WINNER AWARD OF EXCELLENCE APEX 2015 NOV DEC 2015 ISSUE no.60Lifewise BAD FATS 75 AGE IS BUT A NUMBER
DOMINIC TUNG, LYDIA SOH AND TONY LUM > NATIONAL HEALTHCARE GROUP In The it’s about RUNNING To be fit and fab giving all year round p14 ANDAND RRECEIVINGECEIVING IN THE SPIRIT OF THE SEASON
EAT WELL > KEEP WITH TRADITION, BUT IN A HEALTHY WAY p32
Cover NovDec15 V3.indd C1 10/29/15 4:53 PM IFC-Ad.inddLifewise Ads . in1dd 3 10/28/158/27/14 54:38:53 PPMM CONTENTSLifewise NOV-DEC 2015 ISSUE no.60
features 10
10 A TIME FOR GIVING AND RECEIVING Contributing their time and eû orts to the service of others have given these two women much joy.
COVER STORY 14 A RUNNING THEME Three runners talk about how ‘going the distance’ has worked wonders for their health.
17 STOP, LOOK, LISTEN! What you can do to ensure you stay alert and t when behind the wheel. 20 PREPARING FOR TOMORROW Predictive and preventive care is the future of healthcare.
20 14
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 1
1-3 Contents Ed Note V3.indd 1 10/29/15 4:57 PM CONTENTSLifewise NOV-DEC 2015 ISSUE no.60
24 IN PERSON Prof Leo Yee Sin and Prof Angela Chow believe community outreach is important to curb the potentially devastating eû ects of infectious diseases.
26 THE FACTS ON FAT An ongoing study investigates how some foods can increase 32 a person’s metabolic rate.
28 GETTING ON TTHEHE PATH TO ZERORO Where Singapore cucurrentlyrrently stands in the ght agagainstainst HIV/AIDS, and whatt iitt will take to eliminatee new infections. 28
32 LELET’S TALK TURKEY ThisThis big bird can be ththee solution to healthy ffestivet feasting.
34 AGE IS BUT A NUMBER Seniors who show no 34 signs of slowing down. regulars
EDITOR’S NOTE 03 NEWSROOM 04 ASK THE EXPERTS 36 SPOTLIGHT/NHG NEWS 40 NHG DIRECTORY 48
2 Lifewise NOV-DEC 2015
1-3 Contents Ed Note V3.indd 2 10/29/15 4:57 PM WINNER AWARD OF EXCELLENCE APEX 2015 NOV DEC 2015 ISSUE no.60Lifewise BAD FATS 75 AGE IS BUT A NUMBER Planning ON THE COVER:
DOMINIC TUNG, DOMINIC TUNG, LYDIA SOH LYDIA SOH AND TONY LUM > NATIONAL HEALTHCARE GROUP AND TONY LUM, In The NATIONAL HEALTHCARE GROUP it’s about RUNNING To be fit and fab all year round p14 PHOTOGRAPHER MARK LEE A Year giving ART DIRECTION DON LEE AND RECEIVINGRECEIVING IN THE SPIRIT OF THE SEASON STYLING SHEH
EAT WELL > KEEP WITH TRADITION, BUT IN A HEALTHY WAY p32 HAIR & MAKEUP MANISA TAN CLOTHES FROM H&M Of Health
A T THIS TIME OF THE YEAR, there will be a flurry of charitable activities, be it selling gifts and cards to raise funds for a cause, or visiting NATIONAL HEALTHCARE GROUP the underprivileged. EDITORIAL For Ms Riana Lim Xiang Lin and Ms Ivy Lim Wong Fong Tze, WilliamƬNg, LydiaƬSoh, however, giving of their time and effort knows no Praveen Nayago, NgƬSi Jia, NathalieƬNg, SabrinaƬLim, Clara Poh, ClaraƬLim season. Year round, both women spread cheer to patients in hospitals — Ms Riana volunteers at the LIFEWISE ADVISORY PANEL A/Prof Lim Tock Han, A/Prof Thomas Lew, Institute of Mental Health and Ms Ivy makes weekly A/Prof Chua Hong Choon, ward visits at Tan Tock Seng Hospital. In giving of A/Prof Chong Phui-Nah, Prof Roy Chan themselves, they too receive — as they say — “much
happiness when they see the patients smile”. Taking care of yourself is also a year-round project. MEDIACORP PTE LTD Keen runners Ms Lydia Soh, Mr Dominic Tung and EDITORIAL & DESIGN Mr Tony Lum tell Lifewise about the benefits of the Supervising Senior Editors Agatha Koh Brazil, sport and why you should include it into your routine Ronald Rajan — even when on vacation — if you want to be healthy Senior Editor Jerena Ng Assistant Editor Chia Ee Khim and keep off the extra kilos (page 14). Art Director Don Lee Of course, the success of your weight-loss regimen Senior Writers Fairoza Mansor Wanda Tan is to a large extent dependent on how active your Chief Photographer Aik Chen metabolic rate is. Associate Professor Melvin Leow Executive Photographer Ealbert Ho and his team are trying to ascertain how our body Senior Photographer Kelvin Chia Photographers Chee Yan, Mark Lee burns stored fuels and how it can be accelerated to promote weight loss or maintenance (page 26). CONTRIBUTORS Amir Ali, Ashutosh Ravikrishnan, Wilson Pang Research is also ongoing in the fight against BUSINESS DEVELOPMENT HIV/AIDS. However, misconceptions and an attitude Senior Business of complacency are possible reasons that HIV infection Relationship Manager Michele Kho is on an upward trend in Singapore. Lifewise looks [email protected] at what can be done to reduce the rate of new For advertisement enquiries, please email: infections to zero (page 28).We can also do our part by [email protected] marking World AIDS Day on 1 December, sharing the For subscription enquiries, please email: [email protected] information with friends and family. Speaking of friends and family, think turkey this Every care has been taken in the production of this magazine, but National Healthcare Group (NHG), the year-end when feasting. Read about the bird’s benefits publisher, editor and employees assume no responsibility for any errors, inaccuracies or omission arising thereof. (page 32), and how to roast a tasty one. Opinions expressed by contributors and advertisers are not necessarily those of NHG, the publisher or the editor. Who says healthy can’t be enjoyable? The team at
The information produced is for reference and educational Lifewise wishes you Happy Holidays and look forward purposes only. As each person’s medical condition is to accompanying you on the road to keeping healthy unique, you should not rely on the information contained in this magazine as a substitute for personal medical and staying well in 2016. attention, diagnosis or hands-on treatment. If you are concerned about your health or that of your child, please consult your family physician or healthcare professional. THE EDITORIAL TEAM Copyright © is held by the publishers. All rights reserved. Reproduction in whole or in part without permission is prohibited. Printed in Singapore by KHL Printing, www.khlprint.com.sg. MCI (P) 055/11/2015.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 3
1-3 Contents Ed Note V3.indd 3 10/29/15 4:57 PM newsroom SNIPPETS FROM THE HEALTHCARE WORLD // CALENDAR OF EVENTS
NEUROLOGY Bringing Motion Sickness to a Halt
A team at Imperial College London in the United Kingdom reported that early trials on 20 people showed a new method could reduce motion sickness, according to a study published in Neurology. The researchers STIMULATION used transcranial BOTH DELAYED direct current THE ONSET stimulation OF MOTION — electrodes to the brain, SICKNESS AND essentially — to IMPROVED WELLNESS “manipulate the RECOVERY TIME part of the brain that interprets messages coming FISH: THE FEEL-GOOD FIX from those balance organs in the cientists in China have found that eating a lot of fish may help ear while people were made to feel S protect against depression, according to research published in the nauseous”, said Dr Qadeer Arshad. Journal of Epidemiology and Community Health. A meta-analysis of The mild stimulation both delayed 26 studies of more than 150,000 people showed those who consumed the the onset of motion sickness and most fish experienced a 17 per cent reduction in the risk of depression. improved the recovery time. One possible reason given by the researchers was that the Omega-3 While the drug scopolamine fatty acids found in fish might be linked to better brain health. can help stem motion sickness, Alternatively, those who eat a lot of fish may be enjoying a healthier diet it can cause drowsiness. Dr Arshad in general which, in turn, helps mental health. As Qingdao University’s claims that the new method has Professor Dongfeng Zhang, who led the study, told the BBC, “Higher fish no known side eff ects. “Within the consumption may be beneficial in the primary prevention of depression. next couple of years people will be Future studies are needed to further investigate whether this association able to use these devices — it is varies according to the type of fish.” not far away.”
4 Lifewise NOV-DEC 2015
4-9 Newsroom.indd 4 10/29/15 4:58 PM calendar NOV /DEC
PHARMACOLOGY NATIONAL ADDICTIONS AWARENESS DAY (NAAD) 2015 Learn how addictions can aû ect you An Aspirin A Day and your loved ones. Sign up for a series of talks on addiction prevention, Keeps Illness At Bay treatment and mental wellness at this one-day learning festival, which features many fun and interactive booths. draft report from the United States Preventive Services Task Force DATE A has recommended a daily dose of the common painkiller aspirin 22 November 2015 to lower the risk of heart attack and colorectal cancer. TIME Taking aspirin is not without risks, however. Serious side effects 10am to 3pm VENUE include stomach bleeds, haemorrhagic strokes or bleeding in the brain. Learning Center, Opponents of this move by the US authorities argue that there are better Khoo Teck Puat Hospital, ways to thwart colon cancer, including providing better screening to 90 Yishun Central, Singapore 768828 identify pre-cancerous changes. REGISTRATION Free admission with registration. However, the Task Force said that the benefits of a daily aspirin outweigh Email [email protected] or visit the risks in adults aged between 50 and 69 who are at high risk for heart www.facebook.com/moretolifesg disease. A separate study found that prophylactic aspirin use cut colorectal and www.nams.sg. cancer deaths by a third, and reduced the disease’s incidence by 40 per cent, though subjects needed to have been taking aspirin for at least five years.
BIOLOGY OUR ‘LAZY’ INSTINCT Given the chance, humans will put in as little eû ort as possible, say researchers from Simon Fraser University in Canada in a study published in Current Biology. They tted nine volunteers with leg braces and found that each volunteer’s subconscious nervous system quickly modi ed their usual walking patterns to save energy. As Dr Max Donelan told the BBC, “We’ve provided a physiological basis for laziness by showing that, even within a well-rehearsed movement like walking, the nervous system monitors energy use and re-optimises movement patterns in a constant quest to move as cheaply as possible.” He concluded that this “is bad news for those of us who eat too much”. PHOTOS: GETTY IMAGES GETTY PHOTOS:
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 5
4-9 Newsroom.indd 5 10/29/15 4:59 PM newsroom
ONCOLOGY COFFEE VS CANCER cientists at the Dana-Farber Cancer Institute in Boston in the S United States have found that colon cancer patients who drank four or more cups of caffeinated coffee a day had half the rate of ONCOLOGY recurrence of their cancer compared to non-coffee drinkers. The study was published in The Journal of Clinical Oncology. The researchers studied 953 patients with Stage 3 colon cancer to Implant find out if risk factors for Type 2 diabetes (obesity, sedentary lifestyle, high insulin levels) also drive colon cancer. They discovered that only ‘Mops Up’ caffeinated coffee was associated with lower cancer recurrence, and one possible explanation for this is that caffeine increases insulin sensitivity. Cancer Cells Dr Charles Fuchs, who led the research, told The New York Times: Researchers at the University “No one has ever done this before on colon cancer patients. It does require of Michigan in the United confirmation.” Patients should not start drinking coffee based on this States have developed a study, but “if you’re a coffee drinker and enjoy your coffee, stick with it”. novel implant that can trap cancer cells, according to a study published in the journal Nature Communications. The team loaded the implant with a signalling molecule called CCL22 which attracts certain immune cells, which in turn traps the cancer cells. Devices implanted in mice with breast cancer trapped tumour cells in just two weeks. In separate experiments, the researchers found that a new scanning technology called optical coherence tomography (OCT) could detect the cancer cells while the implant was still in place under the skin. “This could be the canary in the coal mine,” one of the developers, Professor Lonnie Shea, told New Scientist, indicating that the breakthrough could be a good sign for cancer detection in the future. While the device has to date only been tested in mice, the hope is that the human version could be used to detect when cancers have spread, thus improving
survival odds. SHUTTERSTOCK ISTOCKPHOTO, IMAGES, GETTY PHOTOS:
6 Lifewise NOV-DEC 2015
4-9 Newsroom.indd 6 10/29/15 4:59 PM PHARMACOLOGY GENETICS ANTIBIOTICS LINKED TO Sleep Secrets DIABETES The diff erence between late and early risers has been identifi ed, and it is down to genetics, say scientists at the University of Leicester in the United Kingdom. According to science portal IFL Science, the researchers used fruit fl ies, which have a similar “genetic clock” to humans, to determine how genetic variations play a role in waking times. They identifi ed nearly 80 genes linked to the behavioural diff erences. The scientists were then able to breed esearchers at the Centre for Diabetes Research at Gentofte late-rising fl ies, indicating a genetic R Hospital in Copenhagen, Denmark have found a link basis to the behaviour. between the use of antibiotics and the development According to the study’s authors, the of Type 2 diabetes, says a study published in The Journal of research is of interest because society Clinical Endocrinology and Metabolism. is largely out of sync with natural sleep Based on analysis of more than 170,000 rhythms, and understanding how our cases of Type 2 diabetes cross-checked genetic clock functions could help how with antibiotic use, they found that ANTIBIOTICS MAY we live and work. patients who filled between two and four TRIGGER DIABETES prescriptions had a 23 per cent higher risk BY DISRUPTING for diabetes. Those who filled five or more GUT BACTERIA, prescriptions had a 53 per cent higher risk. WHICH CAN One hypothesis for the correlation is that antibiotics trigger diabetes by disrupting CAUSE CHANGES gut bacteria, which can cause changes in IN INSULIN insulin sensitivity and glucose tolerance. SENSITIVITY
NEUROLOGY LOSE WEIGHT OR LOSE MEMORY Scientists have discovered that carrying excess body weight at age 50 may be linked to an increased risk of developing Alzheimer’s disease at an earlier age, according to a study of 1,394 people published in the journal Molecular Psychiatry. While previous studies have shown that weight and Alzheimer’s are ACCORDING linked, this study is novel in that obesity also predicts an earlier TO THE STUDY, onset of the disease. OBESITY For each unit of body mass index, the authors found an PREDICTS AN association with a 6.7-month decrease in the onset of the disease. A higher BMI was also associated with larger deposits EARLIER ONSET of neurofi brillary tangles, which is one of the characteristics OF ALZHEIMER’S of Alzheimer’s, discovered on autopsy.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 7
