Most initial contact is made through social media sites like Facebook. The scammers send friend requests, and if accepted, they befriend your friends. Sometime later (this can be a year or more) they pretend to be you and contact your Facebook friends, making up some story about you being in an accident and needing money for treatment. They can also clone your account. The stories they come up with are inventive and endless, so be aware! These scammers represent themselves well on line. They are articulate and seem genuine, until you part with your dollars, and then they are never seen again and are untraceable. They may not be after your dollars, but they may spend months grooming your teens for other services. Take precautions NOW. Have that chat with your kids about internet safety and how much information they share. Make sure your accounts are not open -- check privacy settings on all social media sites! Do not just add people because you think it is cool to have a lot of friends because there is a very real chance they are anything but friends. Millions of dollars are lost every day, and more alarming, teens and women are at risk from sexual predators.

    There was a recent case in KL where a young woman had to be rescued from a city hotel. She had been chatting with a lovely man on a Christian Facebook page. She was invited to Malaysia to be an actor and an e-ticket was sent to her. She was collected at the airport by a driver, and before she knew it she was trapped in a hotel. She was one of the lucky ones as Embassy staff managed to rescue her.

    These people will invest time and money in these scams. They will forge US passports and send you copies so you think you are dealing with a fellow American. In reality, they are faceless, and difficult to trace. If you have been a victim of internet crime, report it to the local police, the Embassy and IC3 partnership with the FBI. IC3 are private US companies, and a special branch of the FBI, and they can be found on www.ic3.gov. A report made on this site will also go to the legal attach for the FBI in-country.

  • 23KL American March 2015

    On the TownTake care when going out at night. Drugging is common. Be aware of what is in your drink. Try to work a buddy system where possible. If your buddy seems to be drunk very quickly, it may be because he or she has been drugged. Yes HE. Date rape is not just a crime against women. Be safe and savvy. Take a moment to educate yourself on the crime hotspots in clubs and bars when out and about in Malaysia.

    Teksi InformationWhen possible use a smartphone app to order a teksi. If you use a teksi line, go to those regulated and managed by a concierge. That RM2 fee could save you a lot of problems. Do not sit next to the driver - an expat teenager was recently sexually assaulted while he sat in the front seat next to a driver. Behind the driver is the best place to sit, and do not take the teksi if the driver is not alone, and do not let anyone else get in. Look for a hack license that should be on view on the dashboard. Make sure the doors have inside door handles and that the seat belts are functional.

    Here are a few additional few tips:

    Email scans of your passport and visa to yourself, that way you will always have access.

    Always replace your passport six months before expiry date. Most airlines will not allow you to fly if you have less than six months on your passport.

    Put emergency numbers in your phone: Police, Embassy, doctor, etc.

    In Conclusion:

    The Security Environment Threat List for possible political violence is low.

    Threat of terrorist attack is medium

    Threat of crime is high.

    Stay street savvy. Dont cut corners when it comes to safety. Keep an eye on what is going on via newspapers, media and the Embassy and we are sure you will have a wonderful experience as an expat in Malaysia.

    Perspectives

    Attacks and AccidentsIf you are hurt in an attack or accident, you must go to a public hospital. Then, make a police report. You do not have to go to the police straight away, but be sensible with your timings. If you are in an accident in your car, stay in the car, as getting out may escalate a violent attack. If you are in a teksi and the teksi is in an accident, pay your fare and leave the teksi. You can leave the scene of an accident, but you must make a police report within a reasonable time.

    Make notes and be clear about what you want to say before you go to the police station. You could write your statement in the comfort of your home then copy it when you are at the police station. Only reports from government hospitals supported by a police report are admissible in Malaysian courts. Police will not come to an accident unless there is a body on the floor.

    Car SafetyHave your windows tinted, ideally with film that makes your windows shatterproof. Keep your valuables out of sight, either on the floor or in the trunk. Be situationally aware. Know when you are most vulnerable to attack, and where the crime hotspots are. Keep your car doors locked when possible. Taking sensible and simple precautions can make a difference.

