2012 Disclaimer No part of this publication may be reproduced or transmitted by any or other means, including electronic, mechanical or photocopying or in any information storage and retrieval system, without the prior written permission of BP Healthcare Group.

About a year ago(2003), I was diagnosed with cancer. I had a scan at 7:30 in “the morning, and it clearly showed a tumour on my pancreas. I didn't even know what a pancreas was. All the doctors told me was that this was almost certainly a type of cancer that is incurable, and that I should expect to live no longer than three to six months." Later that evening, I had a biopsy, where they inserted an endoscope down “my throat, through my stomach and into my intestines, put a needle into my pancreas and removed a few cells from the tumour. I was sedated, but my wife, who was there, told me that when they viewed the cells under a microscope the doctors started crying because it turned out to be a very rare form of pancreatic cancer that is curable with surgery. I had the surgery and I'm fine now." If it wasn't for the wonders of health screening, diagnosis and treatment, Jobs would not be able to introduce iPhone 3G on June 9, 2008, new iPod media players on Sept 9, 2008, and unveil a lighter MacBook Air laptop on Oct 20, 2010

Source: http://news.stanford.edu/news/2005/june15/jobs-061505.html

http://www.bloomberg.com/news/2011-01-17/steve-jobs-s-health- reports-since-his-cancer-diagnosis-in-2003-timeline.html

Steve Jobs 1955-2011 Contents

History 1-2

Corporate Structure 3

Board Of Directors 4-7

Medical Advisory Council 8-10

Chairman’s Message 11-12

Awards & Recognitions 13-14

Frost & Sulivan Analyst Quote 15

Health and You : A healthy lifestyle to a healthier you 16-17

Health and You : When to consider an upper gastroscopy 19-20

Tech News : CT Scan 21-23

Tech News : Computed Radiography 24-25

Tech News : Venturing into Environmental Testing 26-27

A Doctor’s Point of View : Understanding Health Screening 28-29

A Doctor’s Point of View : Physicians -Who are we and what we do 30

A Doctor’s Point of View : Pre-employment medical check up 31-33

Pharmacy Updates : Essential Healthcare Kit 34-36

Pharmacy Updates : Your Say BP Travel Kit 37-38

BP PRODUCTS & SERVICES : BP Card 39

BP PRODUCTS & SERVICES : POPE 40-41

BP PRODUCTS & SERVICES : HEARING SOLUTIONS 42-45

BEST OF 2011 : BP Polo 46-47

BEST OF 2011 : Giving Back to Community 48-49

BEST OF 2011 : Trainig Courses 50

Contact List 51-52 History

BP Healthcare Group was founded on January 1, 1982 by Dato’ Beh Chun Chuan and his wife Datin Poh Lay See.

Dato’ Beh Chun Chuan is the founder and Chairman of BP Healthcare Group of companies which includes BP Diagnostic Centre, BP Clinical Lab, BE-P Pharmacy, BP Business Solutions, Labpro, BP Food Testing, BP Ambulatory, BP Radiology and BP Properties.

Dato’ Beh is the pioneer shareholder and director of Hospital Pantai Ipoh and Sunway City (Ipoh) Sdn Bhd.

Sunway City (Ipoh) Sdn Bhd is an integrated multi-billion resort township in Ipoh. Dato’ Beh private investment, Shan San Ling Holding Sdn Bhd and his partners SEDC Perak, Yayasan Perak and Dato’ Beh Chun Chuan IGB Utara jointly owned Kinta Valley Resort Sdn Bhd investment which has 35% equity in Sunway City (Ipoh) Sdn Bhd.

Dato’ Beh was a past committee member of Perak Chinese Maternity Hospital. He was also the founder and past President of Malaysian Association of Private Medical Laboratories.

Dato' Beh earned his Bachelor of Science from University of Santo Tomas in 1978, and then pursued his graduate studies in Medical Microbiology in 1980 and during which he was awarded a Fellowship from the South East Asia Ministry of Education Organisation (SEAMEO) Tropical Medicine, in the Institute of Medical Research, K.L. He subsequently obtained a Master in Business Administration from Golden Gate University, San Francisco, USA in 1986.

Datin Poh Lay See is a property investor and developer who is involved in her family's investment holdings. Datin Poh comes from a prominent business family in Ipoh, Perak. The Poh family's initial core business in the early 50's was in commodities trading, wholesales and retailing. Today their group diversified into many businesses.

Datin Poh Lay See's father, Mr. Poh Chee Meng founded Aun Huat Brothers Group of companies and together with his other business partners, they founded many big local and international corporations. Mr. Poh Chee Meng is the pioneer founding member of IGB Corporation Bhd, Ipmuda Bhd, IGI (Singapore) Ltd, Ruberrex Bhd and many others. Datin Poh Lay See

1 BP ALIVE 2012 2011 Official opening ceremony of BP Specialist Centre Glenmarie by Minister of Health, Dato’ Seri Liow Tiong Lai

BP Diagnostic Centre Sdn Bhd was being awarded by The Malaysian Trade Industry Organization 2011 in the Malaysian Innovation Excellence Award 2010

1st Diagnostic Centre to be awarded with Best Brand in Wellness - Primary Healthcare and 2011 Screening by The Brand Laureate

1st Diagnostic Centre in Asia Pacific to be awarded by Frost & Sullivan in Customer Value 2010 Enhancement Awards in Diagnostics

2009 Establishment of BP Hearing Solutions to cater for hearing loss customers

2008 BP Diagnostic Centre obtained ISO 9001 for Quality Management System

BP Clinical Lab obtained MS ISO 15189 - 1st locally owned lab in achieving full scope 2008 ISO 15189 accreditation

2006 BP Diagnostic Centre Cheras started providing tele-radiology services

2005 Opening of additional 6 more BP Diagnostic Centres in Malaysia

2004 BP Business Solution obtained MSC status

2004 BP Clinical Lab obtained ISO 9001 for quality management system

2004 BP started BP Food Testing services in Butterworth and obtained ISO 17025 and DVS Certification

2001 BP Clinical Lab obtained ISO/IEC 17025 for Blood Lead

1995 BEP-Pharmacy officiated by Minister of Health, Dato’ Lee Kim Sai

1984 BP expanded its 1st outlet to Taiping and subsequently nationwide chain

1982 Dato' Beh and Datin Poh Lay See founded BP Clinical Lab

BP ALIVE 2012 2 Corporate Structure

Over 30 years of innovation and BP Diagnostic Centre BP Radiology transformation today BP Healthcare Group has over: Hospital Pantai Ipoh BP Hearing Solutions 50 LABORATORIES BP Food Testing BP Ambulatory 40 DIAGNOSTIC CENTERS 40 HEARING AID CENTERS BP iTech BP Polo Club 40 DISPENSARIES LabPro BP Environmental Testing 50 FOOD & INDUSTRIAL TESTING CENTERS BP Clinical Lab Be-P Pharmacy With this network nationwide and still expanding, countless awards and credentials earned, BP Healthcare BP Business Solutions Group is certainly an undisputable leader in the Malaysia Healthcare Industry.

Serving more than 35 million customers over the last 30 BP HEALTHCARE years and still counting. We provide comprehensive health care in all discipline to cover the needs of Medical GROUP Practitioners, Hospitals and Corporate Clients.

BP Diagnostic Centre (BPDC) BP Clinical Lab BP Hearing Solutions Largest medical chain of diagnostic 1st lab in Asia to be awarded JCI accreditation BP Hearing Solutions has become largest centres in South-East Asia. 1st locally owned lab in Malaysia achieving full hearing solution chain in Malaysia. 1st diagnostic centre in Asia Pacific to be scope ISO 15189 accreditation Backed by team of specialist namely ENTs & awarded by Frost & Sullivan in Customer The Malaysia laboratory with the widest audiologists Value parameter of test being accredited with 135 test Best Brand in Wellness-Primary Healthcare & Largest laboratory chain in the country with 50 BP Polo Club Screening by BrandLaureate labs span throughout Malaysia Established in 80’s by Dato’ Beh Chun Chuan 1st healthcare company to be awarded and his children. National Mark of Malaysian Brand Locally and internationally reknown and won LabPro long list of championships and awards for Labpro is the distributor of a wide range of the past 20 years. Hospital Pantai Ipoh healthcare supplying laboratory & medical Dato’ Beh is the founder & substantial equipment, consumables & disposables. shareholder of Hospital Pantai Ipoh. BP Environmental Testing This is a provision of a total & comprehensive Other shareholder include Khazanah range of chemical and industrial testing, heavy (Malaysia’s Sovereign Wealth Fund). BP Radiology BP Radiology providing out-sourcing metals screening and analytical services to tele-radiology services to BP Healthcare government agencies, private industrial and BP Food Testing Group, clinics, medical centers both locally manufacturing facilities and the general public. Principally involved in providing wide range of and internationally. industrial & food testing services. Be-P Pharmacy ISO/IEC 17025 accredited lab. BP Ambulatory With BP Online Pharmacy, you can enjoy a personal consultation with our pharmacists. Providing in-house secured and controllable logistic for blood samples, pharmacy delivery Developed in-house proprietary products such BP iTech as our BP Travel and BP Flu Kit. Develops software, supporting & maintaining IT and clinical waste. system of BP Healthcare Group. BP Business Solutions In-house proprietary products: LIS, Pharmacy Awarded MSC status by the Government. software & VClinic. The biggest software provider to private clinics in the country.

3 BP ALIVE 2012 Board Of Directors

DATO’ BEH CHUN CHUAN Chairman

CHEVY BEH YEN SAN LOVY BEH JOEVY BEH HO POOI YEE Director of Finance & Director of Hearing, Food Director of Business Director of Pharmacy Investment & Environmental Testing Development

REUBEN POH ONG CHIANG HOCK WILLIAM CHAN TAN SRI DATO COL RTD (DR) PAK SOONG YEONG HAN Director of Food, DR M JEGATHESAN LIM AIK BOON Director of Hearing, Director of Environmental Director of Technical Director of Radiology Solutions & Infrastructure & Medical Lab) LabPro Sdn Bhd

BP ALIVE 2012 4 Board Of Directors’ Profile

CHEVY BEH YEN SAN Director of Finance & Investment

Mr Beh is the Director of Investment and Finance at BP Healthcare Group.

He is also a co-founder and principal at Compradore Capital, LLC, a private equity firm. He also the founder and partner of Max Healthcare (Thailand) Pte Ltd. He also serves as Directors of Hospital Pantai, Ipoh and Sunway City (Ipoh) Group, an integrated billion Ringgit township.

Mr Beh was formerly a China-focused analyst at the Maxim Group (member of NYSE), an investment bank based in New York. His areas of expertise included assisting Chinese companies to raise funds in the US capital market. Prior to joining Maxim, he was an associate at Dominick and Dominick (member of NYSE).

Mr Beh is a Chartered Alternative Investment Analyst (CAIA) and also a National Association of Securi- ties Dealers (NASD) registered representative (Series 7, 63, 65). He received his Bachelors degree from the University of Virginia, USA with a double major in Economics and East Asian Studies.

At UVA, he was the captain of the Collegiate Polo Team and was merited the National American- Intercollegiate all stars, America. Prior to that, he was the England polo captain for under-21 English School National Team.

Mr Beh studied at various institutions, among them Cambridge University, Harvard University, Stanford University and Beijing University. He is a young executive member of the Asia Society, New York City, USA and polo ambassador for the Asian region. He currently serves as Vice-President of Equine Association Malaysia (EAM). In 2011, Mr. Beh made history by being the youngest to lead the Equestrian Team and also the youngest Team Manager of all sports at the 2011 SEA Games held in Jakarta, Indonesia.

LOVY BEH (MPharm, MRPharmS) Director of Pharmacy

Lovy Beh joined the BP Healthcare Group in December 2008 as the Head of Pharmacy and Purchasing Department after obtaining her Master of Pharmacy from the School of Pharmacy, University of London in 2006.

She is a registered pharmacist in both the UK and Singapore, having completed pre-registration pharmacist training in King's College Hospital, London and also a community pharmacy in London in 2007. Subsequently, Lovy practiced pharmacy in London followed by a stint at the Singapore General Hospital (SGH).