4-9 Newsroom.indd 7 10/29/15 4:59 PM 4-9 Newsroom.indd 8 8 news R Life accelerometer, not unlike that found in accelerometer, notunlikethatfoundin actual sleepusingawrist-mounted The studywasthefirsttomeasure to astudypublishedinthejournal get sevenhours ormore,according likely tocatchacoldthanthosewho hours anightarefour timesmore adults whosleeplessthanfiveorsix
wise COLD CALL COLD SOMNOLOGY GLAUCOMA GENE BREAKTHROUGH GLAUCOMA GENE United Stateshave foundthat California SanFranciscointhe esearchers attheUniversityof OPHTHALMOLOGY
NOV-DEC 2015 ro Sleep om . THE COMMONCOLD SUSCEPTIBILITY TO MAY INFLUENCE SYSTEM, AND THE IMMUNE IN REGULATING SLEEP PLAYS A ROLE 50. Thereiscurrentlynoknowncureforthedisease. common formofthedisease,anditusuallyaff vision lossinprimaryopen-angleglaucoma.Thisisthemost damages theretinacells,eventuallyleadingtocelldeathand model andhumaneyes,theteamshowedhowapairofgenes to astudypublishedinthejournal trigger thatmaypavethewayfornewglaucomadrugs,according California atSanDiegointheUnitedStateshasfoundagenetic A teamattheInstituteforGenomicMedicineUniversity of drugs totreatglaucoma,which aff “We areexcitedabouttheprospect ofdevelopinganewclass Professor KangZhangtoldonline magazine retinal ganglioncelldeath,which istherootofglaucoma,” on loweringeyepressureratherthanexaminingthecauseof “The diffi culty in previous research was that it mainly focused culty inpreviousresearchwasthatitmainlyfocused sleep wascontinuousorfragmented. found thattheriskdidnotchangeif the commoncold.”However,study and howitinfluencessusceptibilityto role inregulatingtheimmunesystem, The NewYorkTimes lead authorofthestudy,told the hours slept. relied ontestsubjectstoself-report some smartphones.Previousstudies Assistant Professor Aric Prather, Assistant ProfessorAricPrather, ects tensofmillionspeople.” Molecular Cell The Conversation , “Sleep plays a , “Sleepplaysa ects people over ects peopleover . Using a mouse . Usingamouse . 10/29/15 4:59 PM
PHOTOS: GETTY IMAGES, ISTOCKPHOTO 4-9 Newsroom.indd 9 PHOTO: GETTY IMAGES, CORBIS, HPB A SongFor Recovery told an operation,”seniorauthorDrCatherineMeads to tellpatientsthattheycanlistenmusicbefore operation.“It mightbethathospitalswouldwant largest amountwhenmusicwasplayedbeforethe use ofpainmedication.Painwasreducedbythe lowered anxiety,andasignifi 20 percentreductioninpost-operativepain, and concludedthatmusicwasassociatedwitha in London,Englandlookedatdatafrom72trials in those whodonot,accordingtoananalysispublished less anxietyandrequirepainmedicationthan Surgical patientswholistentomusicexperience NEUROLOGY The Lancet The NewYorkTimes . Researchers from Brunel University . ResearchersfromBrunelUniversity
Read LEARN ABOUT HEALTH WITH ADVICE FROMEXPERTS, AND INTRODUCE . cant reduction in the cant reductioninthe o OF THENATIONALHEALTHCAREGROUP. OF FREE ARCHIVE VISIT
n Lifewise
www.nhg.com.sg l i POWERED BY HUNGER S n
prevent healthycellularresponsesinothersituations”. that antioxidantsupplements,whilegoodattimes,might from activitieslikefastingaregoodforour bodies,and that “thissuggestslowlevelsofenvironmentalstress participants tookavitaminsupplementwhilefasting. repair, thoughthisbeneficialeffectdisappearedwhen of agenecalledSIRT3thathelpstoimprovecellular on aspecially-calibrateddiet,cellsmademorecopies weeks each.Itwasfoundthatwhenthesubjectswent an intermittentfastingdietfortwoperiodsofthree Rejuvenation Research NHG ISAREGIONAL HEALTH SYSTEMFORSINGAPORE NUTRITION PAST ISSUES, The researcherstoldonlinemagazine cells stronger, according to a study published in cells stronger,accordingtoastudypublishedin United Stateshave foundthatfastingcanmake cientists attheUniversityofFloridain
e
! FOR OUR COPYRIGHTS NATIONALHEALTHCAREGROUP . A group of 24 subjects undertook . Agroupof24subjectsundertook
FACEBOOK.COM/ LIFEWISE
TO YOUR FRIENDS. TO YOUR to stay informed Facebook page and features. health news of the latest of thelatest The Conversation ‘Like’ our 10/29/15 4:59 PM 9
Wellness
T HE YEAR-END FESTIVE Ƭ season means different things to different people. Some take the opportunity to go on vacation while others reunite with loved ones. For Ms Riana Lim Xiang A time for Lin and Ms Irene Lim, the holidays are about spreading cheer to patients who are in hospital battling illnesses, often with no GIVING family or friends to visit them. and RECEIVING IN SPREADING HOLIDAY CHEER, YOU GET TO LIFT YOUR OWN SPIRITS, AS THESE HOSPITAL VOLUNTEERS CAN ATTEST.
BY WANDA TAN IN CONSULTATION WITH MS TRACY WEE SENIOR MEDICAL SOCIAL WORKER // INSTITUTE OF MENTAL HEALTH PHOTO: GETTY IMAGES GETTY PHOTO:
10 Lifewise NOV-DEC 2015
10-12 Giving Back V4.indd 10 10/29/15 5:01 PM MY AGENDA IS TO... CULTIVATE A NEW GENERATION OF YOUTH VOLUNTEERS. MS RIANA LIM XIANG LIN (LEFT)
home to be with the people they miss the most. It is therefore critical that we let them know that there is a bigger family that cares for them — that society still remembers them.” Ms Lim — who holds a part-time administrative job — is currently planning YUAN Services’ annual Christmas party at the IMH Multi-Purpose Hall on 13 December. Some 600 people (including volunteers) are expected at the celebration, which will feature games, prizes and a buffet. Donated items like tidbits and clothes will also be given to patients as gifts. However, the joy she helps to spread does not just flow one way. The single mother of two says that volunteering with patients has helped her to overcome obstacles in her personal life. “When I got divorced in 2011, I was at the lowest point of my life,” she recalls. “But then I realised, A Bigger Family by comparison to some others, I am fortunate Ms Riana Lim Xiang Lin, founder of the YUAN and should be positive, and be grateful for even Services volunteer group , was moved by the plight the smallest things.” of the mentally ill to start her group (originally the Guan Zi Zai Buddhist Society), in 2004. Ms Lim feels that these people are “unjustly stigmatised”, so she started reaching out to long-stay patients at the Institute of Mental Health (IMH). Coping As A Caregiver “My agenda is not only to spend quality time Being upbeat can also bring you down. Helping sick loved ones and patients stay cheerful during with these patients, but more importantly to holidays can have the opposite eû ect for family cultivate a new generation of youth volunteers,” members and caregivers. Although this may be she says. “I hope to remove the stigma these uncommon, Ms Tracy Wee, Senior Medical Social patients face, and ensure the work we are doing Worker at IMH, says “Should caregivers feel now is carried on in the future.” aû ected, it is usually due to their own ongoing Initially, the pioneer 10-member group life struggles or negative experiences associated arranged for haircuts for patients in a particular with the festive period that have been triggered”. Ms Wee recommends the following tips to IMH ward. As the group expanded, so did YUAN manage your emotions: Services’ scope of activities. These days, some 200 Acknowledge your feelings. Talk to loved volunteers are involved in a mass hair-cutting ones or close friends about how you feel exercise for the other wards every two months. so as not to become further isolated. There are also regular karaoke, art-and-craft and Recognise that you are doing your best. other small-scale interactive sessions, as well Enjoy every little moment and reward as huge parties to celebrate occasions like the yourself by engaging in activities that Mid-Autumn Festival and Christmas. make you happy. “The festive period is traditionally a time when Know your limits and ask for help whenever family and friends gather together,” says Ms Lim, needed. If you do not prioritise your own 57. “Long-stay IMH patients feel most depressed needs and take care of yourself, you will struggle to take care of others. PHOTOS: CHEE YAN CHEE PHOTOS: at this time of the year as they are not able to go
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 11
10-12 Giving Back V4.indd 11 10/29/15 5:01 PM Wellness
ENRICH YOUR LIFE! Make the festive season more meaningful by becoming a volunteer! Here are some ways you can contribute:
} SPEND TIME WITH IMH PATIENTS BY TAKING PART IN RECREATIONAL ACTIVITIES WITH THEM OR SIMPLY PROVIDING A LISTENING EAR. VISIT WWW.IMH.COM.SG FOR MORE INFORMATION. } JOIN ANY OF TTSH’S VOLUNTEER GROUPS, FROM WATCHING OVER VULNERABLE PATIENTS AT NIGHT TO HANDING OUT MAGAZINES TO PATIENTS IN THE WARDS. VISIT WWW.TTSH.COM.SG FOR MORE INFORMATION.
INSTEAD OF TELLING THEM HOW ILL I USED TO BE, I SHOW THEM HOW WELL I AM NOW. MS IRENE LIM (LEFT)
(Singapore) and the Tan Tock Seng Hospital (TTSH) Lupus Patient Support Group. Now President of the Lupus Association and leader of the Support Group, Ms Lim leads a near-normal life, practising yoga three to four times a week, and has resolved to help fellow lupus sufferers do likewise. “I take care of my health to show patients that they too can bring the disease under control,” says Ms Lim. “Instead of telling them how ill I used to be, I show them how well I am now.” A Heartwarming Experience Together with 20 or so volunteers, Ms Lim Ms Irene Lim knows firsthand what it feels like to be ill visits the wards at TTSH weekly. The association during the holidays. The mother of two was diagnosed organises educational and empowerment talks, with systemic lupus erythematosus — an autoimmune and one such talk on 28 November at YMCA @ disease in which the body’s immune system One Orchard will coincide with a year-end party mistakenly attacks healthy tissue — in December for all 500 Lupus Association members. A smaller 2000. The diagnosis hit her particularly hard as her gathering for volunteers will be held in mid- older sister had died in 1992 of complications from December at TTSH where they will distribute the same condition. “Even though my doctor told me presents to lupus patients. that lupus can now be controlled due to advances in “Over the festive season, patients tend to medicine and treatment, I became very depressed,” feel homesick if they are warded, or lonely if they says Ms Lim, now in her mid-50s. “I kept thinking are unable to join in the celebrations due to their then that it could be my last Christmas or New Year.” condition,” says Ms Lim. “It is important to spread She eventually got over her depression, thanks to festive cheer so that they do not feel left out or the love and support from family members. Taking neglected. It is heartwarming to watch patients up yoga and exercising regularly also helped, as did enjoy the festivities, despite being unwell. It brings meeting other patients from the Lupus Association me much happiness to see them smile.”
12 Lifewise NOV-DEC 2015
10-12 Giving Back V4.indd 12 10/29/15 5:01 PM Life wise ad.indd 3 12/23/14 6:23 PM WORKOUT
ARUNNING Theme STAY HEALTHY BY RUNNING REGULARLY — EVEN WHEN ON HOLIDAY. BY WANDA TAN IN CONSULTATION WITH MR RAY LOH EXERCISE PHYSIOLOGIST // SPORTS MEDICINE AND SURGERY CLINIC // TAN TOCK SENG HOSPITAL
14 Lifewise NOV-DEC 2015
14-16 Workout V5.indd 14 10/29/15 5:02 PM HENEVER THE YEAR-END quickly figured I could do with more exercise!” ƬW festive season comes around, it’s says the Assistant Manager from the National easy to give in to the temptation to Healthcare Group (NHG)’s Group Corporate over-indulge and eat more — only for us to moan Communications team. She currently runs on her that we have put on weight after the holiday ends. own twice a week, 3km each time, near her home. Regular exercise, and in particular, running is said “Running regularly enables me to be more to be effective in keeping the weight off. flexible with my diet,” says Ms Soh who admits Mr Ray Loh, Exercise Physiologist at Tan Tock to having a sweet tooth. “My mental health has Seng Hospital (TTSH)’s Sports Medicine and definitely improved on all fronts; I feel more Surgery Clinic, cites several studies which show the positive and alert. Also, I rarely feel lethargic and physical benefits of running, which is more intense don’t tire easily or experience shortness of breath than cycling. Another study found that runners when doing other forms of exercise.” exhibit higher blood levels of peptide YY — a gut Mr Dominic Tung, 47, the TTSH Human hormone which suppresses appetite — compared Resource Wellness Manager — who was once to walkers. In addition, there is the often-reported overweight with a body mass index (BMI) of above ‘runner’s high’ or post-run euphoria. This is 24 — began walking or jogging 10,000 steps per triggered by the release of endorphins, ‘feel-good’ day with the aid of a pedometer in 2011. Today, he brain chemicals which are produced in response runs outdoors twice a week, 5–7km with friends to the stress placed on the body during high- on weekdays, and 10km solo on weekends. He also intensity workouts. does circuit training at a stadium every Tuesday, Mr Loh recommends that novice runners cover mixing track sprints with core-strengthening a distance of less than 3km during the first week. exercises such as push-ups and crunches. They can then increase the distance or duration by “I never thought I could run 10km, let alone five to 10 per cent every one to two weeks. Weekly a half-marathon or beyond,” says Mr Tung, who interval-training sessions — which consist of is now in the healthy weight range with a BMI alternating periods of high-intensity short sprints of below 23. “As my fitness improved, so did my and low-intensity exercises — help to improve confidence level.” Since entering a 5km race in speed. “As we grow older, we require 2011, he has progressed to long-distance trail runs a longer and slower level of progress in and ultra-marathons, both locally and overseas. exercise due to lower metabolism and His record to date was at Singapore’s Craze Ultra recovery rates,” he says. 2014, where he completed 78km in 15 hours, from 7pm to 10am. Anyone Can Do It Ms Lydia Soh, 33, picked up AS MY FITNESS running 10 years ago to maintain IMPROVED, SO DID MY her cardiovascular fitness. “I started off with once a week, but CONFIDENCE LEVEL. MR DOMINIC TUNG, TTSH HUMAN RESOURCE WELLNESS MANAGER
WEIGHT OF PERSON CRUNCHING CALORIES AND CALORIES BURNED The calorie expenditure for a physical activity depends on one’s body weight 160 200 240 and level of exercise intensity. POUNDS POUNDS POUNDS (73KG) (91KG) (109KG) ACTIVITY (1-HOUR DURATION) Leisure cycling, <10mph (<16km/h) 292 364 436 Brisk walking, 3.5mph (5km/h) 314 391 469 Running, 5mph (8km/h) 606 755 905
PHOTOS: MARK LEE ART DIRECTION: DON LEE STYLING: SHEH HAIR & MAKEUP: MANISA TAN SPORT SPORT HAIR & MAKEUP: MANISA TAN SHEH STYLING: DIRECTION: DON LEE ART LEE MARK PHOTOS: SPORTS OF MIZUNO FROM WORLD BY & SHOES: ALL APPAREL Source: www.mayoclinic.org (adapted from: “2011 Compendium of Physical Activities”, Medicine & Science in Sports & Exercise).
