Lucy Lum Chai See joined the University of Malaya, Department of Paediatrics in 1990. Assigned to the paediatric acute care ward, she recognised the need of acutely ill children and set to look after them even though resources were meagre, the resistance to expansion stiff and the doctors and nurses lacking in knowledge and skills. Pioneers of Paediatric Advanced Life Support (PALS) were invited to Malaysia to begin PALS training. Over the next four years, Lucy and colleagues contributed to twenty-five consecutive training courses for >800 doctors and nurses in 12 of 13 states. Her enthusiasm and perseverance saw her refining the management of severe dengue in children and other critical conditions. She underwent clinical-fellowship training in paediatric intensive care in The Hospital for Sick Children, in 1996. The Toronto and the North American experience shaped Lucy’s physiological approach to mechanical ventilation of healthy and sick lungs.  She later became the first Malaysian to complete the Paediatric examination for the European Diploma in Intensive Care.  Back in Malaysia, the P1 Acute Care Ward was hit by a shortage of funding and support. Despite of the limited resources, the unit played a key role in defining the pathophysiology of EV71 outbreak which caused many deaths in 1997. In 2001 the Hospital allowed a charity fund to be established.  Soon after The