She is a certified Trainer for Handling Abusive Patients in Care Delivery Setting, a certified Anticoagula- tion Clinic Pharmacist, and a certified Asthma Clinic Pharmacist. In March 2011, she was awarded the Special Retention Award by SGH among the other leadership roles given to her.

JOEVY BEH Director of Hearing, Food & Environmental Testing

Joevy Beh joined BP Healthcare Group in 2011 as Director of BP Hearing Solutions and Labpro.

He attended high school in Wellington College, England and continued his tertiary education at the University of Virginia, USA and graduated in 2010 with a BA in Economics and Anthropology.

He was previously working as an intern at AIG, New York and had also intern at Acadian Asset Management, an 80 billion dollar fund company based in Boston.

Joevy was the founder & president of BDG Virginia Polo Society, which comprised of a total of 150 members to date. During his term, he was actively involved in raising funds for various charity events through polo tournaments.

5 BP ALIVE 2012 Board Of Directors’ Profile

HO POOI YEE Director of Business Development

Ms Ho is the Director of Business Development at BP Healthcare Group.

Backed by various experiences in the group, she is currently overseeing and actively involved in the group business development activities.

She was the Chief Operating Officer of Penang in 2008 and of Klang Valley in 2009. She also was a trained medical laboratory technologist in Ipoh and Taiping. She served the company as a Group Purchaser, handling local and international purchases for the group.

Ms Ho obtained her first class Bachelor degree (Hons) in Industrial Biology, Universiti Technology Malaysia. She was also trained in Veterinary Research Institute, Ipoh.

REUBEN POH YEONG HAN Director of Infrastructure

Mr Poh is the Director of IT and Communications at BP Healthcare Group.

He has been with BP Healthcare Group for nine years and he oversees various businesses includ- ing BP Business Solutions Sdn Bhd, BE-P Pharmacy Sdn Bhd, BP Healthcare Sdn Bhd, BP Hear- ing Solutions Sdn Bhd and BP Aesthetic Sdn Bhd.

He was involved in assisting the group in achieving MSC Status for BP Business Solutions Sdn Bhd and also ISO accreditation for BP Diagnostic Centre Sdn Bhd and BP Clinical Lab Sdn Bhd.

He also serves as an Alternate Director for Hospital Pantai Ipoh and Sunway City (Ipoh) Group. He currently serves as a council member of the Malaysian Association of Private Medical Laboratories (MAPML).

Mr Poh has a double degree from University of Sydney in Telecommunications and Commerce (major in Economics and Finance). He is a member of Golden Key and MENSA society. He was also very active in tennis where he was part of the Perak Sukma winning team in 1995 and also represented University of Sydney in the Melbourne University Games in 1998.

TAN SRI DATO DR M JEGATHESAN Director of Technical

Dr M Jegathesan joined BP Healthcare Group as Consultant Pathologist (Microbiology) on 15th of April 2011.

He had 32 years of working experience with the Ministry of Health Malaysia, culminating in the post of Deputy Director General (Research and Technical Support) from 1994 to 1998. Previously, he was the Director Institute for Medical Research, KL from 1988 to 1994, Head of Laboratory Services, HKL from 1985 to 1988 and Head Division of Bacteriology and IMR from 1971 to 1985.

Dr M Jegathesan has a passion for researches in infectious disease and medical microbiology, resulting in over 100 publications and active participations in various research programmes and committees including the UNDP affiliated council for Health Research for Development in Geneva from 1988 to 2000 where he served as a medical adviser.

He had won numerous awards, including National Science Award (1995), Rotary Club of KL Research Award (1995) and the Senior Fellow and Academician, Academy of Sciences Malaysia (2006).

He graduated from the University of Singapore in 1967 with a Medical Degree. He also received a Diploma in Tropical Medicine and Hygiene from Mahidol University Bangkok in 1969 and a DCP qualifi- cation from the University of London in 1971.

On March 2011, he was appointed Pro-Chancellor of University Sains Malaysia (USM).

BP ALIVE 2012 6 Board Of Directors’ Profile

ONG CHIANG HOCK Director - Food, Environmental & Medical Lab

Mr Ong is the Director of Food, Industrial and Medical Testing in 2009.

He has been working with BP Clinical Lab Sdn Bhd (BP Healthcare Group) since 1992.

From a Laboratory Manager of the Penang branch, he was promoted to Asst General Manager of Northern Region, and later to Chief Executive Officer of Labpro Sdn Bhd (the engineering & technical division of the group).

He has assisted the group to achieve several ISO 9001 certification, ISO/IEC 17025 laboratory accredi- tation and ISO 15189 accreditation for medical testing.

In 2004, he set up BP Food Testing Sdn Bhd to provide a comprehensive range of food microbiological testing and chemical analyses services.

He is a registered Medical Laboratory Technologist with Malaysian Institute of Medical Laboratory Sciences since 1997, and a registered Chemist with the Malaysian Institute of Chemistry since 1998.

He obtained his Bachelors degree in Clinical Biochemistry (Hons) from National University of Malaysia in 1990.

He was trained in Hospital Lam Wah Ee Penang and Institute for Medical Research ().

COL RTD (DR) LIM AIK BOON (Radiologist) Director - Radiology

Dr Lim Aik Boon is the Consultant Radiologist in BP Healthcare Group since January 2007.

He graduated from University Malaya Medical Centre in 1992 with a Bachelor in Medicine and Surgery. (later obtained his Masters in Radiology in 2000)

He has vast experiences in general radiography, ultrasonography including Doppler ultrasound, transrectal and transvaginal ultrasound, musculoskeletal ultrasound, and ultrasound guided biopsy and drainage, fluoroscopy, mammogram, CT scan including CT guided biopsy and drainage, MRI, teleradiology and teleultrasound.

Dr Lim has great interest in musculoskeletal radiology and had attended various programmes and workshops throughout his career, including the International Skeletal Society Outreat Programme 2003 in Langkawi, International Skeletal Society Refresher Course 2005 in Singapore and the Asian Musculo- skeletal Workshop 1999 in KL.

WILLIAM CHAN PAK SOONG Director of BP Hearing Solutions & Labpro Sdn. Bhd.

Mr Chan was the Head of Engineering Department in year 2009 & Chief of Operating Officer of BPHS & Labpro in 2011, at BP Healthcare Group.

He obtained his Bachelor Degree (Hons) in Electrical & Electronics Engineering, University Leeds Metro- politan, United Kingdom. He also studied Master of Science in Electrical Engineering with Power Electronics, University of Bradford, UK & currently pursuing an MBA.

He worked as Technical Service Manager for several years in Manchester, UK, specialized in Engineer- ing R & D (Research & Development), Robotics & Cinematography. He is a member of Institution of Engineering & Technology (MIET), a British professional body. He is also a registered professional engineer in UK.

Mr. Chan is actively involved in swimming, water-polo & life-saving. He represented the state for several major competitions and also the country in Malaysian Open Swimming championship & National life saving competition in 2000. On top of that, he holds a black belt in taekwondo and a member of Interna- tional Taekwondo Federation.

During his college education, he was the President of Swimming Club for two consecutive years, water- polo team captain & council member of the 7th & 8th INTIMA (College’s Student Government)

7 BP ALIVE 2012 Medical Advisory Council’s Profile

DR TAN KIA GIN Chief Medical Officer

Dr Tan joined BP Healthcare Group as Medical Consultant on Dec 1, 1996.

He was promoted and re-designated to Chief Medical Officer in October 2002.

He is highly regarded for his expertise and professionalism. His experience is not only limited to the medical field - he is also a member of BPHG’s senior management team and is actively involved in the daily management and decision-making process of the group’s diagnostic business division.

Dr Tan graduated from Universiti Malaya with MBBS in August 1992. He had also obtained the certificate of Occupational Health Doctor from the National Institute of Occupational Safety and Health in 2006.

DR QUAH SAY CHUAN Deputy Chief Medical Officer

Dr Quah is the Deputy Chief Medical Oficer in BP Healthcare Group.

He joined BP Healthcare in 2004 after serving with the Ministry of Health for five years. He was promoted to Area Medical Officer in 2007 and subsequently to Deputy Chief Medical Officer for BP Healthcare Group in January 2009.

Dr Quah graduated from Universiti Malaya with MBBS in 1998. He had also obtained the certificate of Occupational Health Doctor from the National Institute of Occupational Safety and Health in 2006.

DR CHIN LEE GEAT Area Medical Officer - Northern Region

Dr Chin was appointed the Area Medical Officer for the Northern Region in April 2009.

She previously worked as a medical officer under the Ministry of Health from 2003 to 2007 before joining BPHG as medical officer in DC Butterworth in June 2007.

Dr Chin has keen interest in Preventive Medicine and internal Medicine. She had also obtained the certificate of Occupational Health Doctor from the National Institute of Occupational Safety and Health in 2009, and is now actively involved in public health screening, treatment and caunselling.

She is also currently pursuing studies in executive Master of Business Administration in Wawasan Open University.

Dr Chin obtained her Medical Degree in 2003 from Universiti Kebangsaan Malaysia.

BP ALIVE 2012 8 Medical Advisory Council’s Profile

DR GAN LING LING Director - BP Clinical Lab (Technical)

Dr Gan joined BP Group in 2004 and has been appointed as Area Medical Officer in October 2009.

Previously, she served in Klang General Hospital, Seberang Jaya Hospital and Bayan Baru Health Clinic. She obtained an “Excellent Service Award” from the Ministry of Health in 2004. During her service with the government health clinic, she was involved in the District Specific Approach (DSA) research.

Dr Gan has many years of experience in performing ultrasound, stress test, maternal and child health services.

She completed her MBBS and graduated from Universiti Malaya in 2000. In 2004, she obtained an X-ray certification.

DR JULIA MUCHAR BT. MUNCHAR JAJULI Consultant Pathologist

Dr Julia is the Laboratory Director at BP Healthcare Group.

She has been with the group for five years. She was previously appointed Consultant Pathologist for BP Lab Sdn Bhd on Feb 1, 2005 and was subsequently appointed Laboratory Director on Sept 1, 2007. Dr Julia has extensive experience in Cytopathology and has been a member of the International Academy of Cytology since 2000.

She obtained her first professional degree (Bachelor of Medicine, Bachelor of Surgery degree) at Universiti Malaya in 1992 and later attained her Masters in Medicine (Pathology) from Universiti Kebangsaan Malaysia in 1999.

DR POH BEE HOON Consultant Pathologist

Dr Poh (Anatomic Pathology) is a Consultant Pathologist.

After her graduation in 1998, she did her housemanship in Hospital Sultanah Aminah, Johor Baru. Subsequently, she spent three years in the department of internal medicine in Hospital Selayang before attending the Master of Pathology course in 2001.

She was awarded the Dr Ranjeet Bhagwan Singh gold medal in 2005. Following that, she worked as a pathologist in Hospital Queen Elizabeth for two years before joining BP Healthcare Group in 2007.

Dr Poh obtained her MBBS in 1998 from Universiti Malaya and her Master in Pathology in 2005 from Universiti Malaya.

DR LEONG HUI SHAN Physician

Dr Leong was appointed as a physician at BP Healthcare Group on Sept 2, 2008.

She worked as a General Physician since 2004 in Ipoh Hospital and was transferred to Taiping Hospi- tal in 2007.

She graduated from Universiti Kebangsaan Malaysia with a Medical Degree in 1997. In 2004, she completed her post-graduate training in Internal Medicine and obtained MRCP (UK) from the Royal College of Physicians, UK.

9 BP ALIVE 2012 Medical Advisory Council’s Profile

DR LEE BEE SUN Physician

Dr Lee joined BP Healthcare Group as a Physician on July 1, 2011.

After graduating from the International Medical University (IMU) in 2004, she had her post-graduate training in Hospital Taiping. In 2008, she obtained the Diploma of Membership from the Royal Colleges of Physicians (MRCP) of United Kingdom (Edinburgh).