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 15
14-16 Workout V5.indd 15 10/29/15 5:02 PM WORKOUT
MAINTENANCECE IISS LESS PAINFULUL THAN DAMAGEAGE CONTROL. MS LYDIA SOH, ASSISTANT MANAGER, GROUP CORPORATE COMMUNICATIONS,S, NATIONAL HEALTHCARE GROUP
WARDING OFF INJURY Unless you run hard enough, there won’t be any noticeable health improvements. But if you push yourself too hard, Mr Ray Loh notes that “overuse injuries” such as iliotibial band friction syndrome (knee pain), shin splints and back pain are likely to occur. These could be due to training error (doing too much too quickly), wrong footwear or poor running technique. Besides getting adequate rest, how have all three runners responded to injuries? MS SOH: “I’m lucky not to have been injured thus far. I perform warm-up stretches before running, and look out for potholes and other obstacles along the route to ensure I don’t trip.” MR TUNG: “To relieve chronic knee pain, I prefer to run on off-road trails and synthetic tracks, which are softer than road surfaces and have less impact on the joints. I also wear knee guards for support, schedule monthly deep-tissue sports massages, and take glucosamine supplements to protect the knee cartilage.” MR LUM: “I used to suffer from back pain. However, since I started attending twice-weekly yoga classes four months ago, my muscle strength has improved and my back problems have alleviated.” From left: While Mr Tung, Ms Soh, Mr Lum will be having fun this festive holidays — ‘tis the season to be merry after all — they will still continue to exercise and maintain a healthy balance.
Mr Tony Lum, Human Resource Manager at Ms Soh has a pair of running shoes with her on the Institute of Mental Health (IMH), has been a her travels and, if her hotel has a gym, fits in a keen runner since his National Service days. The treadmill workout. 62 year-old takes part in half-marathons now Both Mr Lum and Mr Tung advise: “Eat, that age has caught up. When not upping his drink and be merry during the festivities, but training (to 20km or more) for such events, he do not over-indulge,” they caution. “Continue clocks 5–7km on weekdays with colleagues and to exercise, even if it is reduced in frequency or 10–15km on weekends with his wife. Mr Tung and intensity,y, to maintain a healthy balance.” Mr Lum enjoy the camaraderie of being part of a running group. “My running group is made up of 16 people across different IMH MY RUNNING GROUP departments, including our CEO,” says IS MADE UP OF Mr Lum. “Through our shared passion 16 PEOPLE ACROSS for running, we’ve forged friendships DIFFERENT IMH outside of work.” DEPARTMENTS, Practise Moderation INCLUDING Regardless of their festive holiday OUR CEO... plans, all three individuals intend WE’VE FORGED to stick to their fitness routine FRIENDSHIPS — or at least some semblance of OUTSIDE OF WORK. it. Believing “maintenance is less MR TONY LUM, HUMAN RESOURCE MANAGER, painful than damage control,” INSTITUTE OF MENTAL HEALTH (IMH)
16 Lifewise NOV-DEC 2015
14-16 Workout V5.indd 16 10/29/15 5:02 PM STOP, LOOK, LISTEN! ONE WRONG MOVE IS ALL IT TAKES TO TURN YOUR COMMUTE INTO A DISASTER. HERE’S HOW TO STAY OUT OF TROUBLE ON THE ROADS. BY AMIR ALI IN CONSULTATION WITH DR OWEN HEE KIM CONSULTANT // NHG EYE INSTITUTE @ TAN TOCK SENG HOSPITAL AND DR TEO LI TSERNG CONSULTANT TRAUMA SURGEON // DEPARTMENT OF GENERAL SURGERY // TAN TOCK SENG HOSPITAL
P OPULATIONS AROUND THE WORLD maintained and regulated roads, 149 fatal Ƭ increase in size and affluence with the mishaps and 160 deaths took place in 2014, number of cars on the roads growing — some according to the police. Though this is a 88.6 million new cars will be sold by the end of smaller figure than in the previous year, 2015 — a 2.4 per cent increase from 2014. there were more fatalities involving elderly As many avid YouTubers will tell you, pedestrians aged 60 and up. some of the most popular videos online are The Traffic Police says the common cause of car crash compilations. Many of these for such incidents is motorists failing to keep crashes appear to be preventable, with factors a proper lookout, with turning vehicles failing like driver inattention and pedestrian to give way to seniors crossing the road. In ignorance being so commonplace — and with 1.2 addition, 28 per cent of elderly pedestrian tragic consequences. deaths occurred while they were jaywalking. Indeed, 1.2 million people die in road MILLION Clearly, the reduced sensory faculties of traffic mishaps around the world every PEOPLE DIE these elderly folk — a result of advanced age year. Supported by the World Health in road traffic — contributed to their inability to judge the mishaps around the Organization, the second Global High- world every year proximity of oncoming traffic. Level Conference on Road Safety from Avoiding incident on the roads takes 18-19 November in Brazil would reaffirm the the cooperation and deference of all users, commitment of the international community motorists and pedestrians alike. But we to the reduction of crashes on the road. are all fallible and subject to physical failings In Singapore, even with its impressively- — our eyesight, hearing and reflexes all deteriorate with age and complacency. Thus, how can we keep out of trouble out there? Turn the page to find out.
of elderly pedestrian deaths occurred while 28% they were jaywalking
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 17
17-19 Lifespaces On the Road V2.indd 17 10/29/15 5:04 PM LIFESPACES Hearing
Sensory } As a pedestrian, you should listen for Processing oncoming vehicles — either the road roar from their tyres CHEMICAL, MECHANICAL, or the honks of their horns — and ELECTRICAL, LIGHT be ready to jump out of the way AND TEMPERATURE Eyesight if they do not yield to you (it’s no ARE FIVE DIFFERENT use to assert your right of way as TYPES OF STIMULUS IN } Legally, drivers of passenger a pedestrian if you are about to cars (except taxis) are required SENSORY PROCESSING. get run over). to have vision of at least 6/12 in WE USE OUR SENSE at least one eye. (Commercial OF SIGHT, SMELL, } It is important to be able to hear drivers need 6/12 in both eyes.) HEARING, AND TASTE hazards around you, even if you TO PROCESS THE are in a car. For example, you need } Colour recognition is important STIMULUS. to be able to hear an approaching too, though even most colour- emergency vehicle siren to get out blind individuals are able of the way in time and avoid danger to qualify to drive. as they may not stop for red lights.
} Protect your eyes from strong sunlight by wearing sunglasses with ultraviolet (UV) filters. UV rays can harm eyes and increase risk of cataracts and age-related macular degeneration (AMD).
} Maintaining a healthy diet and watching your weight prevents diseases that cause sight loss. For example, diabetes is another leading cause of vision loss.
} Stop smoking! Smoking doubles the risk of developing AMD, one of the leading causes of sight loss. AMD causes damage to the macula, a spot near the centre of the retina needed for sharp, central vision. PHOTOS: GETTY IMAGES, SHUTTERSTOCK IMAGES, GETTY PHOTOS:
18 Lifewise NOV-DEC 2015
17-19 Lifespaces On the Road V2.indd 18 10/29/15 5:04 PM Other Ways to Stay Safe Long-distance driving has been related to an increased risk of cardiac stress and disease, though this is mainly seen in people who drive for extended periods as part of Other Functional Issues their occupation (e.g. long-haul truckers or coach drivers). } Stroke patients or individuals who SAFE DRIVING have had brain diseases affecting The demand for extended PUBLIC FORUM significant parts of the side vision periods of alertness can cause Ensure a safe year-end holiday! should not drive. With age, visual irritability and mental stress. Learn more about the Dos and Don’ts on a road trip and acuity deteriorates. The pupil size is To break the monotony, rotate how to survive a road crash. reduced, making it harder to adjust drivers if possible. Make sure Admission is free. to varying light conditions; and no driver consumes alcohol DATE & TIME yellowing of the lens will affect the before driving, especially long- 10am to 12pm, Saturday, 14 November 2015 ability to perceive colour. distance, including the night VENUE before. Have adequate rest. TTSH Theatrette, Level 1 REGISTRATION Email [email protected] or visit PEOPLE ARE KILLED http://www.singaporetrauma.com EACH DAY IN THE For enquiries, call 6357 7661. UNITED STATES IN CRASHES CAUSED BY DISTRACTED 9DRIVING SWITCH OFF THAT PHONE! Summonses for using mobile Drugs & Driving phone while driving. 2,938 3,573 3,354 CAFFEINE Caffeine does help you stay awake; it takes (2012) (2013) (2014) 30-45 minutes to kick in depending on the individual. Holding a device while the vehicle is moving is ALCOHOL/PAINKILLERS/DROWSY MEDS enough to constitute > Alcohol impairs mental function, causing delayed an oû ence. reaction times, reduced hand-eye coordination, and even vision.
> When the brain is unable to process information quickly and appropriately, driver reaction is not only delayed, but might be inappropriate.
> The legal alcohol limit for driving is 35 microgrammes of alcohol per 100ml of breath. A person’s ability to metabolise alcohol depends on age, weight, sex, frequency of alcohol consumption. However, it is best to not drink at all if you are going to drive.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 19
17-19 Lifespaces On the Road V2.indd 19 10/29/15 5:04 PM SHBC 2015
HE QUESTION OF HOW Infectious Diseases & Epidemiology Forum, ƬT to advance the provision of the Population Health Symposium, as well healthcare — from the current as tracks on Health Services Research, model of illness care to one that emphasises Complementary Integrative Medicine, predictive and preventive care — was Dermatology, Education, General Surgery, tackled at the 13th Singapore Health and Geriatric Medicine, Mental Health, Nursing Biomedical Congress (SHBC). The event, and Rehabilitation Medicine. New tracks which is organised annually by the National on Dentistry and Women’s Wellness were Healthcare Group (NHG), was held on 2 and also introduced. 3 October 2015 at the Max Atria of the Singapore EXPO Convention and A Push For Prevention Exhibition Centre. In his opening address, SHBC 2015 Guest- Themed ‘Advancing Healthcare into of-Honour Health Minister Gan Kim Yong the Future: Innovate, Improve, Integrate’, stressed the importance of preventive SHBC 2015 attracted 3,000 local and care, saying, “We must seek to achieve international delegates. It featured a satellite higher goals, such as preventing diseases conference — the Primary Care Forum 2015 or meaningfully slowing the progression — and 14 speciality tracks. These included of illnesses. We must learn to motivate the Biomedical Research Symposium, the individuals to make good lifestyle choices, Preparing FOR TOM
Participants viewing the NHG Exhibition.
20 Lifewise NOV-DEC 2015
20-23 SHBC V7.indd 20 10/29/15 5:05 PM Health Minister Gan Kim Yong (5th from right); Permanent Secretary for Health Mrs Tan Ching Yee (6th from right); NHG Chairman Mdm Kay Kuok (4th from right); NHG Group CEO Prof Philip Choo (6th from left); with some members of NHG Senior Management and NTU partners.
THE 13TH EDITION OF THE SINGAPORE HEALTH AND BIOMEDICAL CONGRESS SHED LIGHT ON HEALTHCARE CHALLENGES OF THE FUTURE AND
HOW THEY COULD BE OVERCOME. long before they become our patients.” BY ASHUTOSH RAVIKRISHNAN One way of doing this is by forging meaningful relationships between healthcare professionals and patients. NHG Group CEO Professor Philip Choo shared with delegates details of National ORROW Healthcare Group Polyclinics’ successful patient empanelment pilot, which was introduced at Toa Payoh Polyclinic. The six-month scheme saw patients cared for by a specific healthcare team comprising family physicians, a care coordinator, care manager and Allied Health Professionals. “Doctors were better able to identify potential issues early, and initial results have shown a 16 per cent reduction in doctor visits by patients,” said Prof Choo. Such models were further discussed at the Primary Care Forum 2015, which was themed ‘Primary Care: Beyond 50 Years of Healing and Caring in the Community’. Above: Minister Gan with A/Prof Steven Thng, winner Besides empanelment, a clearer picture of the Scientifi c Competition’s of the population’s health will also prove Singapore Clinician Investigator Award. useful in the shift towards preventive Left, above: Plenary speaker care. To achieve this, a Memorandum of A/Prof H. Thomas Aretz; Left: Keynote speaker Understanding was signed between NHG Professor Jacky Ying. and the Nanyang Technological University (NTU) to establish a joint research programme. Under the programme, titled
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 21
20-23 SHBC V7.indd 21 10/29/15 5:06 PM SHBC 2015
research of medical professionals and scientists in Singapore, received a record 615 entries, a 30 per cent increase from last year. Fifty-three healthcare professionals were honoured for their outstanding research. Building on this theme of innovation was the second keynote address by Professor Jackie Ying, Executive Director, Institute of Bioengineering and Nanotechnology, Singapore. She provided an insight into how the synthesis of nanoparticles and SHBC Organising Chairman A/Prof Sim Kang (left) nanocomposites has impacted medical with Health Minister Gan Kim Yong. processes, such as advanced drug delivery and tissue engineering.