    Police Road BlocksKeep your license handy, if you are in Malaysia for more than a year you should have a local license. DO NOT pay spot fines. Speeding offences and most other tickets can be paid online, and if you pay promptly you will get a discount. Do not be pressured into handing over cash. If in doubt, take the name and number of the officer who is asking you for a spot fine, and/or call the Embassy. You must always carry ID, even if you are a passenger in a car, or out walking as the police can ask for ID. If your only ID is your passport, carry a photocopy. Do not walk around with your original passport.

    Credit Cards, ATMs and Money ChangersCredit card fraud is on the increase. Do not let your credit card out of your sight and take care when using ATMs. Take a moment to check if there is anything added to the ATM that means they may be able to clone your card. Be aware of who may be watching you. Asia is flooded with counterfeit dollar notes. Only use licensed exchange offices.

    Attendees of Januarys safety and security themed Coffee Morning at the Ambassadors residence.

    Debz is an AAM member and writes a regular column each month on keeping safe in KL.

  • 24 KL American March 2015

    Sri Menanti Tour, 23 SeptemberPhotos by Stefani Sieberg

    Members ventured out to the Royal Town of Sri Menanti to visit the 100-year-old wooden palace and to learn about ancient Malay customs and culture. While disappointed at first to find that the palace was surrounded in scaffolding, the high-spirited group made the best of their visit and had a fun time nonetheless.

    Memories

    Bus Tour to 9th God Festival, 1 OctoberPhotos by Randee DuncanOn this cultural tour, which is one of the AAMs perennial favorites, members traveled to the Nan Thien Kwang temple in Ampang New Village to witness the fascinating Hokkien religious festival when the Nine Emperor Gods are believed to earth to give peace, luck, wealth and good health.

  • 25KL American March 2015

    Memories

    Royal Selangor School of Hard Knocks, 30 OctoberPhotos by Carol Antell

    A small but spiritd group of ladies participated in this fun workshop. They even got to bring home a handcrafted souvenir!

    Bangsar Walkabout Lunch Bunch, 12 NovemberPhotos by Stephanie Emilo

    The AAMs very own President, Stephanie, and Membership Director, Morgan, led a short walking tour of Bangsar followed by a lunch at a New York style pizzeria that was a warm and tasty slice of home.

    Community Service Coffee Morning, 20 NovemberPhotos by Lovie Alptunaer

    Just in time for the holiday season and the spirit of giving that fills each of us at that time of year, the AAM hosted this informative coffee morning about the ways the AAM gives back to the community.

  • 26 KL American March 2015

    December Lunch Bunch (Tatto), 2 DecemberPhotos by Randee Duncan

    The Lunch Bunch celebrated the holidays a little early at this perennial favorite Italian restaurant. Attendees also had the opportunity to buy happy meal vouchers for needy kids in our area as well as purchase ornaments for our Giving Tree.

    Memories

    Little Sisters of the Poor Christmas Caroling, 2 DecemberPhotos by Shannon Iler & Mary Kosco

    The AAMs monthly bingo game at the Little Sisters of the Poor home for the eldery took a festive turn in December as residents and volunteers were treated to caroling by cheerful singers.

  • 27KL American March 2015

    Sponsored by:

    Memories

    AAM Members Open House, 24 JanuaryPhotos by Randee Duncan

    The AAM spent the holidays moving in to our new home - the AAM Villa @ The Troika - and we threw open the doors for all curious members to stop by and help christen the space. In case you could not join in the fun, here are some snapshots from the party!

  • 28 KL American March 2015

    Dr Terence Tay Khai WeiMBBS (UM), MS Ortho (UM), MRCS (Edin), CMIA (NIOSH)Fellowship in Hand and Microsurgery (Louisville, USA)Fellowship in Hand, Plastic, Burn and Reconstruction (Tubingen, Germany)Consultant Hand & MicrosurgeonTropicana Medical Centre

    TROPICANA MEDICAL CENTRE11, Jalan Teknologi,

    PJU 5, Kota Damansara,47810 Petaling Jaya,

    Selangor Darul Ehsan.T: +603-6287 1111

    W: www.tropicanamedicalcentre.comFB: www.facebook.com/TropicanaMedicalCentre

    E: [email protected]

    What is trigger finger?Trigger finger (stenosing tenosynovitis) is a condi-tion where your finger or thumb catches, snaps or becomes locked in place, after it has been bent. Oc-casionally, it can be difficult to release the flexed fin-ger without being pulled straight by the other hand. The name of trigger finger is used because when the finger unlocks, it pops back suddenly, as if releasing a trigger on a gun.