There after, she was transferred to work as a General Physician in Hospital Serdang and Hospital Selayang where she was also trained by Consultant Gastroenterologists to perform upper gastros- copy (OGDS).

DR LU YING SHEAN Physician

Dr Lu joined BP Healthcare Group as a Physician on August 2, 2011.

She graduated with a medical degree (MBBS) in 2003 from the International Medical University, Malaysia (IMU). She obtained her MRCP (UK) from the Royal College of Physician of United Kingdom in 2007.

Before joining BP Healthcare Group, she practised at Queen Elizabeth Hospital at Kota Kinabalu, Sabah for 8 years and was the acting head of the Neurology Unit in April 2009.

DR NANI NORDIN Chemical Pathologist

Dr Nani joined BP Healthcare Group as a Chemical Pathologist on September 4, 2011.

She obtained her undergraduate medical degree from the University of Queensland, Australia in 1999. She then served as a houseman and medical officer in various clinical fields including the pathology department in University Malaya Medical Centre and Hospital Selayang from 2001 to 2006.

She did her postgraduate study in Masters in Pathology (Chemical Pathology) in University Malaya from 2006 to 2009. She trained as a chemical pathologist in Hospital Selayang, and was gazetted as a Chemical Pathologist by the Ministry of Health in 2010.

BP ALIVE 2012 10 Chairman’s Message

2012 marks a very special year for the BP Healthcare Group as the Group celebrates its 30th Anniversary.

This year, the founder's second generation is actively taking charge of the Group’s business activities and expansion programmes, assisted by the committed and loyal Group's senior management and staff force.

How We Started I did a Management Buy Out (MBO) on January 1, 1982, from my former boss after working for his company for 14 months at the age of 23. Confidently, I changed the company name to which include the 128-Slice CT scan, DEXA, BP Clinical Laboratory with my girlfriend, who had mammogram, colour doppler ultrasound and subsequently become my wife. Computer Radiology system. These state-of-the-art equipment allow digitised images to be conveniently BP represents my surname, Beh, and my wife's surname, recorded into our Electronic Medical Record (EMR) Poh. I am glad and fortunate to have taken the courage to and enables these images to be linked venture into my very first business which has yielded tele-radiologically and accessed globally. This promising and encouraging results. facilitates doctors in providing, and patients, in enjoying better quality services and quicker BP Clinical Laboratory Partnership Company became a turnaround results, filmless reports and long, limitless Private Limited Company (PLC) and later seeded the Group’s records archiving. expansion to over twenty companies and investments. How We Will Move On How We Have Progressed This year the group is embarking to market our new For the past three years, the Group has registered triple digits product known as Total Radiology and Imaging compounded annual growth rate (CAGR) in terms of sales Solution to all government and private hospitals, and profit. The Group completed its first phase of PROJECT clinics and diagnostic centres. All prospects can have 50, which aims to set up 50 branches for each of its business a choice of selecting the different packages from entities as below:- hardware, software, consultancy services and financing to total out-sourcing the entire department and enjoy profit sharing scheme. 1 50 medical laboratories 2 50 diagnostic centres In this challenging era, we aim to educate and introduce fully integrated, web-based applications to 3 50 dispensaries and pharmacies all our users, including doctors within our Group, 4 50 hearing centres referring doctors, patients, suppliers and other stakeholders. We are introducing Apple, Google and 5 50 food, environment and industrial testing Android applications into our system to create a centres friendly and easier way of doing futuristic business. In 6 50 nutritionist and dietician centres other words, BP MUST be there!

7 50 tele-radiology centres With our always-growing and ever-expanding Group 8 50 clinical waste collection centres services and facilities, many doctors and specialists have joined us, including Medical Physicians, Pathologists, ENT Specialists, Gastroenterologists Along with our expansion plan, a few of our diagnostic and Radiologists, and other medical support centres have been upgraded to Ambulatory Day Care, professionals like Pharmacists, Nutritionists, known as BP Specialist Centres. Dieticians, Radiographers, Sonographers, and others to meet the market's demand. With continuous The Group has invested heavily in sophisticated growth and more specialised services being equipment and developed a new, fully integrated introduced, the Group will soon have a chain of web-based internet software system. These radiology boutique hospitals with the up-grading of BP and ultrasound equipment have digitised capabilities, Diagnostic Centres and BP Specialist Centres.

11 BP ALIVE 2012 Regional expansion has already taken place with This year the Group will be investing and introducing the renowned global partners, namely, the Redbull family in following complementary services and facilities:- Thailand and the Ciputra Group in Indonesia. These global partnerships help generate more opportunities to 1 Dental care grow and expand our outreach in this region. As both 2 Eye care countries have larger populations and business opportunities as compared to Malaysia, this augers well for 3 Expanding in-house Corporate Medical Panelship BP Healthcare Group’s aspiration to be a billion-ringgit service company. Our objective is to develop another 100 outlets 4 Expanding in-house Corporate Nutritionist and in Indonesia and 50 in Thailand within the next 3 years. Dietician Panelship service.

BP Pharmacy is expanding parallel to its in-house 5 More wellness road shows such as "Beauty Outside, Healthy Inside" dispensaries to meet BP Diagnostic Centres’ demand. It has openly introduced online pharmacy to the public to 6 More CSR projects, either individually or jointly serve more customers, in contrast to the previous practice with others of providing sales to a limited number of only a few 7 Total Radiology and Imaging Solution thousand private clinics. BP Pharmacy recently re-introduced the wholesale pharmacy business in which 8 Mobile Diagnostic we adopted a new business concept via banking facilities 9 Mobile Radiology as third-party operators to do away with the collection burden with customers. BP Pharmacy currently has several successful proprietary products and with our trusted brand For the past year, the Group has achieved numerous and global network reach, we hope to introduce more awards and accreditation as follows; products to better serve our customers. 1st Medical Lab in Asia to obtain Joint Commission In addition, the Group is also setting up a chain of retail International (JCI) by an American body pharmacies under Lovy Pharmacy which will focus on a 1st Diagnostic Chain in Southeast Asia to be whole new business approach, including drive-through awarded by Frost & Sullivan in Customer Value pharmacies, home deliveries and will be offering open Enhancement online purchases from the Lovy Pharmacy website. The Group intends to up-grade 10 BP Diagnostic Centres' 1st Healthcare Company to be awarded the Malaysian Brand by SIRIM and SME Corp, dispensaries to become the Lovy Pharmacy chain within the first quarter of 2012 and to open another 50 Lovy 7th Asia Pacific Super Brand, Pharmacies by the end of 2012. Lovy Pharmacy will be International Super Crown by a body in Paris, operating either alongside a BP Diagnostic Centre, or as an independent retail pharmacy. The Group aspires to expand Golden Bull Award, Lovy Pharmacies as among one of the few largest retail SOBA Award, pharmacy chains in the country within the next three years! Brand Laureate,

BP Hearing Solutions Sdn Bhd is now the sole Malaysia Trade and Industry Recognition award. distributor in Malaysia for Beltone, a renowned hearing aid product from Denmark, in which its parent company is The above prestigious awards have helped in bringing BP listed with a market capitalization of a few billion Healthcare Group to a greater level. Euros. The Group has a panel of audiologists to provide and supervise professional audiograms and hearing 2011 is the fastest growing year in terms of sales fittings. To further develop this hearing service, the Group performance, outlets opening and recruitment in the past 3 has recruited and re-enforced a panel of ENT specialists decades. The Group expects to see the same, if not better to further increase and to provide comprehensive hearing achievement in 2012. This includes setting up of 100 solutions service, thus offering patients who require branches locally within the next two years via second phase specialist service to benefit from a truly one stop centre. of Project 50. With close business ties with our Asian partners in Indonesia and Thailand, the Group is anticipating BP Food Testing has been expanding very rapidly and is a rapid expansion of diagnostic centre chains in these now offering a wide variety of tests for food materials. countries, too. In terms of new programmes, the Group will With that in place, we are now introducing a wide range of be introducing anti-aging services this year. new tests for environment testing via our new company, BP Environment Testing Sdn Bhd. Concurrently, the Group I would like to take this opportunity to thank all my dedicated is also planning to develop other testing service related staff, stakeholders and supporters for making BP to oil and gas this year. Healthcare Group a truly Malaysian household brand and an undisputed leader in health check with our registered trademark, Head2Toe™.

BP ALIVE 2012 12 Awards & Recognition

2010 Malaysia Frost & Sullivan Customer Value Enhancement Award in Diagnostics

The Malaysian Trade and Industry Organisation Award - The Malaysian Innovation Excellence Award 2010

The Brandlaureate Award SMEs Chapter Awards Best Brand in Corporate Branding, Best Brand in Wellness - Primary Healthcare and Screening.

13 BP ALIVE 2012 Awards & JOINT COMMISSION Recognition INTERNATIONAL (B.P. CLINICAL LAB SDN. BHD.)

BP Healthcare Group has been been awarded the IQC International Crown in the Gold category

BP awarded The Best ISE CV Performance by Abbott

BP Diagnostic Centre won The Malaysian Trade & Industry Recognition Award 2010 National Mark of Malaysian Brand by SME Corporation Malaysia and SIRIM QAS International BP ALIVE 2012 14 Frost & Sullivan Analyst Quote

2010 Malaysia Frost & Sullivan Customer Value Enhancement Award in Diagnostics BP Diagnostic Centre

BP Diagnostics was established in 1982. Today, they are considered to be one of Malaysia's foremost well integrated healthcare providers in the field of diagnostics and laboratory services. Their facilities are well known to offer other complementary specialized healthcare services to provide a one-stop-service centre for its patrons. It is one of the first diagnostic centres in Malaysia to have obtained ISO9001.Currently, BPDC has over 30 centres established throughout Malaysia and currently expanding into rest of the South East Asia region with its first venture into Thailand recently.

BP Diagnostics made continuous efforts to provide value enhancing services to its customers. Introduction of paperless operation and utiliza- tion of multimedia system nationwide helped clients to avail their results in electronic format. This helps patients to take the detailed results in electronic form to other specialists of their choice.

Such IT enabled services helped BP Diagnostics to manage its patient’s records on a long term basis, reduced human error at point of care/test, able to promote wellness and preventive care treatments on a regular basis and most importantly, it improved operational efficiency. BP provides specialist care services in its comfortable non-hospital facilities. This reduces the chance of contracting chronic infections that are high in a conventional hospital environment.

As part of their corporate social responsibilities, BP Diagnostic conducts awareness programs for communities on latest healthcare issues. Apart from this, BP has tie-up with leading insurance companies, industrial partners like Plusmiles, pharmaceutical companies to provide value enhancing services with discounts and other benefits.

Jennifer Lau Industry Analyst, Asia Pacific Healthcare Practice Frost & Sullivan

15 BP ALIVE 2012 Health & You

8.00 am: Rushing to work, without a proper breakfast. Perhaps a quick stop at the mamak stall for a roti canai and teh tarik or a drive thru’ for a sausage muffin with egg and a hash brown, Yums! 9.30 am: Meetings and deadlines to rush! 7:00 pm: Back at home. Exercise? Definitely no time for that!

Sounds familiar? That my friend is the recipe for the growing obesity trend of our nation. 2 in 5 of the adult population in Malaysia are now rated overweight (BMI>25) and obese (BMI>30). The topic of obesity is somewhat controversial, especially when many of us are still in denial. Living in a developing nation, we are more prone to buying food that lacks nutrition and as the skyscrapers increase, so has our sedentary lifestyle.

Every centimetre added to your frame extent an invitation to “unwanted guests” that not only cause health problems but also affects our state of mind. Don’t be fooled by the absence of pain when you could already be at pre-diabetic or pre-hypertensive levels.

Now the big question is: is it that hard to control our weight? Let’s begin with little steps to achieve our ultimate weight management goal!

Step 1: Know your vital statistics

What is your ideal weight? Using the BMI (Body Mass Index) formula: BMI = Weight (kg) / [Height (m)]2, you can measure your ideal body weight. Using BMI of 22.5 will provide you your ideal body weight.