‘Predictive and Preventive: Better Heath Delegates also learnt of developments NHG Group CEO Prof Philip Choo at Affordable Cost’, NHG will collaborate in data management at the Health shows his support for the NHG Facebook page. with NTU’s Lee Kong Chian School of Services Research track. Speakers Medicine to conduct a series of population revealed how healthcare professionals health studies. These will identify risk here are turning to learning algorithms factors unique to Asians that lead to chronic — similar to ones used by e-commerce diseases such as diabetes and high blood giants such as Amazon — to better pressure. NHG is the primary clinical understand the effects of behaviour on training partner for the Lee Kong Chian School of Medicine. “The programme will provide a more in-depth understanding of the physical, mental and social gaps that have to be addressed moving forward,” said Mr Gan.
Innovation and Improvement Besides preventive care, research and innovation were also key themes of SHBC 2015 where winners of the annual Scientifi c Competition were announced. The competition, which showcased the
Marking A Milestone National Healthcare Group Polyclinics (NHGP) launched its 15th year anniversary book at SHBC 2015. Titled ‘NHG A WOMAN’S WORLD Polyclinics: 15 Years of Transforming Primary Healthcare’, The inaugural Women’s Wellness track the book was created to mark the anniversary of the inauguration of NHGP, and aims to capture the human side examined topics such as the prevention of the Group’s work across its nine polyclinics. The book — and treatment of gynaecological cancers, lled with the voices of NHGP’s leaders, its doctors, nurses menopause and hormone replacement theory. and Allied Health Professionals and their support teams — The sessions also provided delegates with a tells a story of vision, commitment to quality and passion glimpse into other issues including fertility for healing, emphasising the power of team work. matters and safety in aesthetic medicine.
22 Lifewise NOV-DEC 2015
20-23 SHBC V7.indd 22 10/29/15 5:06 PM disease and to predict healthcare trends. understand trends in the population that we Mr Kelvin Teo, a research analyst at may not have been able to before.” NHG’s Health Services and Outcomes With rapid technological advancements, Research (HSOR) unit, and Gold Winner of it is important for the healthcare industry the Singapore Young Investigator Award to train professionals to stay afloat in a for Health Services Research at SHBC 2015, climate of change, said plenary speaker, shared a study at Tan Tock Seng Hospital that Associate Professor H. Thomas Aretz, Vice- predicted the rate of Emergency Department President for Global Programs, Partners The signing of the (ED) re-attendance among chronic Healthcare International. A/Prof Aretz Memorandum of obstructive pulmonary disease patients offered his views on how the development Understanding between NHG and within a 72-hour period. It found that age, of new educational approaches and the NTU to set up a joint- race and neurotic disorders were some of the integration of education and healthcare research programme ‘Predictive and key factors for ED re-attendance. delivery systems could achieve relevancy for Preventive: Better Health Data collected can be analysed more healthcare professionals. at Affordable Cost’. effectively, thanks to advancements in technology. Said Mr Teow Kiok Liang, Healthcare Operations Research Specialist and Assistant Director at HSOR, “We are able to condense massive amounts of real data into a single chart, and from there, “WE MUST LEARN TO MOTIVATE INDIVIDUALS TO MAKE GOOD LIFESTYLE CHOICES, LONG BEFORE THEY BECOME OUR PATIENTS.” HEALTH MINISTER GAN KIM YONG
NHG IS A REGIONAL HEALTH SYSTEM For SINGAPORE
MEDICAL SPECIALTY CENTRE CENTRE HOSPITAL
GP POLYCLINICS REHAB CENTRE COMMUNITY DIAGNOSTICS PHARMACY (HOME NURSING)
VIRTUAL CHC NURSING HOME HOSPITAL FMC
RHS
CARE PROVIDERS & SUPPORT GROUPS
DAY CARE COMMUNITY CENTRE CENTRE
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 23
20-23 SHBC V7.indd 23 10/29/15 5:06 PM IN PERSON
UP UNTIL 1989, Tan Tock Seng Hospital (TTSH) did not have a formal sub-specialty in Infectious Diseases. I joined the first batch of Infectious Diseases trainees at TTSH, together with two other doctors, because I found it to be a new and exciting area of medicine. The Severe Acute Respiratory Syndrome (SARS) crisis was a defining moment in making the Infectious Diseases sub-specialty visible to the public. When the SARS outbreak hit in 2003, we only had 11 doctors on the ground to handle such cases. Now that number of people has quadrupled, and I am overseeing the building of TTSH’s National Centre for Infectious Diseases (NCID) which will open by 2018. In Pursuit of Connectivity PROFESSOR LEO YEE SIN WANTS TO BUILD STRONGER LINKS BETWEEN HOSPITALS AND THE COMMUNITY. INTERVIEW WANDA TAN
I BELIEVE STRONGLY in community outreach because the hospital alone cannot bring infectious diseases under control; the public has to meet us halfway. In particular, my team are utilisation guidelines, limiting the use of powerful involved in the surveillance of multi drug-resistant or ‘last-resort’ antibiotics and hopefully curbing the organisms and adult vaccinations. spread of ‘superbugs’. To understand the prevalence of multi drug- Adults tend to think that routine vaccinations resistant organisms in Singapore, we analyse stop after they leave primary school. Indeed, less than samples from patients — mostly senior citizens 20 per cent of adults at risk of influenza complications — who reside in step-down care facilities such as in Singapore get annual flu shots; those aged 65 and nursing homes. This provides critical information above should also receive pneumococcal vaccine, to understand transmission patterns and to in addition — applicable to all adults — a tetanus– formulate evidence-based national antibiotic- diphtheria–acellular pertussis (Tdap) combined vaccine once every 10 years. To promote awareness, we hold PREPAREDNESS IS KEY events within the community — for example, at Senior Activity Centres — to increase vaccination BE AWARE OF RISKS Young people who did not go through the SARS crisis tend to have a lower perception coverage of this vulnerable population. of the dangers of emerging infections. Professor Leo Yee Sin is Director and Senior Consultant, Institute FORESEE RISKS New outbreaks emerge every year; of Infectious Diseases and Epidemiology, TTSH; Clinical Director, they no longer occur once-in-a-lifetime. Communicable Disease Centre. She is also Adjunct Professor at the BUILD CONNECTIVITY If people do not trust Lee Kong Chian School of Medicine at the Nanyang Technological hospitals during non-outbreak times, they will not do University, Adjunct Professor at the Saw Swee Hock School of Public so when outbreaks occur. Health and Clinical Professor at the Yong Loo Lin School of Medicine.
24 Lifewise NOV-DEC 2015
24-25 InPerson V7.indd 24 10/29/15 5:07 PM IN PERSON
A Little Jab Goes A Long Way FOR ASSOCIATE PROFESSOR ANGELA CHOW, THERE’S NO SUCH THING AS BEING TOO CAUTIOUS WHEN TRYING TO KEEP INFECTIOUS DISEASES AT BAY. INTERVIEW FAIROZA MANSOR
THE TOP THREE... Infectious diseases Singaporeans are most susceptible to are: 1 HAND, FOOT AND 2 DENGUE 3 INFLUENZA MOUTH DISEASE (HFMD)
I’ve been with the National Healthcare Group and based at the Communicable Diseases Centre (CDC) for about eight years now. While there’s no such thing as a ‘typical’ workday, some of my primary responsibilities lie in epidemiological surveillance, prevention and control of hospital-associated infections and emerging ALL ME PARANOID but whenever I travel — infectious diseases such as SARS, Ebola, MERS, C a passion I indulge in at least twice a year — chikungunya fever, and avian as well as pandemic I try to avoid street food. Some may say I’m influenza. My job feels most meaningful when we missing out on the good stuff but it’s an occupational conduct outreach programmes to raise awareness hazard to be worried about the diseases that can be on infectious diseases like seasonal influenza. I feel caught from eating food — both uncooked and cooked happy when seniors to whom we advocate vaccination — that has been left out in the open. However, I don’t decide to get their jabs. However, many underestimate swear off all dishes that are freshly-cooked or are this acute viral infection that spreads easily from served from licensed food trucks. person to person, thinking it only affects those in My favourite travel destination is this quaint temperate regions. This is not true! It is a serious public little city north of Los Angeles, called Solvang. It health problem that affects Singaporeans of all ages. is nicknamed the ‘Danish Capital of America’ for Prevention is as easy as getting a vaccination. being home to many bakeries, restaurants and shops Adjunct Professor Angela Chow is Senior Consultant and Head of the offering a taste of Denmark in California. Department of Clinical Epidemiology at the Institute of Infectious Must-pack items while on trips, whether for Diseases and Epidemiology, Tan Tock Seng Hospital. She is also leisure or work, include sun block, moisturiser and Adjunct Associate Professor and Lead for Public Health and Health a Swiss Army knife — you never know when you’ll Services Outcomes Research with the Lee Kong Chian School of
PHOTO: EALBERT HO EALBERT PHOTO: need this nifty little tool. Medicine at the Nanyang Technological University.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 25
24-25 InPerson V7.indd 25 10/29/15 5:08 PM AN AVERAGE ADULT HAS ANYWHERE FROM 0 to 300g LOOK AT the 2010 of the available information about OF BROWN ADIPOSE ƬA National Health Survey diseases related to obesity originate TISSUES (BAT). showed one in nine from studies done in the West. adults aged 18 to 69 in Singapore As such, the Singapore Adult was obese, a number that is more Metabolism Study (SAMS) was insulin sensitivity — a key factor than double the level seen in 1992. launched in 2009 to assess how in type 2 diabetes — declines Over half faced risk of chronic much ethnic differences account proportionately. This is regardless diseases such as diabetes because for in a person’s predisposition to of gender or ethnic groups, which of their weight. These numbers metabolic diseases like diabetes is not surprising. The unexpected indicate a pressing need to study and obesity. Although research finding is how rapidly the decline the Asian phenotype; especially so is still ongoing, data from the in insulin sensitivity occurred since it is known that Indians have study of about 260 adult males with increasing fatness among the a far greater prevalence of diabetes from three ethnic groups (namely three ethnic groups. compared to Chinese or Caucasians Chinese, Malays and Indians) According to one of SAMS’ at any given BMI. Moreover, much indicate that as BMI increases, research collaborators Associate Professor Melvin Leow, Senior Consultant at the Department of Endocrinology in Tan Tock Seng Hospital, Indians are the most insulin-resistant. A/Prof Leow clarifies, however, that Chinese and Malays are not spared the ills of insulin resistance when BMI increases to the overweight and obesity ranges. “Our data showed that the insulin sensitivity of the Chinese and Malays declines so quickly with rising BMI that their overall insulin resistance actually overtakes the Indians once they become overweight and obese,” he says. Back To Basics Metabolic rate, a measure of The how quickly our body burns stored fuels and how it can be facts accelerated to promote weight loss on UPDATED FINDINGS FROM ONGOING STUDIES OF METABOLIC DISEASES, FAT OBESITY AND THE FAT THAT MAKES YOU THIN. BY FAIROZA MANSOR IN CONSULTATION WITH ASSOCIATE PROFESSOR MELVIN LEOW SENIOR CONSULTANT // DEPARTMENT OF ENDOCRINOLOGY // TAN TOCK SENG HOSPITAL
26 Lifewise NOV-DEC 2015
26-27 Catalyst Brown Fat V7.indd 26 10/29/15 5:08 PM Can certain foods increase Clinician-Scientist metabolic rate? A/Prof Melvin Leow was awarded Yes, says A/Prof Melvin the National Medical Research Council’s Leow. However, research (NMRC) Clinician Scientist Award (CSA) is still ongoing. in May 2015. This award recognises outstanding clinician scientists with an established research track record Known as functional foods, and the potential to become research these are certain foods that leaders in their area of interest. In can accelerate metabolic rate June, A/Prof Leow became the first and promote weight loss or maintenance. For example, awardee of the NHG-NTU Clinician- On Brown Fat some reports suggest that the Scientist Fellowship (CSF), a PhD Fat exists in our bodies as either consumption of green tea is programme jointly developed by NHG white fat which functions as stores linked to weight loss. Green tea and LKCMedicine, for clinician-scientists. of excess calories, or brown fat is known to contain compounds In October 2014, A/Prof Leow was which functions to burn up stored called catechin-polyphenols that inducted into the NHG Clinician-Scientist calories to generate heat, explains trigger an increase in metabolic Career Scheme (CSCS) which prepares A/Prof Leow. A hybrid form of fat, rate. However, meta-analyses established clinician-scientists for termed ‘beige’ or ‘brite’ fat, is now of several randomised controlled national awards. understood to be derived from clinical trials looking at green tea white fat through a process called preparations in overweight or or maintenance, are also being ‘browning’ of white fat. The beige obese adults have shown that the investigated by A/Prof Leow and fat, together with brown fat, make weight loss eff ect of green tea is his team at the Clinical Nutrition up brown adipose tissues (BAT). at best “very modest”. Research Centre (CNRC). At Studies have estimated that a mere However, people should not present, they are conducting a 50g of functionally active BAT can start taking green tea extracts study to discover the effectiveness increase metabolic rate sufficiently in a bid to lose weight without of foods with an innate capacity to keep us from becoming fi rst discussing with their doctor, of stimulating an increase in overweight, says A/Prof Leow. A/Prof Leow advises. Research metabolic rate — a process termed Much of BAT in adults may be to discover the eff ectiveness of diet-induced thermogenesis (DIT). dormant especially in hot weather. other potential functional food The team is examining a However, they can be activated ingredients are ongoing. non-spicy variant of capsaicin (a when we are exposed to the cold. substance found in chillies and The good news is that humans peppers) called capsinoids. “We can actually grow brown fat cells As he says, “It is important that have demonstrated that only and activate them more effectively. researchers continue to explore 9mg of capsinoids can increase There is a flurry of research all better and more acceptable ways DIT within a short span of two over the world examining this of activating BAT so as to have an hours or so,” says A/Prof Leow. “browning” process, says A/Prof effective weapon against the rising Additionally, by using a special Leow. “Since the final product of tide of obesity and diabetes.” infrared thermal camera and a browning white fat is beige or brite FOR ISSUES OF CATALYST, VISIT combination of advanced image- fat (which also functions to burn WWW.RESEARCH.NHG.COM.SG processing techniques developed up stored fats) then every obese by the research team, A/Prof Leow individual with large stores of A/Prof Melvin Leow is also the and his team also discovered a white fat does possess a potential Deputy Director (Clinical) of the significant increase in heat energy of fat cells that might be tweaked Clinical Nutrition Research Centre output over skin areas above the and coaxed to become BAT,” and A/Prof at the Lee Kong Chian collar bones and at the sides of he says. School of Medicine at the Nanyang the neck. These areas correspond A/Prof Leow and his team are Technological University; Adjunct to the regions where brown fat, exploring ways to induce browning, A/Prof at the Duke-NUS Graduate known for its ability to burn up fat which includes complex processes Medical School; and Clinical A/Prof at stores in the body leading to weight involving the switching of genes the Yong Loo Lin School of Medicine at
PHOTOS: GETTY IMAGES GETTY PHOTOS: loss, is located. known to flip white fat to BAT. the National University of Singapore.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 27
26-27 Catalyst Brown Fat V7.indd 27 10/29/15 5:08 PM HIV: STOP THE SPREAD Getting on the ADVANCEMENTS IN HIV TREATMENT HAVE NOT CURBED THE SPREAD OF THE VIRUS IN PAT H SINGAPORE. HOWEVER, EFFORTS ARE UNDERWAY. TO ZERO
HE ACQUIRED IMMUNE BY ASHUTOSH RAVIKRISHNAN T IN CONSULTATION WITH Deficiency Syndrome DR WONG CHEN SEONG Ƭ ASSOCIATE CONSULTANT // (AIDS) — caused by the human INSTITUTE OF INFECTIOUS immunodeficiency virus (HIV) DISEASES AND EPIDEMIOLOGY // — first emerged in the early 1980s, TAN TOCK SENG HOSPITAL AND DR MARTIN CHIO little was understood about it SENIOR CONSULTANT // except that it mostly only affected HEAD // DEPARTMENT OF SEXUALLY TRANSMITTED homosexuals then. Within a few INFECTIONS CONTROL (DSC) CLINIC // years, however, it became clear NATIONAL SKIN CENTRE that an equal number of heterosexuals had also succumbed to the disease. More than three decades later, scientific research has improved our understanding of HIV/AIDS dramatically. With the introduction of Highly Active Anti- Retroviral Therapy (HAART) in the mid-1990s, the landscape of HIV medicine has changed radically, allowing HIV-positive patients to enjoy a life expectancy similar to that of the general population. But despite these advancements, the World Health Organization still considers HIV/ AIDS to be a pandemic, with 37 million people living with HIV globally and close to 5,000 new cases diagnosed every day. More than half of these people do not have access to HAART. Without treatment, the risk of them transmitting the virus is far greater. This is further heightened by the social stigma attached to
28 Lifewise NOV-DEC 2015
28-31 HIV_Aids V4.indd 28 10/29/15 5:09 PM HIV/AIDS: AT A GLANCE HIV is a retrovirus that is transmitted through the contact of bodily uids — such as blood and semen — between a HIV- positive person and a HIV-negative person. HIV is known to attack CD4 cells which are types of white blood cells. These are the three stages of HIV infection that follow transmission:
1 ACUTE INFECTION 2 CLINICAL LATENCY 3 AIDS If left unchecked, the patient’s condition When large amounts When the virus deteriorates to AIDS. At this stage, the body’s immune of the virus are reproduces at very system is damaged signifi cantly, making the patient produced in the body. low levels. Patients vulnerable to opportunistic infections such as tuberculosis At this stage, many are typically and bacterial pneumonia. This is characterised by a patients often develop CD4 count of 200 cells per cubic millimetre of blood PHOTOS: GETTY IMAGES, CORBIS IMAGES, GETTY PHOTOS: asymptomatic at fl u-like symptoms this stage which (200 cells/mm3). CD4 counts in healthy individuals typically such as fever and lasts an average of range from 500 to 1,600 cells/mm3. If left untreated, muscle aches. 10 years. patients can die within a year of the development of AIDS.
