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ANZCA Bulletin June 2011 - Australian and New Zealand College of ...

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Faculty <strong>of</strong> Pain Medicine<br />

<strong>New</strong>s continued<br />

Honorary Fellow<br />

Associate Pr<strong>of</strong>essor Pongparadee<br />

Chaudakshetrin, Thail<strong>and</strong><br />

Honorary Fellowship<br />

“The Board <strong>of</strong> the Faculty <strong>of</strong> Pain<br />

Medicine admits from time to time<br />

distinguished persons who have<br />

made a notable contribution to the<br />

advancement <strong>of</strong> the science <strong>and</strong><br />

practice <strong>of</strong> pain medicine, who are not<br />

practicing pain medicine in Australia<br />

or <strong>New</strong> Zeal<strong>and</strong>.”<br />

Pongparadee Chaudakshetrin<br />

BSc (Mahidol) 1972; MD (Madihol) 1976;<br />

FRCAT 1980.<br />

Associate Pr<strong>of</strong>essor Pongparadee<br />

Chaudakshetrin was born <strong>and</strong> grew up<br />

in Bangkok, Thail<strong>and</strong>. She completed<br />

her science degree in 1972 <strong>and</strong> felt the<br />

calling <strong>of</strong> the medical pr<strong>of</strong>ession. She<br />

trained in her beloved Siriraj Hospital<br />

where she graduated from the Faculty<br />

<strong>of</strong> Medicine, Mahidol University, in 1976.<br />

After her internship in Siriraj Hospital,<br />

she underwent specialist training in<br />

anaesthesiology <strong>and</strong> was awarded<br />

the Fellowship <strong>of</strong> the Royal <strong>College</strong> <strong>of</strong><br />

Anaesthesiologist <strong>of</strong> Thail<strong>and</strong> in 1980.<br />

In those early days, improving pain<br />

management in her patients started a<br />

stirring in her heart. Realising the much<br />

deficient state <strong>of</strong> pain management<br />

at that time, she sought out further<br />

training to equip herself. She trained<br />

firstly in Guy’s Hospital, London, in 1985<br />

<strong>and</strong> then, in 1989, she furthered her<br />

training at the Multidisciplinary Pain<br />

Centre at the University <strong>of</strong> Washington<br />

in Seattle, US. In 1991, she was<br />

appointed Associate Pr<strong>of</strong>essor <strong>and</strong> the<br />

Director <strong>of</strong> the Pain Management Centre<br />

in the Department <strong>of</strong> Anaesthesiology,<br />

Faculty <strong>of</strong> Pain Medicine, Siriraj<br />

Hospital <strong>and</strong> Mahidol University,<br />

a position she holds to this day.<br />

Associate Pr<strong>of</strong>essor Chaudakshetrin<br />

has worked tirelessly <strong>and</strong> championed<br />

the cause <strong>of</strong> pain control over the past<br />

30 years. She built <strong>and</strong> organised the<br />

clinical pain services in Siriraj Hospital<br />

to the modern level it is today.<br />

She made oral morphine syrup available<br />

for cancer pain in 1987 which was the<br />

first in Thail<strong>and</strong>. An anaesthesiologybased<br />

acute pain service <strong>and</strong> a<br />

comprehensive multidisciplinary team<br />

in the pain clinic were set up in the<br />

early 1990s. This was pioneering work,<br />

<strong>and</strong> she lead her country where many<br />

were to subsequently follow. Her centre<br />

in Siriraj continues to be the premium<br />

centre for training local pain specialists<br />

in Thail<strong>and</strong>.<br />

Associate Pr<strong>of</strong>essor Chaudakshetrin’s<br />

work also took her to the national<br />

<strong>and</strong> international stage. She was the<br />

founding member <strong>of</strong> the Thai Chapter<br />

<strong>of</strong> the International Association for the<br />

Study <strong>of</strong> Pain (IASP) <strong>and</strong> is still serving<br />

as its president for the past eight years.<br />

She also served on various national<br />

boards <strong>and</strong> taskforces responsible<br />

for the development <strong>of</strong> guidelines for<br />

pain <strong>of</strong> terminal cancer, palliative<br />

care, neuropathic pain <strong>and</strong> opioid<br />

availability. At an international level,<br />

Associate Pr<strong>of</strong>essor Chaudakshetrin<br />

was active in the IASP, serving on a<br />

number <strong>of</strong> taskforces on cancer pain,<br />

pain in AIDS, pain in the elderly, pain<br />

in developing countries as well as the<br />

World Health Organisation Cancer<br />

Pain Relief Program. Her passion for<br />

improving pain in the Asian region<br />

was also recognised by the IASP. She<br />

was awarded grants for the “Initiative<br />

for Improving Education in Developing<br />

Countries”. With the grants, she has<br />

trained numerous local physicians<br />

from neighbouring countries such as<br />

Bhutan, Mongolia, Indonesia, Malaysia,<br />

Myanmar, Laos <strong>and</strong> Vietnam which<br />

in turn has a big multiplier effect for<br />

effective pain management in the<br />

region. She also helped establish local<br />

pain chapters in Mongolia, Myanmar<br />

<strong>and</strong> Laos.<br />

Despite all her commitments in<br />

her work at Siriraj Hospital, she still<br />

manages to deliver more than 30<br />

invited lectures on the subject at major<br />

national <strong>and</strong> international meetings <strong>and</strong><br />

published some 29 papers on various<br />

pain topics in local <strong>and</strong> international<br />

peer-reviewed publications.<br />

Associate Pr<strong>of</strong>essor Chaudakshetrin<br />

is truly a legend in pain medicine. Much<br />

<strong>of</strong> the good work in acute pain, cancer<br />

pain, palliative care <strong>and</strong> management<br />

<strong>of</strong> persistent pain in Thail<strong>and</strong> <strong>and</strong><br />

neighbouring countries can be traced<br />

to her pioneering work <strong>and</strong> her positive<br />

influence. In no small way, she has<br />

reduced pain <strong>and</strong> suffering in countless<br />

millions. On a personal level, she is very<br />

charming, friendly <strong>and</strong> approachable.<br />

She is always smiling, always willing<br />

to help <strong>and</strong> ever ready to impart <strong>and</strong><br />

share her knowledge derived from her<br />

long experience. Her contemporaries<br />

in Thail<strong>and</strong> address her as “ajarn”<br />

meaning teacher.<br />

92<br />

<strong>ANZCA</strong> <strong>Bulletin</strong> <strong>June</strong> <strong>2011</strong>

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