You should also know how much of your current weight is contributed by fat. It is not excess weight that is unhealthy but excess fat. The ideal body fat percentage is up to 20% for men, and 25% for women. Get the help of a health professional to analyse and monitor your body composition.

The waist to hip ratio (WHR) which is your waist measurement divided by your hip measurement gives an indication of where most of the body fat is being deposited. For good health, WHR for men should be 0.9 and 0.8 for women. A high ratio indicates central (abdominal) obesity, and increases the risk of heart diseases and diabetes as there is more visceral fat (fat deposited within the abdominal cavity).

BP ALIVE 2012 16 Health & You A Healthy Lifestyle To A Healthier You

Step 2: You are what you eat!

You may be familiar with this phrase by now. Start by practising healthy cooking methods. This should include less fat, less salt and less sugar, so you can still enjoy a variety of food but on a healthy basis. A little effort goes a long way, adopting these practices helps you prepare healthy meals:

Remove any skin or visible fat from meats before cooking Use paper towels to absorb excess oil from fried foods A non-stick pan helps decrease oil usage Opt for healthier cooking methods like steaming, boiling, baking or using the oven Cool down soup or curries and remove any visible surface fat Opt for low-fat salad dressing Avoid using too much sugar while cooking Use natural spices like black pepper or ginger or lemon to flavor food Reduce consumption of preserved and salted foods

Step 3: Let’s get physical

It doesn’t stop at just having a healthy diet. Being physically active keeps heart disease, diabetes and hypertension at bay and increases your fitness level. Start simply by walking. Walking as much as 10,000 steps daily is equivalent to burning off a plate of chicken rice or a slice of cheese cake. How to achieve 10,000 steps?

Use the stairs instead of the elevator

Park your car further away from the entrance

Make effort to walk to your colleague’s desk instead of using the phone

Walk out to an eating place far from your office – especially if you have a desk job

Walk in the park on alternate days

Limit seated activities at home – start with sweeping and mopping regularly

Walk to nearby destinations, like the grocery store or convenience shop instead of driving

To Learn more about BP DIAGNOSTIC CENTRE Our Total Wellness Program 275, Jalan Kampar, 30250 Ipoh, Perak. Tel: 05-255 9090 Fax: 05-243 9196 Please Contact Email: [email protected] Hotline: 1-800-88-7171

17 BP ALIVE 2012 Health & You

Those who fail to take the time to be healthy will ultimately have to take the time to be sick.

Dr. James Chappell

BP ALIVE 2012 18 Health & You

When to Consider An Upper Gastroscopy by Dr Lee Bee Sun, Physician

What is Upper Gastrointestinal (GI) Endoscopy?

The literal meaning of endoscopy is 'looking inside' (endo=inside; scopy=looking). Hence, an upper GI endoscopy, also known as gastroscopy is a procedure that uses a lighted, flexible endoscope to see the insides of the upper GI tract. The upper GI tract includes the esophagus (the pipe that connects the mouth to the stomach), stomach, and duodenum (the first part of the small intestine).

Who Will Benefit from a Gastroscopy?

Usually performed as an outpatient procedure, gastroscopy is commonly used to help identify digestive related problems such as: Dyspepsia (feeling of indigestion and abdomen fullness) Gastric pain Gastric reflux (heartburn) Swallowing difficulties Excessive vomiting

The doctor may also suggest a gastroscopy to be performed if he or she has a strong reason, such as strong family history, to believe that you are at risk of having an oesophageal or gastric cancer.

Gastroscopy is also performed as part of a work-up for patients with unexplained weight loss or unexplained anaemia and to confirm Helicobacter pylori infection which is an important cause of stomach/duodenal ulcers.

19 BP ALIVE 2012 When To Consider Health An Upper Gastrocopy & You

How to Prepare for a Gastroscopy?

The upper GI tract must be empty before an upper GI endoscopy is performed. Generally, no eating or drinking is allowed for at least 4 hours before the procedure. Patients may also be asked to temporarily stop certain medications that they are taking prior to the procedure that could affect blood clotting or interact with sedatives, a type of medication often given during an upper GI endoscopy to calm the patients.

During the Procedure

Patients are requested to lie on their side on the examination table. Analgesics are often given in the form of a spray to “numb” the throat and sedation in the form of an injection into the vein is done. The endoscope is carefully fed down through the esophagus to the stomach and then duodenum, looking for any abnormalities. Biopsies of tissue can be taken through the endoscope for examination under the microscope to exclude cancerous cells or for identification of Helicobacter pylori infection.

Recovery from a Gastroscopy

After an upper GI endoscopy, patients are observed in a recovery room while the sedative wears off. During this time, patients may feel bloated or nauseated. Unless otherwise directed, patients may immediately resume their normal diet and medications.

What is Helicobacter pylori and am I at Risk?

Helicobacter pylori (H. pylori) is a spiral-shaped bacteria which lives in the stomach lining. Most people who are infected with H. pylori do not have any symptoms and will never develop illness as a result of the infection. Some people, however, develop ulcers in the stomach (gastric ulcers) or in the duodenum (duodenal ulcers) which can cause unresolved gastric pain. Infected persons have a 2- to 6-fold increased risk of developing gastric cancer compared with their uninfected counterparts.

We do not know how exactly H. pylori infection spreads, or why some people develop illness although most people do not. The bacteria may spread from person to person through fecal-oral or oral-oral routes. It has also been suggested that contaminated food or water may be sources of infection, but the evidence is not conclusive. In the United Kingdom, over half of people aged 50 years or over are infected with H. pylori.

Gastroscopy is a reliable diagnostic tool for H.pylori infection besides methods such as blood serology, stool sampling or breath test. For most people, once the infection is acquired, it persists without treatment.

BP Healthcare Group is currently introducing this new diagnostic tool to its current comprehensive screening packages to further suit its customers' needs. Starting from 2012, upper gastroscopy service is available at the BP Cheras Diagnostic Centre. Done as a daycare procedure by a trained physician, it will be used to screen for any digestive-related problems especially among H.pylori-infected patients and first degree relatives of gastric cancer patients.

This service ia vailable at BP SPECIALIST CENTRE CHERAS BP Specialist Centre Cheras 37, 39, 41 & 43, Jalan 4/96A, Taman Cheras Makmur, Cheras, 56100 Kuala Lumpur. To make appointment please contact Tel: 03-91309163, 03-91308301 Fax: 03-91411392 Tol Free: 1-800-88-7171 Email: [email protected]

BP ALIVE 2012 1620 Tech News

Computed Tomography CT Scan By Dr Lim Aik Boon, Radiologist

What is CT Scan?

Computed Tomography is an imaging method that uses x-rays and computer to create cross-sectional pictures/images of the body. It has been used as medical imaging since 1972 and has evolved into the 4th generation presently. CT has developed from single slice CT to multi-slice CT (MSCT) and dual source CT over a duration of 39 years. There is great improvement in speed, patient comfort and resolution with present generation of CT. With this advanced technology, CT provides excellent image quality for diagnostic confidence at the lowest possible radiation dose. A whole body CT will take about 30 sec to complete with 64 MSCT.

CT provides greater clarity and reveals more details than regular x-ray/ultrasound exams of internal organs, bones, soft tissue and blood vessels. It helps doctors and radiologists to diagnose cancers, cardiovascular disease, infectious disease, appendicitis, trauma, musculoskeletal disorders etc.

What are the uses of CT?

CT can be used to scan any part of the body. It is one of the best and fastest tools for studying the chest, abdomen and pelvis because it provides detailed, cross-sectional views of all types of tissue. Commonly done CTs are head, neck, chest, abdomen and pelvis. CT is mainly used to solve clinical problems. Physicians often use CT examination to:

Quickly identify injuries to the lungs, heart and vessels, liver, spleen, kidneys, bowel or other internal organs in cases of trauma.

Guide biopsies and other procedures such as abscess drainages and minimally invasive tumor treatments. Advanced MSCT in Glenmarie Specialist Medical Centre Plan for and assess the results of surgery, such as organ transplants or gastric bypass.

Stage, plan and properly administer radiation treatments for tumors as well as monitor response to chemotherapy.

21 BP ALIVE 2012 Tech Computed Tomography CT Scan News

With tremendous research and development in CT, health screening using CT is gaining momentum and is more acceptable. New generation of CT offers good diagnostic image quality with low radiation dose. Currently, low dose CT lungs, CT colonography and cardiac CT for calcium scoring and coronary angiogram can be offered as health screening tool with guidelines. Many studies had proven that these screening CT help to reduce morbidity and mortality as well as healthcare cost.

Lung cancer is the 3rd commonest cause of cancer death in Malaysia. In the United States, the lifetime risk of developing invasive lung cancer is 1 in 17 for men and 1 in 18 for women. It is estimated that over 80% of lung cancers could be cured if detected at an early stage. CT is more sensitive than chest X-ray in detecting lung cancer. Studies show that there are 20% fewer lung cancer deaths screened with low-dose MSCT compared to chest X-ray.

The indications for screening CT lungs are: History of lung cancer 10 packs/year or more smoking history (1 pack of cigarettes per day for 10 years, 2 packs of cigarettes per day for 5 years, etc.) Past history of smoking (less than 10 years ago) Repeated exposure to secondhand smoke Exposure to other cancer-causing agents (e.g. asbestos and radon) Lung cancer Lung cancer Age more than 40 years

Colorectal cancer is the 2nd commonest cause of death due to cancer in Malaysia. Colorectal cancer is the third most common cancer diagnosis in the United States and the second leading cause of cancer-related deaths. Each year, about 150 000 people diagnosed of colon cancer, and about 50 000 will die of it. However, if detected early, the 5-year survival rate for colon cancer exceeds 90%. Recent data studies showed CT colonography is comparable to optical colonoscopy for the detection of cancer and polyps of significant size (more than 1cm).

The indications for screening CT lungs are: Older than 50 years Have had polyps in the past Family history of colon cancer Test positive for blood in the stool Elderly patients who are frail or infirm - difficult for colonoscopy. When colonoscopy is attempted but incomplete because the full length of the colon is not visualized, CT colonography may be done on the same day. If a tumor is found on colonoscopy and it blocks passage of the scope, CT colonography will permit a thorough check of the entire colon.

CT colonography image - polyp Virtual colonography image - polyp

BP ALIVE 2012 22 Tech News Computed Tomography CT Scan

Ischaemic heart disease or coronary artery heart disease (CAD) is the number one cause of death in Malaysia and leading cause of death worldwide. In America, it is the commonest cause of death above 20 years old. Cardiac CTs are used for calcium scoring and coronary angiography. Calcium is a marker of CAD, the amount of calcium detected is a helpful prognostic tool. The higher calcium score, the higher the risk of CAD. Studies have shown that the results of CT coronary angiography are as good as conventional invasive coronary angiography.

The major risk factors for CAD are: High blood cholesterol levels Family history of heart attacks Diabetes mellitus High blood pressure Cigarette smoking Overweight or obese Low physical activity/sedentary lifestyle CT Calcium Scoring CT Coronary Angiography These risk factors can be used as indications for cardiac CT.

Why CT scan is better than X-ray? CT scans produce detailed cross sectional images of the body that appear to open the body up, allowing doctor to look at it from inside, where else X-ray or radiograph only allows doctor to look ‘through’ the body. CT is better than X-ray because: Enables to see and differentiate soft tissue e.g. muscles, liver, kidneys, brain, eyes etc. Detects smaller lesion; 3mm compared to X-ray (10mm). Detects subtle fracture which cannot be seen in X-ray. Detects subtle changes in the organ e.g. interstitial lung disease, early stroke etc. Images can be processed into 3D and multi-planes. Able to view narrowing of blood vessels and their course. Able to see gastrointestinal tract clearer and process the images into virtual colonoscopy/endoscopy. Able to do perfusion scan of brain. Able to visualise the paranasal sinuses clearer. Provides better visualisation of prolapsed intervertebral disc and spinal canal stenosis.