    There is often tenderness or small nodule felt at the palm of the affected finger. One or more fingers may be affected at one time. The most common affected fingers are your ring finger, small finger or thumb. Most cases occur for no apparent reason even in healthy people. It is more common if you are aged over 40 or if you are a diabetic.

    What is the pathology of trigger finger?Trigger finger or tenosynovitis is caused by inflam-mation and hypertrophy of the retinacular sheath which progressively restricts the motion of the flexor tendon. The flexor tendons are the terminal continu-ation of the forearm muscles which arise from the forearm bones. The tendons enter the hand through the wrist and insert on the bones of the fingers to produce flexion or bending. They glide smoothly in tunnels with narrow sections called tendon sheath. The tendon sheath function is to maintain the ten-dons within the tunnels. At times the tendons may develop a discrete nodule or swelling. The smooth gliding of the tendon within the tunnel is interrupt-ed as the tendon becomes stuck at the narrow por-tions of the tunnel. The narrow portions correspond to the pulleys. Patients commonly describe a locking, popping or catching sensation associated with pain when the tendon becomes caught. Initially, patients may think there is a problem with the finger knuckle not realizing the problem lies with the tendon. At times the triggering may be so severe that the other hand must be used to straighten the locked finger.

    What causes trigger finger?Specific causes for trigger finger are not entirely clear, but can be associated with other conditions such as gout, osteoarthritis, diabetes, and rheuma-toid arthritis. In these situations you will have other symptoms apart from the symptoms of trigger fin-ger. Understandably, repetitive finger movements and local trauma are possibilities especially in some cases it occurs after you have used your palm fre-quently. There are reports linking trigger finger to certain occupations requiring extensive gripping and hand flexion such as screw driver or hammer.

    What is the treatment for trigger finger?Initial management of trigger finger is conservative and involves activity modification. Simply resting the hand and allowing any inflammation to settle may resolve the trigger problem without the need for any treatment. You may be advised to take some anti-inflammatory drugs (for example, ibuprofen).

    i) SplintingYour symptoms may improve if your finger (or thumb) is strapped to a splint so that it is completely straight. Some people wear a splint just at night. The goal of splinting is to prevent the friction caused by flexor tendon movement through the affected pul-ley until the inflammation resolves. It is generally ac-ceptable that splinting is an appropriate treatment option in patients who refuse or wish to avoid corti-costeroid injection.

    ii) Corticosteroid injectionCortisteroid injection into the tendon sheath is one treatment if the condition does not settle. The ste-roid is combined with a local anaesthetic to make the injection less painful. Steroids work by reduc-ing inflammation. Corticosteroid injection is less successful in patients with longstanding disease (>6 months duration), diabetes mellitus, and mul-tiple digit involvement as it is unable to reverse the changes of chondroid metaplasia that take place at the pulley. Rare complications of steroid injection are tendon rupture, infection, fat necrosis and tran-sient elevation of serum glucose in diabetic patients.

    iii) SurgeryOperative intervention is highly successful and widely regarded as the ultimate treatment for trig-ger finger. Indication for surgical treatment is gen-erally failure of conservative treatment to resolve pain and symptoms. Operation can done under local anaesthetic. A small cut is usually made at the base of the finger and the affected pulley is incised. The open release surgery provides greater exposure and may be safer with regard to iatrogenic neurovascu-lar injury. Reported success rates range from 90% to 100% proving the efficacy of this procedure.

    An alternative method is a percutaneous trigger finger release. A needle is used to release the tight mouth of the tunnel so an open operation is avoid-ed. The risk of injuring the tendon and neurovascular bundle is higher with this method.

    Trigger Finger

    Common Problem, Simple Cure

  • 29KL American March 2015

    KEEP HAIR SHINY The next time you boil rice, save the water - which is rich in Vitamin B and antioxidants - to use as a shine treatment for aging, lackluster hair. After shampooing, pour the cooked water over your strands and massage in. Let it sit and absorb for 5 minutes before rinsing clear.