the condition, which deters many new cases diagnosed annually, from getting tested. Battling according to the MOH report. this stigma is one of the aims of Prevailing misconceptions World AIDS Day, to be marked about the condition may be to for the 27th time on 1 December. blame for this upward trend, says It is one way the Joint United Dr Wong Chen Seong, Associate Nations Programme on HIV/AIDS Consultant at Tan Tock Seng (UNAIDS) hopes to achieve its goal Hospital’s Institute of Infectious of “Getting to Zero Infections”. Diseases and Epidemiology. Other A similar goal has been set possible reasons include attitudes in Singapore where nearly 5,000 of complacency towards the residents live with HIV/AIDS as condition, coupled with a lack of of end-2014, according to the awareness of the importance of Ministry of Health’s (MOH) HIV early diagnosis. Statistics: Update on the HIV/AIDS Situation in Singapore (2014). Understanding In 2011, together with other Risky Behaviour members of the Association The MOH report reveals that of South-east Asian Nations sexual activity is still the most (ASEAN), the Republic pledged prevalent mode of transmission to reduce new infections to zero. of the virus, accounting for 96 per In spite of this, HIV infections cent of the 456 new infections in in Singapore have been on the 2014. Heterosexual transmission rise since 2008, with around 450 accounted for the largest number
WHILE A WORKABLE, RELIABLE AND REALISTICALLY FUNCTIONAL CURE IS NOT YET AVAILABLE, IT REMAINS AN EXCITING PROMISE. DR WONG CHEN SEONG, ASSOCIATE CONSULTANT, INSTITUTE OF INFECTIOUS DISEASES AND EPIDEMIOLOGY, TAN TOCK SENG HOSPITAL
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 29
28-31 HIV_Aids V4.indd 29 10/29/15 5:09 PM HIV: STOP THE SPREAD
of new cases (47 per cent of the condition only affects certain total), while homosexual and groups of individuals. To this, he bisexual transmission resulted says, “HIV does not discriminate in 40 per cent and nine per cent between genders, sexual of new infections respectively. orientation, socioeconomic class Just one case stemmed from or other such differences between intravenous drug use, while individuals. The misconception the route of infection for the that ‘it won’t happen to me’ remaining four per cent could not is what often drives people be determined. to continue engaging in risky Despite these statistics, behaviour, such as unprotected Dr Wong frequently encounters sex.” The appearance of good throw caution to the wind. “Some patients who believe that the health may also cause some to think that it is possible to detect a person’s HIV status based on his or her appearance. This may lead to unprotected sex with someone who looks ‘healthy’,” he says. “Cognitive impairment by alcohol and recreational substances may also lead to high- risk behaviour,” adds Dr Martin Chio, a senior consultant at the National Skin Centre’s Department of Sexually Transmitted Infections Control (DSC) Clinic. Testing And Treatment The Health Promotion Board encourages sexually active individuals to get tested for sexually transmitted infections (STIs) — such as HIV — once every six months, and more often if they have multiple sexual partners in the course of one year. Despite HIV in 2015 this advisory, the MOH report estimates that just 14 per cent FEBRUARY APRIL A new, aggressive strain of HIV is The ban on HIV-positive visitors entering Singapore on of new HIV infections diagnosed discovered in Cuba. Known as CRF19, short-term visit passes is lifted. “Lifting the restrictions in 2014 were detected during it is believed to be able to develop poses a very low additional risk of HIV transmission voluntary screening sessions, into AIDS within three years of to the local population,” said the MOH in a statement. suggesting that many are unaware infection. “To date, this strain has However, the ban on HIV-positive visitors seeking to of the importance of early only been detected in patients in enter the Republic on a long-term entry pass persists. detection. By not being diagnosed Cuba. More research is required to see if individuals in other parts of JULY the world — including Singapore — An 18 year-old French woman born with HIV is found to be in remission, with virus levels have been infected with this new in her bloodstream too low to be measured. This was in spite of her having stopped viral strain,” says Dr Wong, anti-retroviral drugs for the last 12 years. Her case, presented at an international AIDS who emphasises that preventing conference, is further proof of the importance of early treatment, as medical professionals an infection of CRF19 is no different believe that her early exposure to anti-retroviral drugs is likely to be the reason for from that of preventing all her remission. However, it has not been ascertained if the woman has had a functional strains of HIV: safe sex with the cure (when HIV is still present in the body, but at such low levels that medication is no use of condoms in all situations. longer needed) or a sterilising cure (when the virus is completely eradicated from the body).
30 Lifewise NOV-DEC 2015
28-31 HIV_Aids V4.indd 30 10/29/15 5:09 PM early, such individuals are likely to BE SAFE, GET TESTED continue spreading the virus. HIV is just one of many STIs that risky This reluctance of at-risk sexual behaviour can lead to. In 2013, populations to get tested could the MOH reported that there were also be the reason that nearly half 192 cases of STIs for every 100,000 of the new cases reported last year Singaporean residents. Chlamydia, were diagnosed in the late stages gonorrhoea and syphilis were the three of infection. This poses a problem most common infections reported that to effective treatment as HAART year, a trend that continued in 2014, (Highly Active Anti-Retroviral according to Dr Martin Chio. These Therapy) works best when it is infections can lead to significant physical and psychosexual morbidity if they introduced soon after infection. are not diagnosed early and treated appropriately. “Evidence shows that prompt Sexual health screenings are conducted at the Department of Sexually treatment preserves immune Transmitted Infections Control (DSC) Clinic (dsc-clinic.sg). Those who prefer function and general health,” anonymous testing can approach Action For AIDS Singapore (AFA) (afa.org.sg). says Dr Wong. In Singapore, HIV- positive patients who undergo HAART are given a ‘cocktail’ of three drugs. These work together exciting promise. The field of HIV per cent, such families can now to suppress the replication of the research remains one of the largest have children safely. virus in the body, and allow the and most rapidly-developing However, the availability immune system to recover. areas of healthcare and scientific of HAART may have had an According to Dr Wong, HAART research today.” undesirable effect: the adoption of allows HIV-positive individuals Advancements in treatment complacent attitudes towards the to remain in good health until have also benefited families with disease. This in turn, says Dr Wong, a cure for the disease is found. either one or two HIV-positive may have resulted in an increased “While a workable, reliable and parents. By greatly reducing the propensity to engage in risk-taking realistically functional cure is risk of perinatal (mother-to-child) behaviour and consequently, not yet available, it remains an HIV transmission to less than one higher rates of infection.
AS OF END-2014, THERE WERE of new cases were 456 between 30 and new cases were 49 years old 6,685 reported in 2014, 50% HIV-positive Singapore residents, an increase from of whom 1,737 have died 454 in 2013 14% OF NEW CASES WERE DETECTED DURING VOLUNTARY HIV SCREENING 93 49% of new cases in OF NEW CASES WERE DIAGNOSED Source: HIV Statistics: 2014 were Update on the HIV/AIDS males AT LATE-STAGE Situation in Singapore HIV INFECTION
PHOTOS: GETTY IMAGES, CORBIS, ISTOCKPHOTO CORBIS, IMAGES, GETTY PHOTOS: (2014) (MOH)
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 31
28-31 HIV_Aids V4.indd 31 10/29/15 5:09 PM EAT WELL
T HE YEAR-END FESTIVE Ƭ season can be a constant round of feasting and dinner parties. Popular votes for the centrepiece usually go to roast beef, leg of lamb, glazed ham — and, of course — the perennial favourite: roast turkey.
Red vs White A turkey done well impresses, both visually and taste-wise (see sidebar for tips). What’s more, it has a nutritional edge over red meats like beef or lamb. Red meats contain higher levels of fat, especially saturated fat. Turkey, a white meat, is a good source of lean protein and vitamin B complex. Nutritionally, it is pretty much on par with chicken (eaten without skin): low in saturated fat and cholesterol. A serving of turkey breast meat — about one and a half slices — provides about two per cent of the daily calories an average person needs (based on 2,000 calorie diet); 11 per cent of protein; and just one per cent of total fat. However, Ms Bonnie Lau, Dietitian, Department of Nutrition & Dietetics at Tan Tock Seng Hospital warns against eating too much turkey skin (a source of saturated fat). Doing so can increase blood cholesterol. Her advice: prepare the turkey with spices, herbs, YES, YOU CAN dried fruits, nuts and a STILL KEEP WITH variety of vegetables for a balanced meal. TRADITION BUT IN A HEALTHY YET HEARTY WAY.
BY CHIA EE KHIM IN CONSULTATION WITH MS ESTONIE YUEN SENIOR DIETITIAN // NATIONAL HEALTHCARE GROUP POLYCLINICS AND MS BONNIE LAU DIETITIAN // DEPARTMENT OF NUTRITION Let’s & DIETETICS // TAN TOCK SENG HOSPITAL Talk TURKEY
32 Lifewise NOV-DEC 2015
32-33 Eatwell Turkey V8.indd 32 10/29/15 5:10 PM The Other White Meat If you don’t fancy turkey or roast chicken, try sh. Italian-Americans celebrate the Feast of the Seven In Control Fishes during Christmas, where To prevent over-eating, Ms Estonie traditionally seven types of sh dishes Yuen, Senior Dietitian, National are served. Instead of sh, some families serve Healthcare Group Polyclinics seven types of seafood. You can stick to one recommends portion control. “Adjust type of sh, like salmon or cod, and grill or your intake of festive treats by using roast them. That way, you can satisfy your meat cravings and still be healthy and happy. small plates and putting just a small amount on your plate,” she says. Ms Yuen also suggests doing away with store-bought gravy and cranberry sauce, the usual accompaniments to dish less calorie-laden. Instead, roast roast turkey. Gravy is generally high vegetables in the oven as a guilt-free in fat and sodium. While cranberries side dish. contain high amounts of vitamins A, C, In any case, the festive season is a E and K as well as fibre, the fruit would good time to get into the habit of eating have been boiled in sugared water to delicious and healthy fare. Says Ms Yuen, make the sauce. Half a cup of cranberry “Opt for less meat, more vegetables. It is sauce contains 50g of sugar. all about making healthier food choices. If you insist on cranberry sauce, Moderation is key.” make your own by cooking fresh cranberries with healthier ingredients such as slivered almonds, orange juice, orange zest, ginger or cinnamon. The Internet provides many recipes for vs lighter, healthier versions of this sauce.ee. NAUGHTYNAU Nice Omitting the stuffing — which DITCCH CAALOORIR E-LOADED TRE contains mostly bread and fat — is ONENES THAT ARER JUST AAS YUMMY.