CT Scan in BP Radiology BP Diagnostic Centre has been offering general X-ray and ultrasound examinations in the diagnostic centres (DC) since 1996. Today, the radiology services have expanded to include digital X-ray, mammography, teleradiology and DEXA for more accurate and better quality health screening. Recently, BP Radiology has launched CT scan services for health examination in Specialist Centre Glenmarie and Cheras, using one of the advanced, faster and higher resolution multi-slice CT (MSCT). It is able to perform Head2Toe CT within few minutes. The flagship 128 MSCT scan will be placed in Specialist Centre Ipoh by the second quarter of 2012. The CT examinations will also be offered to private clinics and other BPDCs. By teleradiology, the CT images will be interpreted and reported faster. The CT reports will be sent by internet or email to respective diagnostic centres or private clinics which referred the patients.

This service ia vailable BP SPECIALIST CENTRE CHERAS 37, 39, 41 & 43, Jalan 4/96A, Taman Cheras Makmur, Cheras, 56100 Kuala Lumpur. at BP Specialist Centre Tel: 03-91309163, 03-91308301 Fax: 03-91411392 Email: [email protected] Cheras & Glenmarie To make appointment BP SPECIALIST CENTRE GLENMARIE 2, Jalan Pendaftar U1/54, Section U1, Temasya @ Glenmarie, 40150 Shah Alam please contact Tel: 03-5569 9996 Fax: 03-5569 6827 Email: [email protected]

23 BP ALIVE 2012 Tech News Computed Radiography By Dr Lim Aik Boon, Radiologist

Computed Radiography (CR) uses very similar equipment to conventional radiography except that in place of a film to create the image, an imaging plate (IP) made of photostimulable phosphor is used. The imaging plate is housed in a special cassette and is placed under the body part before the x-ray exposure is made. Hence, instead of taking an exposed film into a darkroom for developing in chemical tanks or an automatic film processor, the imaging plate is run through a special laser scanner, or CR reader, that reads and digitizes the image. The digital image can then be viewed and enhanced using software that has functions very similar to other conventional digital image-processing software, such as contrast, brightness, filtration and zoom.

CR in Glenmarie Specialist Centre

CR in Diagnostic Centre

Imaging plates can theoretically be re-used thousands of times if they are handled carefully. An image can be erased by simply exposing the plate to a room-level fluorescent light. Most laser scanners automatically erase the image plate after laser scanning is complete. The imaging plate can then be re-used. Reusable phosphor plates are environmentally safe but need to Chest X-ray – Left Lung Cancer Mammogram – Left Breast Cancer be disposed of according to local regulations.

BP ALIVE 2012 24 Tech News Computed Radiography

Computed Radiography systems are the most common medical applications used in radiology because they have been proven for their reliability for over more than two decades and flexibility to address a variety of clinical applications. CR IPs can be retrofitted to existing exam rooms and used in multiple x-ray sites since IPs are processed through a CR reader (scanner) that can be shared between multiple exam rooms. The advantages of CR compared to conventional X-ray are:

No silver based film or chemicals are required to process film. Reduced film storage costs because images can be stored digitally. Computed radiography often requires fewer retakes due to under- or over-exposure which results in lower overall radiation dose to the patient. Image acquisition is much faster - image previews can be available in less than 15 seconds. By adjusting image brightness and/or contrast, a wide range of thicknesses may be examined in one exposure, unlike conventional film-based radiography, which may require a different exposure or multiple film speeds in one exposure to cover wide thickness range in a component. Better images quality - can be enhanced digitally to aid in interpretation. Images can be stored on disk or transmitted for off-site review and report by teleradiology. Lower cost to operate because no chemicals, dark room storage and staff required to organize them.

CR in BP Radiology

BP Radiology started to use CR for general X-ray and mammography since year 2007 at Cheras and Ipoh Diagnostic Centres (DC). At the same time the teleradiology services was also launched with reporting centre at Cheras DC. In combination with application-specific plates and cassettes, CR is able to support a broad range of applications:

General Radiology Orthopaedics Extremities Dental (will be available soon) Peadiatrics Mammography (only in Specialist Medical Centre Glenmarie, Cheras and Ipoh)

CR has been installed nationwide in all BPDCs. By using teleradiology, digital images of CR from other DC will be transmitted to Glenmarie, Cheras or Ipoh Specialist Medical Centre for interpretation and reporting. All the digital X-ray will be read and reported by radiologists in these centres. The X-ray reports will be accurate and fast, therefore minimising error in reporting.

CR will also be installed in general practitioner clinics (GP) which subscribe for X-ray services from BP Radiology. For GPs who subscribed for these services, the reports for all the X-rays will be done by a group of radiologists in BP Radiology, and therefore, reducing the workload and reporting error of the GP.

25 BP ALIVE 2012 Tech News Venturing Into Environmental Testing By Ong Chiang Hock, Director – Food, Industrial, and Medical Lab

BP Healthcare Group, apart from medical testing and diagnostic services, started its industrial testing division (heavy metals analysis) since year 1996. In year 2004, BP Food Testing Sdn Bhd was established to provide comprehensive food microbiology and chemical analysis.

The food testing laboratory has been equipped with various high-end instruments including Graphite Furnace Atomic Absorption Spectrometer, Flame Atomic Absorption Spectrometer, Flow Injection Atomic Spectrometer, Ultraviolet-Visible Spectrophotometer, High Performance Liquid Chromatography, Gas Chromatography and Gas Chromatography Mass Spectrometer.

With the largest network (more than 77 collection centres throughout Malaysia), BP Food Testing received numerous bird’s nest samples for analysis, including nitrite, microbiology and heavy metals testing.

In recent years, economic growth has led to high demand for quality of life and a better environment. Amidst rapid growth of the manufacturing sector, the awareness of good quality products and environmental impact has begun burgeoning among society. However, with the lack of internal laboratories within the manufacturing factories, outsourcing of test samples to commercial laboratories are common practice in Malaysia, in order to comply with Department of Environment (DOE) requirement. This trend is due to high investment on establishing and maintaining a well-equipped laboratory.

Our BP environmental testing laboratory for water, wastewater and oil analysis will be equipped with comprehensive high-end instrumentations to include Total Organic Carbon Analyzer, Ion Chromatography, Inductively Coupled Plasma Optical Emission Spectrometer and Inductively Coupled Plasma Mass Spectrometer.

Inductively coupled plasma optical emission spectroscopy (ICP-OES), also referred to as inductively coupled plasma atomic emission spectrometry (ICP-AES), is an analytical technique used for the detection of trace metals. It is a type of emission spectroscopy that uses the inductively coupled plasma to produce excited atoms and ions that emit electromagnetic radiation at wavelengths characteristic of a particular element. The intensity of this emission is indicative of the concentration of the element within the sample.

Examples of the application of ICP-OES include the determination of metals in wine, arsenic in food, and trace elements bound to proteins. ICP-OES is often used for analysis of trace elements in soil, and it is used for motor oil analysis.

Analyzing used motor oil reveals a great deal about how the engine is operating. Parts that wear in the engine will deposit traces in the oil which can be detected with ICP-OES. ICP-OES analysis can help to determine whether parts are failing. In addition, ICP-OES can determine what amount of certain oil additives remain and therefore indicate how much service life the oil has remaining. Oil analysis is often used by fleet manager or automotive enthusiasts who have an interest in finding out as much as about their engine's operation as possible. ICP-OES is also used during the production of motor oils (and other lubricating oils) for quality control and compliance with production and industry specifications.

BP ALIVE 2012 26 Tech Venturing Into News Environmental Testing

Inductively coupled plasma mass spectrometry (ICP-MS) is a type of mass spectrometry that is highly sensitive and capable of the determination of a range of metals and several non-metals at concentrations below one part in 1012 (part per trillion). It is based on coupling together an inductively coupled plasma as a method of producing ions (ionization) with a mass spectrometer as a method of separating and detecting the ions.

The variety of applications exceeds that of ICP-OES and includes isotopic speciation. Due to possible applications in nuclear technologies, ICP-MS hardware is a subject for special exporting regulations.

A typical ICP-MS is able to detect in the region of nanograms per litre to 10 or 100 milligrams per litre or around 8 orders of magnitude of concentration units.

Unlike atomic absorption spectroscopy, which can only measure a single element at a time ICP-MS has the capability to scan for all elements simultaneously. This allows rapid sample processing.

One of the largest volume use for ICP-MS is in the medical and forensic field, specifically, toxicology. A physician may order a metal assay for a number of reasons, such as suspicion of heavy metal poisoning, metabolic concerns, and even hepatological issues. Depending on the specific parameters unique to each patient's diagnostic plan, samples collected for analysis can range from whole blood, urine, plasma, serum, to even packed red blood cells. Another primary use for this instrument lies in the environmental field. Such applications include water testing for municipalities or private individuals all the way to soil, water and other material analysis for industrial purposes.

In recent years, industrial and biological monitoring has presented another major need for metal analysis via ICP-MS. Individuals working in plants where exposure to metals is likely and unavoidable, such as a battery factory, are required by their employer, to have their blood or urine analyzed for metal toxicity on a regular basis. This monitoring has become a mandatory practice implemented by OSHA, in an effort to protect workers from their work environment and ensure proper rotation of work duties (i.e. rotating employees from a high exposure position to a low exposure position).

CORPORATE HEAD OFFICE 275, Jalan Raja Permaisuri Bainun (Jalan Kampar), 30250 Ipoh, Perak. This service ia vailable Tel: 05-241 8484 Fax: 05-241 9226 Email: [email protected] at BP Healthcare Group To make appointment please contact OPERATIONAL HEAD OFFICE 2, Jalan Pendaftar U1/54, Section U1, Temasya @ Glenmarie, 40150 Shah Alam Tel: 03-5569 9996 Fax: 03-5569 6827 Email: [email protected]

27 BP ALIVE 2012 A Doctor’s Point of View Understanding Health Screening’s True Concept By Dr Leong Hui Shan, Physician

The attack on disease must not be meddlesome: the desire to do something must be guided by sure argument that good will come of it. Gibson AG. The Physician’s Art. Oxford: The Clarendon Press, 1933

Health screening has been growing very popular nowadays, but does the public truly understand the concept of health screening and what screening can and cannot do? In my daily practice, I encounter a number of public misconceptions on health screening.

Differing Cases of Perceptions I would like to share this real life story of Mr. A, who came to see me with his laboratory test results. He said, “Good morning, doctor. I am here to collect my report. I am very afraid to die and please, I want to hear the good news”. Many who come for health screening are mentally prepared to only accept a clean bill of health. This is a fallacy. Having regular health checks do not mean that you will not die or get sick in the future.

The true concept of screening in healthcare is to actively seek and identify a disease or pre-disease condition in asymptomatic individuals. This will help detect a medical condition early on so that intervention or treatment can be carried out. This will lead to improved prognosis and even cure for the detected issue. We must understand that health screening does not prevent death or prevent sickness.

BP ALIVE 2012 28 Understanding A Doctor’s Health Screening’s Point of View True Concept

Another scenario that I encountered involved Miss B, who came for a health check and was told that her blood tests revealed low haemoglobin levels. She would need further tests to be carried out to ascertain the cause of anaemia so that the appropriate treatment could be given. She replied, “Doctor, I thought that the blood tests were complete and I would know everything about my health but why are you still asking me to go for some more tests?”

Health screening is not a one-off event. A screening examination is a preliminary test to detect abnormalities earlier. Subsequent detailed assessment and further investigation will be carried out to ascertain the cause and the degree of severity. In order for treatment to be given, a correct diagnosis must be made. Screening alone does not give complete information regarding a particular disease. Further referral for expert opinion may be needed after screening.

An abnormal result may need to be monitored to assess its trend of change. Further investigation may be needed to verify those who had been screened positive for a condition to really have the abnormality (true positive), and to eliminate those who were screened positive but do not actually have the abnormality (false positive). So I would say that health screening is just the beginning of a journey to achieve empowerment of a person’s own health.

Being Proactive About Health Finally, health screening is not and can never be a universal remedy. If you ask me as a healthcare provider on whether I will encourage the public to go for health screening, my answer is certainly yes. As long as we perform screening on the basis of sound research evidence, then screening will remain a powerful tool in the fight against disease.