    Check out our new location! MESSAGE FROM THE US EMBASSY:Our American Citizen Services Appointment System is Now Live!

    On January 5, 2015, the American Citizen Services Unit, U.S. Embassy, Kuala Lumpur, transitioned to an appointment-based service model. Our online appointment system is now live and our U.S. citizen clients can begin making appointments online.

    To make an appointment for all routine services including notaries, authentications, passport renewals, Consular Reports of Birth Abroad (CRBA) and additional visa pages, please visit our website at: https://evisaforms.state.gov/acs/default.asp?postcode=KLL&appcode=1

    Additional information on how the appointment system works and what documents youll need to prepare before coming to the embassy can be found on our website:http://malaysia.usembassy.gov/service.html

    If you appear at the Embassy without an appointment, you will be seen after customers who have a scheduled appointment. Appointments are not required for emergency services.

    All appointments for routine services will be made through our online appointment system. We cannot make appointments for routine services over the phone or email.

    We will never turn away a U.S. citizen requiring emergency services.

    If you need an emergency passport, are reporting a death/crime/arrest/missing person, or find yourself with some other type of medical/financial emergency, you will always be welcomed without an appointment.

    U.S. citizens seeking emergency assistance should email [email protected] or call the embassy at +60 3 2168 5000.

    Since we sent our first notice announcing our transition to an appointment-based system, we have received lots of constructive feedback. Please keep your thoughts and ideas coming.

    We hope you all had a great Thanksgiving and wish everyone a happy holiday season. We look forward to seeing you at the Embassy (with your appointment letters!) in 2015.

    Kind Regards,American Citizen Services UnitU.S. Embassy Kuala Lumpur

    USEFUL TELEPHONE NUMBERSEMERGENCYPOLICE......................................................................999FIRE & RESCUE.........................................................999CIVIL DEFENSE.........................................................999ANY EMERGENCIES FROM MOBILE PHONE............112UTILITIES...ELECTRICITY/POWER FAILURE............................ 15454WATER DISRUPTION................................1800 88 5252SEWAGE SYSTEM.....................................03 2780 1100OPERATORDIRECTORY ENQUIRIES............................................103ANIMALSMISSING PETS..........................................03 4021 1682SNAKES & PESTS......................................03 40426742ANIMAL MEDICAL CENTER (24 HRS.).....03 4041 6742

    The outgoing AAM Board of Directors bids you adieu and says Thank You for all youve done to make the 2014/15 term a memorable one!

  • 30 KL American March 2015

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    KLMarch 2015

    Sun Mon Tues Wed Thu Fri Sat

    american association of malaysia

    10 a.m. - 1:30 p.m. Stitching Friends

    1 - 3 p.m. Mahjong

    10 - 11 a.m. Zumba & BootCamp

    1 - 3 p.m. Mahjong

    1 - 3 p.m. Mahjong AAM Office

    Tel: (03) 2161-9008 / 9009

    email:[email protected]

    27 2825 26

    10 - 11 a.m. Bingo @ Little Sisters of the Poor

    5 69:30 - 11:30 a.m.First Fridays Villa @ The Troika

    10:30 a.m. 1:30 p.m.Petaling StreetWalking Tour

    VENUE KEY

    AAM Villa @ Troika

    41 2 31 - 3 p.m. Mahjong

    10 a.m. - 1:30 p.m. Stitching Friends

    10 - 11 a.m. Zumba & BootCamp

    1 - 3 p.m. Mahjong

    11 a.m. Book Club In Colonial Restaurant

    11:45 a.m.Lunch Bunch

    10 a.m. - 1:30 p.m. Stitching Friends

    10 a.m. Coffee Morning Annual General Meeting

    Spring Rug Auction @ Hotel Istana6:30 p.m. Viewing 7:30 p.m. - Midnight Rug Auction

    10 a.m. 1 p.m.Noodles with Judy

    10 a.m. - 1:30 p.m. Stitching Friends

    8:30 a.m. - 1 p.m.Little India Walking Tour

  • 31KL American March 2015

  • 32 KL American March 2015(60-3) 5565 2200