PHOTOS: GETTY IMAGES, SHUTTERSTOCK IMAGES, GETTY PHOTOS: another way to make your turkey PotatoPotato cchips Potato chips are high in calories and salt. Depending on size, 11 to 1133 TIPS salted chips weigh 23g and has 154 calories. Nuuts ON COOKING TURKEY Consider serving roasted nuts like almond, cashew, hazelnuts, macademias or pistachios. Ms Bonnie Lau gives the following tips: To cook the bird: Allow 45 minutes per kg plus 200 Fruitcake is packed with candied fruit, minutes for a bird under 4.5kg; 4o minutes per kgg and contains a lot of sugar, butter and for one that’s 4.5kg-6.5kg; 35 minutes per kg alcohol. Instead, serve fresh fruit fora bird more than 6.5kg. as a snack or dessert. When thawing the turkey, note that the “dangerr FruitcakeFrruitctc Freesh zone” for thawing is between 5°C and 60°C, frf uuit the temperature range when foodborne bacteria multiply rapidly. If you have to have sweets and chocolate, satisfy your craving with dried It is safe to thaw the bird in the refrigerator, fruits like cranberry or dried apricot. in cold water and in a microwave oven. Candy cane Pre-heat the oven for 20 minutes to 180°C. Place the turkey breast-side down on a big tray with room to spare. Add a cup of water to the tray.rray. Halfway through cooking, turn the turkey over. Drried fruitst About 30 minutes before cooking time is up, inserteert a meat thermometer into the thickest part of THE RULE OF THUMB is, if you must have snacks the breast, innermost part of the thigh and wing.gg. for your Christmas parties, choose healthier snacks The temperature there should be above 75°C. and eat in moderation.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 33
32-33 Eatwell Turkey V8.indd 33 10/29/15 5:10 PM SILVERGLOW AGE is but a NUMI3ER AND THAT’S TRUE, JUDGING BY THE NUMBER OF FEATS THAT SENIOR CITIZENS HAVE ACCOMPLISHED. BY ASHUTOSH RAVIKRISHNAN
T HANKS TO ADVANCEMENTS in medicine, people are living longer than ever before. According to the Ministry of Health, the average life expectancy in Singapore stood at 82.8 years in 2014, as compared to 82.1 years in 2012. In 2014, Longer lives do not mean a loss in ability, according to AND Dr Margaret Chan, 68, Director-General of the World Health 853 GROOMS 185 BRIDES AGED 55 YEARS AND OLDER TIED THE KNOT Organization (WHO). In WHO’s World Report on Ageing and IN SINGAPORE, SAYS THE Health 2015, she says, “Though most older people will SINGAPORE DEPARTMENT OF STATISTICS eventually experience multiple health problems, older age does not imply dependence. Population ageing can be viewed as a rich new opportunity for both individuals and societies.” 102 While the WHO report also says that older people are often stereotyped as ‘part of the past’ and overlooked, it Dr Shigeaki Hinohara notes that seniors can participate actively in social, cultural, is Japan’s oldest physician, spiritual and civic affairs. More importantly, they continue to and continues to serve as make strong economic contributions to society. chairman of the board of trustees at St. Luke’s International In any case, there are many things that seniors can do, Hospital in Tokyo such as travelling, learning new skills, volunteering or OLDER AGE even taking up new challenges DOES NOT IMPLY and achieving fantastic feats. DEPENDENCE. Lifewise looks at what seniors DR MARGARET CHAN, DIRECTOR-GENERAL, are engaging in from all over WORLD HEALTH ORGANIZATION the world. 66% of Singaporeans aged 55 and older use the Internet 8 daily for personal reasons, The number of Academy Awards for according to Google’s Best Actress presented to women older than 55. Connected Consumer Three of these went to Katharine Hepburn for Survey 2014/2015 her roles in On Golden Pond, The Lion in Winter
and Guess Who’s Coming to Dinner SHUTTERSTOCK PHOTOS:
34 Lifewise NOV-DEC 2015
34-35 Silverglow Age V6.indd 34 10/29/15 5:14 PM US astronaut Yuichiro Miura John Glenn was from Japan was 77 80 YEARS OLD 100 when he fl ew aboard the Space when he became Shuttle Discovery in 1998, the oldest man to climb making him the oldest person to Mount Everest in 2013 travel to space. He is no stranger to space, having become the fi rst Australian Eileen Kramer, American to orbit the Earth born in 1914, is one 36 years earlier in 1962 of the oldest dancers and choreographers in the world
2050 The number of marathons The year that WHO estimates 100 completed that people aged 60 years and older will make up 22 per cent of the world’s population, up from the current 12 per cent by Singapore’s oldest marathon runner, 84-year-old Chan Meng Hui. Uncle Chan, as he is affectionately known, will compete in his 42 seconds st 101 marathon at the THE TIME THE WORLD’S OLDEST COMPETITIVE SPRINTER, 105-YEAR-OLD Standard Chartered Marathon HIDEKICHI MIYAZAKI FROM JAPAN, TAKES TO DASH 100 METRES Singapore 2015 on 6 December
Tan Tock Seng Hospital’s longest-serving nurse No sign of slowing down shares his tips for active ageing. It has been more than half are patient and encouraging. a century on the job, and “Thanks to them, I am now Emeritus Fellow Mr Harbhajan able to use the computer quite Singh, 75, still looks forward independently,” he says. to his shifts at Tan Tock Seng Outside the hospital, Hospital. The Senior Nurse Mr Singh maintains an active Manager’s enthusiasm stems body, mind and social life, by from his passion for the volunteering within his religious profession, which hasn’t waned community. This, together since he wore his rst scrubs with the support of his family, in 1959. has been instrumental in “It gives me something allowing him to age gracefully to do. I can still contribute my and purposefully. skills and knowledge to the In 2007, he was presented nursing fraternity, and I like the Active Ager Award by the to nurture future nurses. By Council of Third Age. To feel working, I can also learn from young again, Mr Singh turns them and stay in touch with to his four grandchildren, developments in the healthcare saying, “Playing with them and industry,” he says. Mr Singh is watching them grow and learn PHOTO: MARK LEE MARK PHOTO: grateful to his colleagues who makes me very happy.”
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 35
34-35 Silverglow Age V6.indd 35 10/29/15 5:14 PM ASK THE & EXPERTS Q A YOUR MEDICAL QUESTIONS ANSWERED Q1 A Citrusy Start Will starting the day with a drink of warm lemon water really improve digestion and detoxify the body?
Q2 Tender Toes I am a woman in my 40s who enjoys playing tennis. Recently, I noticed that my toenails appear bruised and now my big toenail appears to be coming loose. What is the reason for this and can it be avoided?
There is no strong scientific evidence to support that drinking warm The bruising of your toenails lemon water in the morning can improve digestion or ‘detoxify the body’. might have been caused by wearing The added benefits of lemon water include vitamin C, antioxidants improper footwear, which is too and some minerals. The vitamin C can enhance the iron absorption, narrow or shallow for your activity. while the acidic nature of lemon juice can support an optimal Try wearing shoes that have a acidic environment in your stomach. However, for those who are wide and deep toebox (front of prone to gastritis, the buildup of acid in your stomach can cause an your shoe) to prevent friction and uncomfortable burning sensation. It may result in heartburn, bloating, chafing as well as to avoid excessive indigestion, reflux, nausea and a sour taste in the mouth. The dose pressure compressing the toes. response depends on individuals. The best way to maintain a healthy This also allows natural digestive system is to drink plenty of water and have enough fibre to expansion of the foot with each keep your digestive system regular. If you enjoy the taste of lemon water weight-bearing step. over plain water, this would be a good way of drinking more water. MR TAN LIANG SHENG You can also obtain adequate fibre, vitamins and minerals by eating SENIOR PODIATRIST // two servings of fruits and two servings of vegetables daily. NATIONAL HEALTHCARE GROUP POLYCLINICS MS CHAN SAU LING DIETITIAN // NATIONAL HEALTHCARE GROUP POLYCLINICS
36 Lifewise NOV-DEC 2015
36-38 QnA V3.indd 36 10/29/15 5:16 PM Q3 Moody Blues My son used to be a happy and active child. However, since entering adolescence, his mood has become sullen and he is withdrawn and listless. Is there such a thing as ‘teenage depression’ and will kids typically grow out of it? Or is it the start of something long-term? What can I do as a parent to help him?
Yes, it is possible for teenagers to be depressed. Youths today face higher expectations from all around — at home, in peer groups, in social media and in school. A change of mood and behaviour is a common sign of stress and it is important that you continue to monitor for other symptoms of depression, such as changes in eating or sleeping habits; a lack of interest in activities that he used to enjoy; and Q4 expressions of hopelessness, etc. If you spot these warning signs, you may refer your child to his school counsellor. IMH’s community teams work very closely Wax Build-up with the school counsellors and teachers in early detection and intervention of mental health issues. and Odour As a parent, you can help by offering emotional support My husband has excessive and encouragement as your child tries to bounce back from any wax build-up in his ears adversity. Doing things together as a family, keeping to family and I have also noticed a traditions and having a shared faith and belief system, can be faint smell coming from positive factors in helping to build emotional resilience in the them. Is this a condition he family and child. should be worried about? ADJUNCT ASSISTANT PROFESSOR ONG SAY HOW What safe and hygienic ways CHIEF // DEPARTMENT OF CHILD & ADOLESCENT PSYCHIATRY // are there to clean our ears? INSTITUTE OF MENTAL HEALTH All healthy ears produce earwax in varying amounts and consistency. Earwax consists of dead skin cells mixed with an oily secretion and represents part of the normal self- cleansing mechanism of healthy ears. Many people habitually remove wax through various means, including ear candling, but this is unnecessary. Injuries and infections due to ear cleaning by unsafe methods are not uncommon because of poor visualisation of the delicate ear structures. However, the minority of people with troublesome earwax should seek the attention of an Ear Nose and Throat doctor for reliable, safe and painless removal of excessive earwax under direct vision.
DR HO EU CHIN CONSULTANT // DEPARTMENT OF OTORHINOLARYNGOLOGY //
PHOTOS: CORBIS, SHUTTERSTOCK CORBIS, PHOTOS: TAN TOCK SENG HOSPITAL
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 37
36-38 QnA V3.indd 37 10/29/15 5:16 PM Q& A
ASK THE Q5 SEXPERTS Travelling and Eczema I have sensitive skin and suû er from eczema, which is sometimes triggered by changes in the weather/climate, and also dust. I am going overseas for work and will be exposed to cold climates. What should I take note of and how can I prevent potential relapse of my eczema?
Eczema is a common skin condition that shows up as dry, itchy, and inflammed areas of skin. Travelling to cold and dry climates may cause eczema to worsen, and the skin needs to be moisturised liberally and frequently to SEX ATTACK? prevent aggravation. I am a 39-year-old male, sexually-active and Irritating soaps and detergents, recently diagnosed with high blood pressure. scratching and rubbing the skin, and How would this impact my sex life? Would I wearing abrasive clothing materials like have erectile problems? Also can I actually get a heart attack during intercourse? wool and linen should be avoided if possible. Bring a tube of moisturiser High blood pressure or hypertension is a known risk factor with you to rub it into areas of dry and for erectile dysfunction. Poorly-controlled hypertension chapped skin. Topical steroids may be can have detrimental eff ects on other organs like the also brought along to control flares and heart and kidneys which, in turn, would worsen erectile areas of an active eczema. function. Drugs used to treat hypertension may also cause DR PAN JIUN YIT erectile dysfunction. The important thing, however, is CONSULTANT // NATIONAL SKIN CENTRE not to omit the medication just because you feel that erections are not as strong as before. You can always consult your primary care physician to discuss if the medication is indeed causing erectile dysfunction and alternatives may be off ered. There is no need to cut down the frequency of sex. There are even studies which suggest that men who have more frequent sex are at a lower risk of developing erectile dysfunction! Sexual activity is a cardiovascular workout. The risk of developing heart attack during sex is not high. However, should you feel worried that your overall exercise tolerance has decreased, a trip to the cardiologist is recommended as he would be able to certify you fi t for sex.