29 BP ALIVE 2012 A Doctor’s Who Are We & Point of View What We Do By Dr Lu Ying Shean, Physician

Too often physicians are asked about who we are and what we do. While the term means different things in different countries, at the end of the day, physicians take care of your internal wellbeing.

Physician The term "physician" is used somewhat differently in different countries. In the United Kingdom and Commonwealth nations, a physician is a specialist in Internal Medicine while in the United States, it is a broader term used for a doctor who practises Family Medicine or General Practice. Instead, the term “internist” is used in the US to describe such a specialist.

Internal medicine is a medical specialty dedicated to the diagnosis and medical treatment of adults. We are trained on learning the prevention, diagnosis, and treatment of diseases of adults. While physicians typically do not perform surgeries, we find that with the evolution of medicine, we now perform some non-invasive or minimally invasive procedures like scopes, biopsies, and angioplasty.

Healthy from Within One of the most important parts of our role is bringing to our patients an understanding of wellness, which encapsulates disease prevention and the promotion of health. Diseases such as diabetes, hypertension, and dyslipidemia are some of the issues physicians may treat and help manage on a regular basis. Often, physicians may consult or refer the patient to see a more specialized physician if a more serious issue arises.

Physicians can choose to focus their practice on general internal medicine, or may take additional training to "sub-specialise". Cardiologists for example, are physicians who sub-specialise in diseases of the heart whilt other examples of sub-specialties are endocrinology, hematology, neurology, gastroenterology, nephrology, pulmonology, rheumatology and allergy and immunology.

Simply put, a physician is a specialist who practices medicine related to the organs and systems of the body. In BP, we often work closely with the rest of our in-house medical officers and other specialists. We are committed to focus on the art of diagnosis and treatment, preventive medicine and emphasis on patients’ education towards maintaining a healthy life.

BP ALIVE 2012 30 A Doctor’s Point of View Pre-employment Medical Check Up By Dr Quah Say Chuan, Deputy Chief Medical Officer

When I joined the BP Diagnostic Centre (BPDC) in 2004, there were only 2 BP Diagnostic Centres nationwide, one in Ipoh and the other, in Subang Jaya. The majority of our customers were walk-in cases with minimal corporate cases. Over the years, as more Diagnostic Centres were set up nationwide, the concept of a one-stop health screening centre began to be well accepted by the general public and corporate clients, with more corporate companies linking-up with BPDC to provide their various healthcare needs. Among the healthcare services provided, the pre-employment medical check-up is top of the list.

Pre-employment medical check-up, as the name suggest, is a medical examination conducted to check the health status of the job applicant and to advise the company whether he/she is fit to be offered the position. It usually consists of history taking, physical examination, blood tests and urine tests.

Top Reasons For Medical Check-Up

The pre-employment medical check-up is done for three main reasons:

Safety: It is considered critical that a new applicant be free from medical conditions that could result in sudden incapacitation leading to accident, especially for health- and safety-sensitive jobs such as driving, piloting, construction-related work etc. Incorrect placement of new applicant to a certain job might result in incidents or accidents with high potential for personal injury, plant and environmental damage and harm to the company’s reputation and financial loss. For example, if a company wishes to hire a lorry driver, the medical officer should ensure that the new applicant is free from serious diseases such as uncontrolled hypertension, heart disease and poor vision among others, which can seriously affect the safety of the applicant, co-workers and other road users.

Health: Pre-employment medical check-ups are also meant to establish the baseline health data against which the future health status of the worker can be compared. It is also to identify existing medical conditions which could be adversely affected by occupational exposures.

Apart from the above-mentioned objectives, the employer has other additional objectives for conducting pre-employment examination which include:

Productivity and efficiency: Most employers would like their new recruits to be free from an medical illness which may affect productivity once they are employed.

Cost: The cost of medical treatment is escalating and employers who provide medical care coverage, especially those who provide unlimited coverage, will prefer to hire new recruits without any medical condition to save cost.

With those objectives in mind, it is our duty to advise the company whether the new applicant is suitable for the job or not.

31 BP ALIVE 2012 Pre-employment A Doctor’s Medical Check Up Point of View

Verdict: Fit or Unfit?

To understand the fitness criteria for pre-employment medical check-up, I would like to share a few clinical scenarios and explain in detail why the applicant was certified fit or unfit for employment in each case.

1 A, a 30-year old lady came for pre-employment Although a uterine fibroid itself doesn't rule out medical check-up with no significant medical employment, since the mass is huge and surgery history. On examination, a suprapubic mass was removal will be inevitable, it will affect productivity and if palpated. Ultrasound scan confirmed the diagnosis the company does provide medical expenses coverage of a huge uterine fibroid. Fit or unfit for employment? for the employee, it will incur extra cost to the company. In view of this, she was certified unfit for employment, at least temporary until surgical removal of uterine fibroid is done.

2 B and C, young ladies in their early-20s, came B and C were both certified unfit for employment mainly together for a pre-employment medical check-up because the abnormalities detected, i.e thoracic after applying to be the cabin crew for one of the scoliosis and flat foot, are among the medical airlines in the country. B was diagnosed to have mild conditions listed by that particular airlines company as thoracic scoliosis while C with flat foot. Fit or unfit? unfit for employment. Although the abnormalities are not serious and do not affect employment in the majority of other companies or some other airlines company, they were certified unfit to work in this case.

3 D, a 40-year old lady, came for pre-employment D was a special case as there was another contradicting medical check-up to work in one of the banks. She X-ray report from a different specialist centre. It took me had no previous medical history. All examinations some time before I could decide whether she was fit or were normal except that her chest X-ray revealed unfit for employment. To protect the interest of the cardiomegaly (enlarged heart) with a cardiothoracic company, and despite having another normal chest ratio on 0.56. She was told about the abnormality X-ray report from another specialist centre, she was detected and was not happy with the finding. The certified unfit for employment. However, if the company next day, she came back with another chest X-ray insisted on hiring her, she would need to see a report given by another specialist centre. This X-ray cardiologist to further assess her condition and to report was normal. Her chest X-ray was reviewed by conduct an echocardiogram to rule out cardiomegaly. our in-house radiologist and the finding remained the same - cardiomegaly. Fit or unfit?

4 E, a 25-year old lady, came for a pre-employment E was certified unfit because her urine was reactive for medical check-up. All examinations were normal morphine. Although this result did not mean that she was except her urine was reactive for morphine. She was a drug addict, to protect the best interests of the not on any medication during the examination. Fit or company, it was best to certify her unfit for employment. unfit? A repeat urine test was not advisable because the second urine sample could be easily be tampered with and would affect the accuracy. However, a morphine confirmation test could be done on the first sample again for verification but it would incur extra cost to the company. Hence, it would be up to the company itself to decide on whether or not to proceed with the confirmation test.

4 F, a 46-year old gentleman, came for a F, despite having hypertension, had all examination pre-employment medical check-up, with a history of results that were normal including his blood pressure. hypertension for the past 2 years and is currently on There was no sign of end organ damage due to medication. His blood pressure was well controlled. hypertension. He was certified fit for employment. Fit or unfit?

BP ALIVE 2012 32 A Doctor’s Pre-employment Point of View Medical Check Up

Although most of the pre-employment medical check-ups are straight forward, we sometimes do encounter difficulties in deciding whether or not to certify the job applicant as fit or unfit for employment. To ensure that we do not go wrong, we stick to a few rules of thumb such as:.

1) Our clients are corporate bodies who send their recruits to us for medical check-up. Our decisions are based on the interest of the corporate bodies, and not the recruits’. 2) Some corporate bodies have their own criteria of fitness for employment, and these actually help us to decide whether a recruit is fit or not. We use their criteria as our guide and if the recruit doesn't meet these criteria, we will certify he/she as unfit. 3) For those corporate bodies without a clear list of medical conditions which deem the recruit unfit for employment, it is the doctor's duty to ensure that the applicant’s fitness can cope with the job. Again, the interest of the corporate bodies shall prevail and the benefit of doubt will be given to the corporate bodies and not the recruits.

Although we are the one to certify whether the candidate is fit or unfit for employment, the final decision of employment is made by the company. Our job is to detect any medical illness, and to inform the company and give them proper advice. In my opinion, anyone can work if they wish to despite having serious medical illnesses. The questions are, does the job they applied for suit them and will offering them a job affect the company’s productivity and incur more cost to the company?

I believe that if given a choice, Apple Inc would keep Steve Jobs as their CEO for another 10 or 20 years despite knowing that he had cancer and it was not curable.

For Corporate Services please contact Tol Free: 1-800-88-7171 Email: [email protected]

33 BP ALIVE 2012 Essential Healthcare Kit Pharmacy ~ For home or the workplace Updates Essential Healthcare Kit ~ For home or the workplace By Lovy Beh, Director - Pharmacy

“The range of BP proprietary products are not just essential but affordable key players for maintenance of your health. These are products that should be kept at all times at home or at the workplace. All BP proprietary products come with warranty.”

BEING PREPARED Be prepared to defend good health, wherever you are !

Having a health problem can happen when you least expect it. As much as you can, you should always be prepared to defend good health. BP Healthcare has designed some kits to help you be prepared in the face of common or minor threats to health. These kits are important health assets in the household or workplace. As the saying goes, “It's better to have something you don't need than to need something you don't have.”

BP TRAVEL KIT

This kit is a household and travel must-have! The BP Travel Kit consists of a comprehensive selection of medicines for minor ailments often encountered at home or during travel. It includes a guidebook on how to take the medicines, free 24/7 professional medical consultation and 2-years guarantee on the expiry of medicines. Now, cost and language barrier is no more a problem for obtaining treatment of minor ailments in a foreign land. Within a compact bag, your travel kit medicines are well organised and is space-saving, which makes the BP Travel Kit an ideal travel companion.

BP ALIVE 2012 34 Pharmacy Essential Healthcare Kit Updates ~ For home or the workplace BP FIRST AID KIT It is highly recommended to have a first aid kit within easy reach in every household or workplace. The BP First Aid Kit is an important kit to help you respond effectively in a timely manner towards minor injuries or during emergencies. The BP First Aid Kit also includes a digital infrared thermometer. The kit is also ideal for travel purposes. BP FLU KIT

An essential kit for the protection of yourself and your loved ones against the flu virus, anywhere and anytime. The BP Flu Kit includes face masks, respirators, a digital infrared thermometer, hand sanitizer and a complimentary flu vaccine (redeemable at BP Diagnostic Centres nationwide). Don’t wait till the last minute - Get this kit today before any outbreaks occur such as H1N1, SARS etc. The BP Flu Kit is also ideal for health protection during the haze season.

LIFESTYLE MONITORING Keep track of good health through lifestyle monitoring

Just like how regular servicing is required for maintaining proper functioning of your car, maintenance of good health runs a similar parallel – You need to monitor your health through regular health screening to keep it in check. BP Healthcare has a range of self-monitoring tools, which you may use for basic D-I-Y health monitoring in the comfort of your home.

35 BP ALIVE 2012 Essential Healthcare Kit Pharmacy ~ For home or the workplace Updates

BP LIBRA

BODY & HYDRATION SCALE BP A healthy yet trendy bedroom or bathroom accessory, the BP Libra helps you monitor your body weight, fat GLUCO and hydration status. Body weight measurement alone METER is insufficient - knowing your body fat and hydration The BP Glucometer is a valuable percentage in addition to body weight can give you a self-monitoring blood glucose better indication of your health. device, especially for diabetic patients. Self-monitoring of blood glucose at home can help in achieving optimal diabetic treatment management, which is important for better blood glucose control and reduction of hypoglycaemic incidences. BP BLOOD PRESSURE DIGITAL METER The BP Blood Pressure INFRARED Meter allows you to monitor your THERMO blood pressure at the comfort of your own METER home. Monitoring of blood pressure periodically can facilitate better hypertension treatment outcomes, and The infrared thermometer is not only safer, eliminate the possibilities of white coat hypertension. as it is mercury free, and more user-friendly, compared to White-coat hypertension is often associated when an the conventional mercury thermometers, but it provides individual exhibits a high blood pressure reading during fast and accurate results. Body temperature monitoring repeated blood pressure measurement in the clinical has many uses, such as determining a fever and setting, but the individual’s blood pressure appears discovering the time for ovulation in females through basal normal when measured out of the clinical setting. body temperature. The thermometers available at BP Healthcare come in two options, the ear digital infrared thermometer or forehead digital infrared thermometer.

What are you waiting for ? Get all the above kits and self care monitoring products today at any BP Diagnostic Centre and BP Pharmacy nationwide. All these are ideal love gifts for your family and friends.

Shop online at www.bppharmacy.com

BP ALIVE 2012 36 Pharmacy Updates Your Say: BP Travel Kit Satisfactory Survey

1 Did the guidebook in BP Travel Kit provide you with sufficient information on the medication?

No 11.20%

Yes 88.80%

2 Overall, how satisfied are you with BP Travel Kit?

Unsatisfied 0%

Somewhat satisfied 22.20%

Satisfied 55.60%

Very satisfied 22.20%

3 Compare to the other kits that are available in the market, would you say that BP Travel Kit is;

Worse 0%

Don’t know 11.20%

Same 22.20%

Better 66.60%

4 Do you find all the items in BP Travel Kit useful?

No 11.20%

Yes 88.80%

5 Will you recommend BP Travel Kit to others?

No 11.20%

Yes 88.80%

37 BP ALIVE 2012 Your Say: BP Travel Kit Pharmacy Satisfactory Survey Updates

6 Based on your experience with this BP Travel Kit, will you buy another BP product?

No 33.40%

Yes 66.60%

It caters for all ages Good choice of medicines, medication provided is very complete What characteristics about our BP Travel Kit 7 are you most impressed with?

Convenient, Easy to Instructions simple, carry and provided are useful refill very clear and easy to use, guidebook is easily comprehensible

8 What additional items which you think would be useful to include into the BP Travel Kit? i) Motion sickness and high altitude drugs ii) Non-oral medications iii) Ointment for mosquito/insect bite, skin rashes or itchiness iv) Ointment for cleaning minor wounds with cotton and a pair of small scissors

BP Pharmacy has decided to re-package our Travel Kit to include items (i) and (iii) after this satisfactory survey. Thank you for your valuable feedbacks.

Please check out our new BP Travel Kit at your nearest BP outlets. Alternatively, you may purchase itONLINE at www.bppharmacy.com

BP ALIVE 2012 38 BP Products & Services BP Card Gesture of Love to the one you care!

CRISTOPHER JAMES VERON 012345-67-8910

Member Since: 01/2011

Share the healthy news with your loved one today! Get a comprehensive BP Healthcare card for them today!

Why BP Card?

1 Group Card – comprehensive health screening packages for family members, friends or colleagues

2 Redeemable nationwide – package valid for redemption in nearly 50 BP outlets nationwide

3 Longer redemption period – Up to 3 years for full redemption of all tests with no extra cost or top up needed

4 Flexibility for sharing – can be shared by family members, friends or colleagues

5 Cost saving – save more by sharing the health screening package with family

6 Time saving – whole screening process takes less than 2 hours in BP compared to half day in hospital

7 Quality healthcare provider – health screening conducted by BP is accredited by ISO, JCI, etc

8 Easy Payment Plan – 0% interest payment plan with major credit card

9 Lifetime BP membership – accumulate points for discounts on purchases

10 Personalized service – health screening and professional healthcare consultation will be tailored according to individual needs

39 BP ALIVE 2012 BP Products & Services POPE Your Partner in Employee Health By Ho Pooi Yee, Director – Business Development

Maintaining a team of healthy and productive employees is always a challenge to any company owner or HR personnel. If the staff attendance to work is affected due to sickness or injury, it is almost impossible to ensure that the company is competent in today’s work in meeting company target and vision. The best solution is to employ a full time health professional to be the advisor in the company to minimize incident of injury or to improve employees’ health. Of course, it is not always cost effective to hire a health professional if the number of employees is small.

Realizing this issue, BP Healthcare Group has established a corporate health division to fulfill the market demand. Corporate health division provides companies with POPE solution:

P Pre-employment service O Occupational Safety and Health Service P Panelship E Employee Health Screening

A lot of companies may have their own panel clinics, hospitals or insurance companies administering their employee health benefit. So, why BP corporate health service ?

Reach out to your employees! We have 50 BP outlets (and the number is still expanding) throughout Malaysia to service your esteemed companies under one single instruction

Save your time spent on administration Reduce your HR personnel working time with only ONE invoice and ONE payment option by switching to BP

BP ALIVE 2012 40 POPE BP Products Your Partner in & Services Employee Health

Save cost spent in preventive healthcare BP promises to provide 20%-40% cost saving to companies by sharing our savings from bulk purchase of equipment, reagents and consumables

Good quality of services BP service quality is being continuously assessed and monitored by Ministry of Health, Malaysia Medical Council via accreditation programmes such as ISO 9001:2008, ISO 15189, ISO 17025, JCI, etc

Complimentary health summary service BP service quality is being continuously assessed and monitored by Ministry of Health, Malaysia Medical Council via accreditation programmes such as ISO 9001:2008, ISO 15189, ISO 17025, JCI, etc

Variety of healthcare services and supports Travel health – travelling to foreign countries? BP provides travel vaccination, travel kit, first aid kit, flu kit to assist you to resolve minor health issue which may affect your holiday journey!

Pre-marital health – getting married and planning for baby? BP provides pre-marital health screening and consultation for better understanding of partners health for future family building.

Health check for work / study visa – going for work / study oversea? BP provides 24 hours result turn-around-time for routine health screening which match to your tight schedule for result availability to speed up visa application process.

Medicine check – uncertain of your medicine quality? Come to BP to get our pharmacists or dispensers to check and advise you the quality and correct usage for better health improvement.

Hearing Aid – having hearing problem? Come to BP for a hearing test and grab a unit of Beltone’s hearing aid for improvement of your hearing quality yet small to be discovered by others!

Food testing service – doubt on the food nutrition fact or content? Worry your medicine contains steroid? Send the food sample to any BP outlet to get it tested to clear your doubt.

Clinic management software – tired of looking for storage solution for patient record in hardcopy? Let our BPBS team to demo the powerful vClinic management software that we have to save your cost and time in management of your clinics!

41 BP ALIVE 2012 BP Products & Services Hearing Solutions By William Chan, Director of BP Hearing Solutions

Communication is the “key to life” – Hearing enables us to socialize, work, interact and communicate. Problems with our hearing may lead to feelings of isolation and even depression. So what is hearing loss?

What is hearing loss? Hearing loss can be described at any degree of reduced sensitivity to sound, varying from mild-to-profound. According to World Health Organization (WHO), common causes of hearing loss include exposure to excessive noise, head and neck injury, ageing, and use of ototoxic drugs including some antibiotics. Hearing loss may also develop due to unknown factor or otherwise could be inherited too. Hearing loss can either present at birth or acquired later in life.

There are two types of hearing impairment. Conductive hearing impairment is a problem in the outer or middle ear and often it is medically or surgically treatable. A common example is chronic middle ear infection. Sensorineural hearing impairment is a problem with the inner ear, or occasionally with the hearing nerve. It is usually permanent and requires rehabilitation such as the use of a hearing aid.

What is the effect of hearing loss on you? You might be surprised to know that a typical person with hearing loss waits over five years to see a health care professional for an evaluation. Although hearing loss is not life threatening, it significantly lowers the overall life quality for those suffering from it. Most sufferers found themselves embarrassed with their hearing loss and thus gradually withdraw themselves from social activities. Hearing loss can lead to communication breakdown, misunderstanding, low self-esteem, depression and loneliness. Furthermore, inability to hear warning sounds such as car horn or fire alarm might become fatal. Therefore, denying hearing loss might not be a good solution at all. Early detection and intervention could make a difference.

What is our solution? We offer affordable solution for wide range of hearing loss within quality and premier product range from Beltone. Discreet and light-weighted Receiver-In-Ear (RIE) hearing aids provide less visible solution for your hearing problem. We exclusively present the world's smallest RIE hearing aid, True 17 from our premier product range for advanced listening experience and unlimited listening freedom.

BP ALIVE 2012 42 BP Products & Services HEARING SOLUTIONS

PREMIUM PACKAGE Your Best Hearing Partner True17

The best natural listening experience one could with wireless & water resistant feature

Lifetime Service Warranty! Free! Hearing Batteries Professional consultation at all BP Hearing outlets nationwide GLOBAL WARRANTY Wireless Accessories

ADVANCED PACKAGE Your Best Hearing Partner BASIC PACKAGE Your Best Hearing Partner True6 CHANGE Smallest RIE in the World, Naturally Small Naturally Sophisticated

Free!

Lifetime Service Warranty Hearing Batteries GLOBAL GLOBAL Professional consultation at all WARRANTY WARRANTY BP Hearing outlets nationwide *For Government Institution Only

43 BP ALIVE 2012 BP Products HEARING SOLUTIONS & Services

True 17 FORCE True 6 Change

Water Resistants

Bluetooth feature

Product size Smallest RIE Smallest RIE in the world in the world Instant Fit/ Fitting Instant Fit Ear Mold Instant fit Instant fit

Sound Processing Channels 17 9 6 6 Clear and natural sound quality

Others

Wide Dynamic Range Comparison Curvillinearity ensures correct level of amplification for all sound

Active Feedback Cancellation(AFC) Feedback Eraser Improved Feedback Eraser with Whistle Stop Adaptive AFC (2 choices) Effective prevention of squeling and enchoes (5 choices)

15 point Adaptive Directionality 3 Point Adaptive Flexibly reduces background noise from sides and behind - Smart Beam

Noise Reduction Sound Cleaner Pro SPDExtra Speed Pattern Reduce irrelevant background noise from sides and behind (5 choices) (3 choices) Detection (SPD)

Expansion/Silencer Reduced amplification for low-level background noise

Environmental Programs up to 4 up to 3 3 Programs tailored to situations most often encountered

Datalogging/Satisfaction Journal Logs data on how the hearing aid has been used

Delayed Activation Switches on a few seconds after closing battery door

Notifications Beeps Beeps indicate low battery level and program selection

Spatial Directionality Provides outstanding speech understanding while maintaining environmental awareness

Speech Spotter Pro Allows hearing instruments to automatically change between omni and directional processing

Price Comparison B.P.H.S Siemens Phonak Interton

High End Product Cheapest 50% More 10% More 45% More

Middle Range Product Cheapest 62% More 15% More 25% More

Low End Product Reasonable More 1% More 38% More Competitive* * More competitive - 2 channels / analogue trimmer ** Base on current market price.

BP ALIVE 2012 44 BP Products & Services HEARING SOLUTIONS

Today we have more than 40 Hearing Centers Nationwide making us the Malaysia’s largest hearing solution provider in Malaysia. This year we are proud to introduce our Ear, Nose and Throat (E.N.T.) Specialist and audiologists to join our team, making us the 1 stop hearing center.

Our Specialist Team

ENT specialist Dr. Lim Kean Meng - graduated from USM with a Master of Medicine (ORL-HNS). An Ear, Nose and Throat (ENT) Specialist is a physician trained in the medical and surgical treatment of the ears, nose throat, and related structures of the head and neck. They have special expertise in managing diseases of the ears, nose and nasal passage sinuses, larynx (voice box), oral cavity and upper pharynx (mouth and throat), as well as structures of the neck and face.

Audiologist Che Wan Noor Haliza Bt Che Wan Razali and Revathy A/P Sevasankaran, both graduated from UKM with a Bachelor of Audiology (Hons). An audiologist is a health-care professional specializing in identifying, diagnosing, treating and monitoring disorders of the auditory and vestibular system portions of the ear. Audiologists are trained to diagnose, manage and/or treat hearing or balance problems. They dispense hearing aids and recommend and map cochlear implants.

With a group of professionals and well-trained Hearing Instrument Specialists (HIS) on board, BP Hearing Solutions (BPHS) is capable of providing quality Hearing Examination test, Consultation and Hearing Aids dispensing Services throughout in Malaysia.