DR RONNY TAN CONSULTANT // DEPARTMENT OF UROLOGY // PHOTOS: CORBIS, ISTOCKPHOTO CORBIS, PHOTOS: TAN TOCK SENG HOSPITAL
38 Lifewise NOV-DEC 2015
36-38 QnA V3.indd 38 10/29/15 5:16 PM ALL ABOUT
Hearing aids can TINNITUS help in blocking out the ringing noise. HOW IS IT TREATED? THAT RINGING IN YOUR EARS Most patients with chronic tinnitus learn to COULD SPELL BAD NEWS cope with the condition or ignore it with time, such that they only hear it when the room is FOR YOUR HEARING. completely silent. As these periods of silence BY DR HO EU CHIN coincide with bedtime, some patients choose CONSULTANT // DEPARTMENT OF OTORHINOLARYNGOLOGY // to play background music while sleeping to TAN TOCK SENG HOSPITAL mask the tinnitus. For those with concurrent hearing loss, hearing aids are highly effective at blocking out the tinnitus in addition to improving hearing. Some patients may try remedies like ginkgo biloba and acupuncture, but there is only weak evidence for their efficacy. For those whose tinnitus WHAT IS IT? is troubling, counselling and A common phenomenon, tinnitus is the therapy by audiologists can perception of a sound that is not heard by be helpful. others. It frequently sounds like ringing or buzzing in the ear, but a crackling, whooshing, humming or cicada-like sound is not uncommon. Tinnitus is a symptom of other problems within the inner ear. It may be associated with Tinnitus is often hearing loss, ear ‘fullness’ or vertigo. a symptom for other inner ear conditions. HOW IS IT CAUSED? The most common cause is presbyacusis, or age-related hearing loss. It is frequently present in hearing loss caused by other conditions like excessive noise exposure or ear `toxicity’ caused by certain drugs — in fact, in patients taking chemotherapy drugs, tinnitus may be a warning of impending hearing loss. Patients suffering from an inner-ear HOW CAN condition called Ménière’s disease get Extensive exposure IT BE to sounds over 85 repeated episodes of tinnitus associated AVOIDED? decibels can cause with hearing loss, ear fullness and vertigo hearing damage. As tinnitus is closely which is believed to be due to an imbalance linked to hearing loss, of fluid within the ear. the most eff ective Occasionally, it can be due to earwax way to avoid it is to or other objects resting against the protect the ears from eardrum. In rare cases, it can be the result damage by turning downn of blood flow abnormalities close to the personal music players,s, ear, which sounds like `pulsating whooshes’ and by using ear defendersnders to the sufferer. when working in very
PHOTOS: GETTY IMAGES, ISTOCKPHOTO, SHUTTERSTOCK ISTOCKPHOTO, IMAGES, GETTY PHOTOS: noisy environments.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 39
39 AllAbout Tinnitus.indd 39 10/29/15 5:17 PM CORPORATE NEWS + EVENTS + FORUMS
Prime Minister Lee Hsien ENHANCED Loong having his blood pressure measured during the guided tour at the CARE FOR THE Hougang FMC. COMMUNITY PM LEE OPENS NHG’S LATEST FAMILY MEDICINE CLINIC IN HOUGANG.
he National Healthcare Group’s (NHG) third Family Medicine Clinic (FMC) — Hougang TFMC @ Ci Yuan Community Club — was officiallyƬ opened by Prime Minister Lee Hsien Loong on 20 September 2015. Clinic Manager and Family continuing care in the community. Patients can Physician, Consultant, Dr Michael Yee led Mr Lee on visit Hougang FMC for medical services, including a guided tour of the clinic. They were accompanied the treatment of common ailments and the by Minister of State for Health Dr Lam Pin Min; NHG management of chronic illnesses. It also offers Chairman Mdm Kay Kuok; NHG Group CEO personalised care programme for patients to be Professor Philip Choo; National Healthcare Group treated by a team familiar with their medical history. Polyclinics CEO Adjunct Associate Professor Chong Hougang FMC has extended operating hours from Phui-Nah; and Members of Parliament for Ang Mo 8.30am to 9.30pm from Mondays to Thursdays. Kio GRC, Mr Gan Thiam Poh and Mr Darryl David. Designed to be a one-stop clinic for the entire Hougang FMC: 8.30am–9.30pm (Mon–Thu), 8.30am–4.30pm (Fri); family, it will partner general practitioners to provide 8.30am–12.30pm (Sat). Closed Sun & public holidays. Tel 6315 3323
Prime Minister Lee Hsien Loong and Members of Parliament for Ang Mo Kio GRC, Mr Gan Thiam Poh and Mr Darryl David, NHG Chairman Madam Kay Kuok, NHG Group CEO Professor Philip Choo, NHGP CEO Adjunct A/Prof Chong Phui-Nah, and other members and partners of NHG.
40 Lifewise NOV-DEC 2015
40-48 Spotlight V4.indd 40 10/29/15 5:18 PM TTSH’s ACP team has been recognised for their work in raising awareness on end-of-life issues.
SHINING Action Awards. Among them was TTSH’s Advanced EXAMPLES Care Planning (ACP) team, which has reached out to 2,000 staff and members of the public, spurring NHG RECOGNISES THE EXTRAORDINARY them to provide care to patients. The team aims HEALTHCARE EFFORTS OF CAREGIVERS. to raise awareness on ACP and End-of-Life issues. NHG Group Chief Quality Officer Associate Professor Tai Hwei Yee said it was important to he provision of all-round patient care is encourage best practices and patient safety beyond impossible without dedicated caregivers who the various institutions of NHG. “By working Tcontinue to look after patients after their with our partners and fostering relationships releaseƬ back into the community. In conjunction with the community, we are able to advocate with the National Healthcare Group (NHG)’s annual quality improvement in patient care,” she said. NHG Quality Day, these caregivers were recognised This is cogent as NHG heads towards a new model at the inaugural Exemplary Patient and Caregiver — moving from illness care to wellness care. Awards (EPCA) on 2 September 2015. Added A/Prof Tai, “We are promoting a Mr Jared Goh is the first caregiver to be relationship-based healthcare system where recognised. The 50 year-old gave up a lucrative medicine will also be about forging relationships corporate job to look after his sister who was with patients to better understand their physical, diagnosed with depression. In choosing family psychological and social needs, and what we can do over career, Mr Goh faced numerous challenges, to motivate them to stay well and out of acute care.” but he persevered. His resilience motivated other caregivers at the Institute of Mental Health (IMH) to better engage their own loved ones with mental illnesses. Mr Goh’s passion for helping others also him led him to assist other patients at IMH. Another inspirational story is that of 72 year- old Mr Tan Tai Jong, a prostate cancer patient who pioneered the Prostate Cancer Support Group at Tan Tock Seng Hospital (TTSH). In spite of his illness, Mr Tan has helmed the group for the past four years. His goal from the start has been to spur other cancer patients to lead fulfilling lives through interactive activities and healthy lifestyles. In addition to the EPCA, 30 individuals and seven teams were recognised with Excellence in Members of NHG Senior Management with Board Member Adjunct Prof Er Lau Joo Ming (centre).
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 41
40-48 Spotlight V4.indd 41 10/29/15 5:19 PM Left: Nursing Jamz kick-started the Teachers’ Day celebration with their performance; Above: NHG Group CEO Prof Philip Choo (centre) with recipients of the NHG Education Leaders Award (from left) Mr Ng Boon Tat, Dr Darren Seah Ee-lin, Dr Wong Mei Yin, Mr Chong Chun Meng, Ms Jamie Lim and Dr Roy Kan. INSPIRING THE NEXT GENERATION EDUCATORS WERE AWARDED AT THE ANNUAL NHG TEACHING EXCELLENCE AWARDS.
he National Healthcare Group (NHG) nurturing individuals to improve the health of recognised 123 educators for their efforts at patients and the community. Said A/ Prof Chew, Tthe 2015 NHG Teaching Excellence Awards “Our aim as educators is to inspire the next ceremonyƬ on 4 September. The annual event — wave of healthcare professionals. With the themed “Inspire, ignite and impart” this year — future of healthcare in mind, we are committed honoured NHG educators who have contributed to educating and training our professionals, to the professional development of healthcare aspiring to reinvent the way healthcare workers.This year’s new NHG Teaching Award for is delivered.” Allied Health Senior Educators recognises senior Participants were treated to a buffet lunch staff in Allied Health Professions who coach and and performances from the Lee Kong Chian inspire their younger colleagues. School of Medicine and Tan Tock Seng Hospital’s In his welcome address, NHG Group CEO own ‘Nursing Jamz’. A special video tribute was Professor Philip Choo acknowledged the important also screened in memory of the late Associate role educators play. Said Prof Choo, “Teachers Professor Vijayan Appasamy, who passed inspire us not by what they actually teach us, but away earlier this year. A/Prof Vijayan, who was [through] the values they represent; the sacrifices Programme Director of NHG’s general surgery they make; the impact on lives and the ability residency programme, was fondly remembered to see what we juniors were unable to see during as a caring doctor and very inspirational teacher. the early days of our career.” Associate Professor Nicholas Chew, A/Prof Nicholas NHG Group Chief Education Officer, echoed Chew presenting the Prof Choo’s sentiments, emphasising that Outstanding Nurse Teacher award to teaching represents not only the transmission Ms Mary Leong Jan of knowledge, but also educating and Mui from TTSH.
Our aim as educators is to inspire the next wave of healthcare professionals. With the future of healthcare in mind,we are committed to educating and training our professionals, aspiring to reinvent the way healthcare is delivered. A/PROF NICHOLAS CHEW, NHG GROUP CHIEF EDUCATION OFFICER
42 Lifewise NOV-DEC 2015
40-48 Spotlight V4.indd 42 10/29/15 5:19 PM MAKING MORE INROADS IN COMMUNITY CARE TTSH COLLABORATES WITH NHGP TO ENHANCE COMMUNITY-BASED DEMENTIA CARE. from both institutions cared for patients who were discharged from TTSH to the AMK National Healthcare Group Polyclinics’ (NHGP) rom 21 to 23 September, Tan Tock Seng Dementia Clinic. Hospital (TTSH) commemorated its annual So far, the AMK NHGP Dementia Clinic has FWorld Alzheimer’s Week with a series of seen 150 patients, with another 150 having received eventsƬ to raise awareness of the disease, as well as continued care at eight other NHGPs, thereby to educate and support caregivers. These included marking a 20 per cent rise in dementia care health talks, screenings of the movie Still Alice capacity and access. Patients who were transferred (about a woman with early-onset Alzheimer’s to the Dementia Clinic required fewer hospital disease), and interactive booths set up by TTSH’s visits, resulting in cost savings; caregivers also Centre for Geriatric Medicine and its partners. reported lower stress levels. TTSH has recorded A highlight was the 22 September launch of a 10 per cent increase in new patients receiving the Geriatric Integrated Network for Dementia diagnosis, and will soon be able to dedicate more (GerIND), graced by Mayor of Central Singapore time to handling complex cases once the Dementia District Ms Denise Phua. Through GerIND, better Clinic starts evaluating new patients. person-centred dementia care will be provided Dr Chong Mei Sian, GerIND Programme within the community. Director and Senior Consultant at TTSH’s Department of Geriatric Medicine, is encouraged A COMPREHENSIVE NETWORK by these results. “While dementia is a progressive GerIND started in 2012, when TTSH partnered disease, appropriate dedicated medical care to Ang Mo Kio (AMK) Polyclinic to pilot a Family those affected by dementia, depending on their Physician-led model of shared care. A team care needs, at various points of their condition will of doctors, social workers and psychologists help them stay healthier,” she said. “The network also aims to maintain a good quality of life for persons with dementia, and provide support for their families and caregivers.” Other key partners in the GerIND include the Care for the Elderly Foundation, General Practitioners in Singapore’s central region and the Agency for Integrated Care.
Active ageing was exemplifi ed with a drumming and musical performance by Golden Melodies, a troupe from Thye Hwa Kwan Beo Crescent.
Above: Ms Denise Phua (in red) with: (from left) Chief Nurse Mr Yong Keng Kwang, Director (Operations) Dr Fereen Liew, Chairman Medical Board A/Prof Thomas Lew, Senior Nurse Clinician Ms Philomena Anthony, Director of the Institute of Geriatrics & Active Ageing A/Prof Chin Jing Jih, and Chief Operating Offi cer Dr Jamie Mervyn Lim.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 43
40-48 Spotlight V4.indd 43 10/29/15 5:19 PM REGIONAL PLATFORM TO NETWORK AND SHARE KNOWLEDGE THE INAUGURAL SESSION OF THE TF HEAL PROGRAMME SAW REGIONAL HEALTHCARE LEADERS DISCUSSING POLICY IMPLEMENTATION STRATEGIES. Constantly Striving to rom 5 to 9 October, over 40 healthcare leaders and public officials from more than 10 Asian countries gathered in Improve FSingapore for the inaugural Temasek Foundation Healthcare ƬExecutives in Asia Leadership Programme (TF HEAL). Established with Quality in a grant of $589,000 from the Temasek Foundation, the programme is a platform for participants to share best practices and build networks Healthcare of cooperation within the region. TTSH DOCTOR RECOGNISED AT NMEA 2015. “We look forward to sharing knowledge with our regional partners, so that together we can provide better care for our respective n 21 August, the Ministry of communities,” said Professor Philip Choo, Health held the National Medical the Group CEO of National Healthcare OExcellence Awards (NMEA) Group (NHG) — which developed TF HEAL 2015Ƭ ceremony at the Shangri-La Hotel. together with SingHealth — at the session. The awards recognise the outstanding Healthcare issues, including governance, contributions of healthcare professionals
quality, and process improvement Above: Mrs Tan Ching Yee, Singapore’s for innovations in healthcare, patient and management, with a focus on policy Permanent Secretary for Health. safety, clinical quality, biomedical research, as well as training and education of clinicians. Health Minister Gan Kim Yong was the Guest-of-Honour. Receiving the National Outstanding Clinical Quality Champion Award was Associate Professor Thomas Chee, Clinical Director for Tan Tock Seng Hospital (TTSH)’s Office of Clinical Governance. A/Prof Chee, who is also Senior Consultant at TTSH’s Department of Diagnostic Radiology, was commended for his Mrs Tan Ching Yee with NHG and efforts as a pioneering advocate, teacher SingHealth and role model for the Clinical Practice representatives, and delegates. Improvement Programme (CPIP). Through the provision of evidence-based implementation strategies were covered. Administrators and care, the programme has brought about clinicians from both NHG and SingHealth shared their expertise better patient safety. in areas such as regional health systems, training and the On receiving the award, A/Prof Chee transformation of primary healthcare delivery. Participants also said, “I am grateful for the support given by visited key facilities of both healthcare clusters. The programme the leadership of the National Healthcare ended with a discussion on healthcare challenges and future Group and Tan Tock Seng Hospital. I will opportunities led by Mrs Tan Ching Yee, Singapore’s Permanent continue to do my part and strive to make Secretary for Health. our healthcare system — which is already The second edition of TF HEAL will be in March 2016. very good — even better.”
44 Lifewise NOV-DEC 2015
40-48 Spotlight V4.indd 44 10/29/15 5:20 PM WELLNESS BEYOND THE 8-5 IMH PLAY SHOWS HOW MENTAL HEALTH ISSUES AFFECT EVERYDAY PEOPLE.