In 2012, BPHS have introduced more than 40 outlets nationwide to allow provide easier accessibility for Hearing Examinations.

That being said, BPHS have also introduced a fleet of Mobile Audiometric vans to serve the rural communities and villages.

Distributorship

45 BP ALIVE 2012 Best Of 2011 BP Polo Club

Feb 23, 2011 Chevy Beh represent HK National Team (Team Goldin) to March 24, 2011 play in the 1st Asia Snow Polo held in Tianjin,China. Chevy Beh in Snow Polo featured in The Wacth Magazine. Hong Kong Goldin Team: (From Left) : Derek Reid, John Fisher, Chevy Beh in the world’s first Asia Snow Polo, held in Tianjin Chevy Beh and Jose Donoso. China was featured in The Watch magazine, volume 8, issue 2 dated March to April 2011

April 6, 2011 Garvy Beh competed in a 12 goals handicap tournament by Association Argentina Polo Garvy Beh spent his last spring break (March to April/2011) in Argentina to compete a 12 goals handicap tournament organized by Association Argentina Polo. He played for Polo One team as a two goal handicaps player together with both Argentines Maties Garrahan (4), Santi Zubiarre (4) and a two goal French, Corentine le Pape. Polo One the tournament at Palermo, Buenos Aires, Argentina.Unfortnately due to studies commitment, Garvy Beh missed to play the semi-final and final matches and was replaced by Alfonsito Pieres.

BP ALIVE 2012 46 Best Of 2011 BP Polo Club July 5, 2011 BP Polo featured in China Media June 2011

May 24, 2011 Chevy Beh and BP Polo Club Malaysia in Snow Polo featured in Hong Kong Airlines magazine, Aspire.

Nov 3, 2011 BP POLO emerged as the winner of the National league for 2011

Nov 14, 2011 Handicap family revised - Highest handicap family in Asia

Dec 16, 2011 Centro De Vida Charity Trophy - 24 GOALS

Dec 8, 2011 Beh & family in Palermo, Buenos Aires Argentina

47 BP ALIVE 2012 Community Service Best Of Program between Public Bank & 2011 BP Diagnostic Center held in Ipoh July 2011 Giving Back to Community

BP Diagnostic Centre is the Main Sponsor for Ipoh Star walk featured in The Star Newspaper

Blood donation with Persatuan Ling Yong Peng in Johor

BP Diagnostic Centre is the main sponsor of Penang Starwalk 2011 BP ALIVE 2012 48 Best Of Giving Back BP collaborates with Quaker Make Malaysia Healthy Campaign 2011 to Community

BP as main sponsor of Starwalk Penang 2011

BP collaborates with Quaker Make Malaysia Healthy Campaign

49 BP ALIVE 2012 Best Of 2011 Training Courses of 2011

Let us never be betrayed into saying we have finished our education; because that would mean we had stopped growing. Julia H. Gulliver

We believe that education is continuous – a process of learning and improving. Therefore, we strive to equip our staff with as much up-to-date knowledge and training as possible, in order to provide you with enhanced services and better health care.

Training Period Training Station Course Title Speaker

23 - 25 Mar 2011 Glenmarie Technical Training - Molecular Interscience Sdn Bhd 30 - 31 Mar 2011 Glenmarie Technical Training - Allergy Test Biomarketing Services (M) Sdn Bhd 30 Mar 2011 Glenmarie CME For Nurses - Grooming for nurses & Vaccination Nursing Board Officer 13 Apr 2011 Glenmarie Co-Marketing Sales Training - Allergy Blood Test Mr. Ang Kok Teong 13 Apr 2011 Glenmarie Marketing Training - HPV, HIV, HCV, HBV Mr. Anchor Chang 20 Apr 2011 HQ Ipoh Co-Marketing Sales Training - Allergy Blood Test Mr. Ang Kok Teong 20 Apr 2011 HQ Ipoh Marketing Training - HPV, HIV, HCV, HBV Mr. Anchor Chang 6 May 2011 Glenmarie CME - Ruby & Architect Abbott Laboratories (M) Sdn Bhd 9 May 2011 HQ Ipoh CME - Ruby, Architect & Anti-TPO Abbott Laboratories (M) Sdn Bhd 7 June 2011 Glenmarie Marketing-Anti-TPO, HsCRP & Vitamin D Abbott Laboratories (M) Sdn Bhd 13 June 2011 Glenmarie Discussion - Molecular Test Mr. Anchor Chang 20 June 2011 HQ Ipoh Marketing Training - Anti-TPO, Hs CRP & Vitamin D Abbott Laboratories (M) Sdn Bhd 20 June 2011 HQ Ipoh CME - Hs CRP & Vit D Abbott Laboratories (M) Sdn Bhd

22 June 2011 HQ Ipoh Marketing Training - Anti-TPO, Hs CRP & Vitamin D Abbott Laboratories (M) Sdn Bhd 20 - 21 June 2011 Glenmarie Beltone Hearing Aids Training - Thoery Beltone

22 - 23 June 2011 Glenmarie Beltone Hearing Aids Training - Practical Beltone

30 June 2011 Glenmarie Anti-TPO Abbott Laboratories (M) Sdn Bhd 18 Jul 2011 Glenmarie Logiq PS ultrasound PMS GE Healthcare

11 Jul 2011 HQ Lab Operation and Maintenance of CI-8200 Abbott Laboratories (M) Sdn Bhd

28 Jul 2011 Glenmarie CME-Hs CRP & Vitamin D Abbott Laboratories (M) Sdn Bhd

27 & 29 Jul 2011 Glenmarie Technical Training-Immulite 1000 Siemens Healthcare Diagnostic Sdn Bhd 3 Aug 2011 Glenmarie Train The Nutritionist International Medical University 22 Aug 2011 HQ Ipoh Treadmill Machine Insan Damai Sdn Bhd

5 Sep 2011 DC Muar Beltone Hearing Aids Training Beltone 6 Sep 2011 Glenmarie Beltone Hearing Aids Training Beltone 8 Sep 2011 DC Bukit Mertajam Beltone Hearing Aids Training Beltone

12 Sep 2011 HQ Admin Ipoh CME - Hepatitis B Markers Abbott Laboratories (M) Sdn Bhd

15 Sep 2011 Glenmarie CME - Hepatitis B Markers Abbott Laboratories (M) Sdn Bhd

22 Sep 2011 Glenmarie Marketing Training - Allergy & Molecular Test Mr Ang and Cindy Hor

23 Sep 2011 DC Muar BION3 Products Merck Sdn Bhd

5 Oct 2011 HQ Ipoh BION3 Products Merck Sdn Bhd 12 Oct 2011 HQ Ipoh Marketing Training - DHEAS, SHBG, Apolipo A1/B, Vit D Abbott Laboratories (M) Sdn Bhd & IFG-1, Growth Hormone, ACTH

12 Oct 2011 Glenmarie BION3 Products Merck Sdn Bhd

13 Oct 2011 Glenmarie Marketing Training - DHEAS, SHBG, Apolipo A1/B, Vit D Abbottt Laboratories (M) Sdn Bhd & IGF-1, Growth

BP ALIVE 2012 50 Contact List

HEALTHCARE GROUP 40 Diagnostic Center 50 Food & Industrial Testing Leader in Health Check 50 Laboratories 40 Dispensaries 40 Hearing Aids Center

CORPORATE OFFICE METROPOLITAN REGION No. 275, Jalan Raja Permaisuri Bainun Lot 2, Jalan Pendaftar U1/54, Section U1, Temasya @ (Jalan Kampar), 30250 Ipoh, Perak Darul Ridzuan. Glenmarie, 40150 Shah Alam, . Tel: 05 - 2418484 Fax: 05 - 2419226 Tel: 03-55699996 Fax: 03-55696827

NORTHERN REGION SOUTHERN REGION Suite G1 & G2, Menara Penang Garden, 42A, Jalan No. 67 & 67A, Jalan Harimau Tarum, Taman Century, Sultan Ahmad Shah, 10050 Penang. 80250 Johor Bahru, Johor. Tel: 04 - 2292677 Fax: 04 - 2272886 Tel: 07-3348722 Fax: 07 - 3348623

DIAGNOSTIC CENTRE OUTLETS Alor Setar +604 - 7349524 Ipoh +605 - 2559090 Kuantan +609-5662367 Segamat +607 - 9312980 Batu Pahat +607-4311759 Johor Bahru +607 - 3348722 Kuchai Lama +603-79810533 Seremban +606 - 7616163 Bayan Lepas +604 - 6410382 Kajang +603-87337433 Kuching +6082-237037 Sitiawan +605 - 6923233 Bentong +609 - 2235453 Kampar +605 - 4669784 Melaka +606 - 2869902 Subang Jaya +603-56329473 Bukit Mertajam +604 - 5377889 Kangar +604 - 9773285 Muar +606 - 9512624 Sungai Petani +604 - 4258389 Butterworth +604 - 3246722 +603-62593885 Parit Buntar +605 - 7161262 Taiping +605 - 8069907 Cheras +603-91309163 Klang +603-33724748 Penang +604 - 2292677 Taman OUG +603-79802061 Damansara Utama I +603-77259830 Kluang +607 - 7717133 Pudu +603-92222800 Tanjung Malim +605 - 4598522 Damansara Utama II +603-77222653 Kota Kinabalu +6088-235241 Rawang +603-60931333 Tawau +6089 - 757090 Glenmarie +603-55699996

51 BP ALIVE 2012 LAB OUTLETS

Alor Setar +604 - 7315166 Johor Bahru +607 - 3320833 Kuchai Lama +603-79879605 Segamat +607 - 9311210 Bahau +606 - 4551141 Kajang +603-87364553 Kuching +6082 - 237037 Seremban +606 - 7616162 Batu Pahat +607 - 4348813 Kampar +605 - 4669784 Melaka +606 - 2832086 Sibu +6084 - 317776 Bayan Lepas +604 - 6410382 Kangar +604 - 9773285 Mentakab +609 - 2711102 Sitiawan +605 - 6923233 Bentong +609 - 2235453 Keningau +6088-7331261 Miri +6085 - 441622 Subang Jaya +603-56329473 Bukit Mertajam +604 - 5375889 Kepong +603-62593884 Muar +606 - 9533485 Sungai Petani +604 - 4292086 Butterworth +604 - 3327944 Klang +603-33718637 OUG +603-79802061 Taiping +605 - 8069907 Cheras +603-91308301 Kluang +607 - 7715469 Parit Buntar +605 - 7165262 Tanjung Malim +605 - 4598522 Damansara Utama I +603-77259830 Kota Bharu +609 - 7453502 Penang +604 - 2263160 Tawau +6089 - 942179 Damansara Utama II +603-77222653 Kota Kinabalu +6088 - 235241 Pudu +603-92222801 Teluk Intan +605 - 6218205 Glenmarie +603-55696826 Kuala Terengganu +609 - 6221210 Rawang +603-60926451 Ipoh +605 - 2559090 Kuantan +609 - 5081002 SEA Park +603-78771104

SUBSIDIARIES LOCATION TEL. NO. FAX EMAIL BE-P PHARMACY Ipoh +605 - 2559090 +605 - 2439196 [email protected] Glenmarie +603-55690936 +605-55670061 [email protected]

BP FOOD TESTING Butterworth +604 - 3333448 +604 - 3239513 [email protected]

BP BUSINESS SOLUTIONS Ipoh +605 - 2537916 +605 - 2419226 [email protected]

LABPRO Ipoh +605 - 2418484 +605 - 2419226 [email protected]

HOTLINE WEBSITE EMAIL 1-800-88-7171 www.bphealthcare.com [email protected]

BP ALIVE 2012 52 BP HEALTHCARE GROUP Lot 2, Jalan Pendaftar U1/54, Section U1, Temasya @ Glenmarie, 40150 Shah Alam, Selangor. Tel: 03 - 5569 9996 Fax: 03 - 5569 6827 1-800-88-7171 www.bphealthcare.com

BP ALIVE 2012