Cast members acting out a scene from the play.
n 2013, the Institute of Mental Health (IMH) the Woodbridge Hospital Charity Fund which will go successfully staged a play called 8-5, put on by its towards various programmes that improve the lives Istaff, volunteers and patients. By showing how of IMH patients. Ƭmental health issues affect ordinary lives, the play For example, the money will aid a vocational demonstrated to the audience that sufferers of mental rehabilitation scheme that prepares recovered illness are not so different from the rest of us. patients for re-entry into the workforce; CLUB This year, on 29 and 30 August, IMH once again EPIP, which organises activities to improve recovery staged 8-5 with a refreshed cast and script. In it, of those with early-stage psychosis and their Dawn is a ‘superwoman’ granddaughter to a man with reintegration into society; and Nurturing Kids@IMH, dementia whom she dotes on — but she is stricken a holiday camp that helps children of patients build with guilt as she contemplates putting him in a resilience and better understand their parents’ illness. nursing home. Meanwhile, Steph is an attractive In all, some $270,000 was raised with the help woman who struggles to shut out the voices in her of sponsors; the Lee Foundation, Tote Board, head; and Naz is a girl-next-door who suffers from Swensen’s, Kwan Im Thong Hood Cho Temple, Obsessive Compulsive Disorder. Their paths cross due Far East Organization, National Healthcare Group to Arief, a kind-hearted ‘expert’ in mental health who Diagnostics, Nous Realty, ISS Facility Services, saves the day. Kopitiam Group of Companies, MINDSET Care, SMM, Three performances were staged to raise funds for Johnson & Johnson, Pico Art International, VAYA Pharma and Yi Kai Development. This year’s staging of 8-5 was directed by Dr Chris Tan and the play was attended by some 1,000 people. Said Dr Tan, “I think having a better understanding of mental illness and the people who suffer from them is an important first step. We are raising acceptance, support, empathy and reintegration for our patients.”
From left to right: In audience were Mr Lee Chow Soon, Chairman of Woodbridge Hospital Charity Fund; A/Prof Chua Hong Choon, CEO, IMH; Dr Amy Khor, Senior Minister of State for Health, and Environment and Water Resources; Mr Nelson Lee; Prof Philip Choo, Group CEO, National Healthcare Group.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 45
40-48 Spotlight V4.indd 45 10/29/15 5:20 PM Participants walking with colourful umbrellas in a successful attempt to break the Singapore Book of Records for having the largest number of mass walkers A Mad Dash walk with umbrellas. for Hope IMH AND TOUCH COMMUNITY SERVICES o commemorate World Mental RAN A GOOD RACE TO HIGHLIGHT Health Day on 10 October, the THE STIGMA OF MENTAL ILLNESS. TInstitute of Mental Health (IMH) partneredƬ Touch Community Services to raise awareness for depression and the stigma surrounding mental illness through a race event. Held at Sentosa, The M.A.D. (Make a Difference) Race was graced by Executive Director Ms Denise Phua, Mayor, Central Singapore Community of Touch Community Development Council, and other mental health partners, Services, Mr Eugene Seow, presenting a such as the National Council of Social Service, Silver token of appreciation Ribbon Singapore and the Singapore Association for to Chief Executive Offi cer of IMH, Mental Health. Some 700 participants, along with more Adjunct A/Prof Chua Hong Choon. Participants offering than 70 IMH staff and 15 patients, took part in the race. words of encouragement to those battling depression. THE SKINNY ON SKIN CONDITIONS NSC’S PUBLIC FORUM 2015 SHED LIGHT ON THE MANAGEMENT OF DERMATOLOGICAL CONDITIONS.
he treatment and management of rashes in adults took centre stage Tat the National Skin Centre (NSC)’s PublicƬ Forum 2015. Conducted in English and Mandarin, the forum was held on 10 October at The Grassroots’ Club at Ang Mo Kio. Titled “Be Clear About Rashes”, doctors from NSC sought to debunk common misconceptions about rashes and other dermatological conditions. Consultant Dr Hazel Oon kicked off the English forum by explaining how self-diagnosis of dermatological conditions can often led to incorrect hives and skin tests respectively. Above: Participants of both forums at the booths set treatment. The chair of the forum, Senior Senior Consultant Dr Leow Yung up by sponsors during the Consultant Dr Anthony Goon, then Hian chaired the Mandarin forum, while tea reception. Right: Senior Consultant A/Prof Chong provided insights into the management Associate Consultant Dr Yew Yik Weng Wei Sheng speaking on of hand eczema. He highlighted how the and Senior Consultant Associate pigmented lesions in the Mandarin forum. condition could be aggravated if sufferers Professor Chong Wei Sheng provided were engaged in occupations like food insights into various dermatological handling as their skin would be more conditions. likely to come in contact with trigger/ The forum concluded with allergens in their work environment. a discussion of skin tests Following this, consultants Dr Tee led by Associate Consultant Shang-Ian and Dr Chia Hui Yi spoke about Dr Chen Qi Ping.
46 Lifewise NOV-DEC 2015
40-48 Spotlight V4.indd 46 10/29/15 5:20 PM BUILDING A NETWORK THE AACRT CONFERENCE ENABLED RADIOGRAPHERS TO EXCHANGE IDEAS WITH PEERS FROM AROUND THE REGION.
In his opening address, Guest-of-Honour Health Minister Gan Kim Yong highlighted the upcoming State Registration for Radiographers and Radiation Therapists, as well as a new undergraduate degree course at the Singapore Institute of Technology. NHGD’s Executive Director Dr Tyrone Goh — recipient of the Minister Gan Kim Yong he Singapore Society of Radiographers, K Vaithilingam Medal, the society’s highest visiting the NHGD booth at the AACRT together with National Healthcare award — delivered the inaugural K Vaithilingam exhibitors area. TGroup Diagnostics (NHGD), hosted the memorial lecture. Dr Goh shared about his early 20Ƭth Asia-Australasia Conference of experience as a radiographer, which included Radiographers (AACRT) from 20-23 August training in the United Kingdom and designing at Suntec Singapore Convention & Exhibition the mobile X-rays and laboratory for combat Centre. The event was attended by 500 delegates support hospitals during his army days. This from countries of the Asia-Pacific region. concept was later adopted by NHGD, when it Its aim was to foster links between launched its own fleet of mobile imaging services professionals from the region and beyond. to benefit patients in the community.
NHGD will be gearing up to support the A Pillar of 2016 Formula 1 Singapore Grand Prix. Support NHG DIAGNOSTICS PLAYED A KEY ROLE AT THIS YEAR’S FORMULA 1 SINGAPORE GRAND PRIX.
his past September, when Singapore geared up for Tthe sporting event of the staff from National Healthcare through X-ray examinations. yearƬ — the Formula 1 Singapore Group Diagnostics (NHGD) Its mobile fleet team comprises Airlines Singapore Grand Prix — worked quietly behind the scenes trained radiographers equipped to close to 270,000 spectators with the onsite medical team at support medical deployment, and flocked to the Marina Bay Street the Circuit Medical Centre. Since providing teleradiology reporting Circuit to catch some trackside 2009, NHGD has been supporting with a turnaround time of an hour. action. While the world focused the clinicians by providing timely NHGD looks forward to its stint
PHOTO: LAT PHOTOGRAPHIC PHOTOGRAPHIC LAT PHOTO: on the cars and the drivers, and appropriate intervention at F1 Singapore GP next year.
NHG IS A REGIONAL HEALTH SYSTEM FOR SINGAPORE 47
40-48 Spotlight V4.indd 47 10/29/15 5:21 PM DIRECTORYAN EASY GUIDE FOR YOU TO CONTACT OR LOCATE US
specialty clinics such as the CLEMENTI POLYCLINIC NATIONAL Neuro-Behavioural Clinic, NHG PHARMACY Blk 451 Clementi Ave 3 Tel: 6340-2300 Psychogeriatric Clinic, HEALTHCARE GROUP #02-307 Fax: 6775-7594 Fill your prescription online: Mood Disorder Unit and HOUGANG POLYCLINIC www.pharmacy.nhg.com.sg CORPORATE OFFICE an Addiction Medicine 89 Hougang Ave 4 NHG Pharmacy manages 3 Fusionopolis Link Department. The treatment #03-08, Nexus @ one-north Fax: 6386-3783 the dispensary and retail at IMH integrates evidence- pharmacies at all nine Singapore 138543 based therapies, supported JURONG POLYCLINIC Tel: 6496-6000 / Fax: 6496-6870 NHG Polyclinics. Services by the departments of 190 Jurong East Ave 1 www.nhg.com.sg include Smoking Cessation Clinical Psychology, Nursing, Fax: 6562-0244 The National Healthcare Clinics, pharmacist-led Occupational Therapy and Group (NHG) is a leader in TOA PAYOH POLYCLINIC Anti-Coagulation Clinics Medical Social Work, to 2003 Toa Payoh Lor 8 public healthcare in Singapore, and Hypertension-Diabetes- provide holistic care for providing care through our Fax: 6259-4731 Lipidemia Clinics, where patients. IMH also provides integrated network of nine WOODLANDS POLYCLINIC pharmacists monitor and a 24-hour Psychiatric primary care polyclinics, 10 Woodlands St 31 help patients optimise their Emergency Service. acute care hospital, national Fax: 6367-4964 medication. Patients may also specialty centres and business YISHUN POLYCLINIC consult our pharmacists for divisions. NHG’s vision of 30A Yishun Central 1 treatment of minor ailments “Adding Years of Healthy Life” NATIONAL SKIN CENTRE Fax: 6852-1637 or for travel or nutritional is more than just about healing 1 Mandalay Road advice. NHG Pharmacy also the sick. It encompasses Tel: 6253-4455 / Fax: 6253-3225 provides comprehensive the more diþ cult but more www.nsc.com.sg medicationmanagement rewarding task of preventing The centre has a team of NHG COLLEGE services to Intermediate Long illness and preserving health trained dermatologists Tel: 6340-2351 / Fax: 6340-3275 Term Care facilities (ILTCs) and quality of life. As the to treat patients with various college.nhg.com.sg such as nursing homes. Under Regional Health System skin problems. To serve NHG College plays an the ConviDose™ programme, (RHS) for Central Singapore, patients better, there are instrumental role in facilitating medication is conveniently it is vital for NHG to partner sub-specialty clinics for the continuous learning and packed into individual sachets and collaborate with other diû erent skin disorders and development of our workforce, for patients according to the stakeholders, community laser surgeries. as well as driving leadership stipulated quantity and time advisers, volunteer welfare development and systems the pills need to be consumed. organisations and others in improvement in NHG. It this Care Network together collaborates with renowned with our patients, their families NATIONAL HEALTHCARE institutions and industry and caregivers to deliver partners to build the collective PRIMARY CARE ACADEMY integrated healthcare services GROUP POLYCLINICS capabilities of NHG leaders, Tel: 6496-6681 / Fax: 6496-6669 Contact centre: 6355-3000 educators, healthcare www.pca.sg and programmes that help in www.nhgp.com.sg professionals and sta in The Primary Care Academy “Adding Years of Healthy Life” National Healthcare Group û managing the health of the (PCA), a member of NHG, to all concerned. Polyclinics (NHGP) forms population in the central region. was set up to meet the NHG's primary healthcare professional training needs arm. NHGP's nine polyclinics of primary healthcare serve a signi cant proportion professionals in Singapore TAN TOCK SENG HOSPITAL of the population in the 11 Jalan Tan Tock Seng NHG DIAGNOSTICS and the region. PCA aims to Tel: 6256-6011 / Fax: 6252-7282 central, northern and western Call centre: 6275-6443 be a platform for sharing of www.ttsh.com.sg parts of Singapore. NHGP's (6-ASK-NHGD) / expertise and capacity building The second largest acute care one-stop health centres Fax: 6496-6625 among community healthcare general hospital in Singapore provide treatment for www.diagnostics.nhg.com.sg leaders and practitioners in with specialty centres in acute medical conditions, National Healthcare Group and around ASEAN. Endoscopy, Foot Care & Limb management of chronic Diagnostics (NHG Diagnostics) Design, Rehabilitation Medicine diseases, women-and-child is a business division of and Communicable Diseases. health services and dental NHG. It is the leading provider It covers 27 clinical specialties, care. NHGP also enhances in primary healthcare for JOHNS HOPKINS including cardiology, geriatric the eld of family medicine one-stop imaging and SINGAPORE medicine, infectious diseases, through research and laboratory services that is rheumatology, allergy and teaching. NHGP has also accessible, cost eû ective, INTERNATIONAL immunology, diagnostic been awarded the prestigious seamless, timely and accurate. Joint Commission International NHG Diagnostics supports MEDICAL CENTRE radiology, emergency 11 Jalan Tan Tock Seng (JCI) accreditation under polyclinics, community medicine, gastroenterology, Tel: 6880-2222 / Fax: 6880-2233 the Primary Care Standards. hospitals, nursing homes, otorhinolaryngology, www.imc.jhmi.edu Through the Family Medicine general practitioners and orthopaedic surgery, Johns Hopkins Singapore Academy and the NHG the community at large via ophthalmology and International Medical Centre Family Medicine Residency its extensive network in general surgery. (JHSIMC) is a licensed Programme, NHGP plays an Singapore, Indonesia and 30-bed medical oncology integral role in the delivery Vietnam. Its services are facility located in Singapore, of primary care training at available in static and mobile a joint venture between the medical undergraduate and centres. Mobile services INSTITUTE OF NHG and Johns Hopkins post-graduate levels. include general X-ray, Medicine International (JHMI). MENTAL HEALTH mammogram, ultrasound, It is the only fully-branded Buangkok Green Medical Park, ANG MO KIO POLYCLINIC bone mineral densitometry, Johns Hopkins facility 10 Buangkok View Blk 723 Ang Mo Kio Ave 8 and medical courier. It also Singapore 539747 outside the United States, #01-4136 Fax: 6458-5664 provides tele-radiology service, Tel: 6389-2000 / Fax: 6385-1050 providing inpatient and laboratory and radiology www.imh.com.sg BUKIT BATOK POLYCLINIC outpatient medical oncology management, and professional Specialist mental health 50 Bukit Batok West Ave 3 care, medical intensive consultancy services in setting services are provided to meet Fax: 6566-2208 care, laboratory services, up of imaging centres and the special needs of children CHOA CHU KANG POLYCLINIC hospital and retail pharmacy, clinical laboratories. and adolescents, adults and 2 Teck Whye Crescent general internal medicine the elderly. There are sub- Fax: 6765-0851 and health screenings.
48 Lifewise NOV-DEC 2015
40-48 Spotlight V4.indd 48 10/29/15 5:21 PM THE NEW NHG CORPORATE YEARBOOK is now published!
The e-version is available at WWW.NHG.COM.SG
“Preventive Care in a nutshell embraces the community where the person resides — where neighbours are the hands, eyes and ears for each other — caring for one another, akin to the kampung spirit.” Professor Philip Choo, Group Chief Executive Officer, National Healthcare Group 15 years of NHG and beyond: WE ARE WITH YOU
IBC Adv V6.indd 49 10/29/15 4:52 PM Lifewise sep-oct ads.indd 3 8/31/15 4:17 PM