‘胸痛’该做什么检测?
有位病人对我讲述了她丈夫去世前的遭遇，她的先生突然感到气短、胸闷，只几分钟的时间，就倒在她的面前不幸去世。而他刚在不久前顺利通过了心脏压力跑步机测试，测试结果非常好。
大家可能纳闷，既然通过了跑步机测试怎么可能突然死于心脏病呢？[继续阅读]
Author: mwh-med56doc
Prudential Health Carnival
Prudential Health Carnival for Client
Date: 6 April 2019
Venue: Pruhall, Pru@Scotts
Time: 2.15pm to 3pm
Topic: Critical illness in Singapore
Speaker: Dr Chung Wing Hong
Back Up Your Brain
Back Up Your Brain
Date: 1 June 2019
Venue: Lifelong Learning Institute
Time: 1pm to 5pm
Topic: Guts for Better Brain Health
Speaker: Dr Melvin Look, Visiting Consultant, MWH Medical Pte Ltd
Corporate Lunch Health Talk – Singtel, Comcentre
Singtel Corporate Health Lunch Talk
Date: 25 March 2019
Corporate Company: Singtel
Venue: Singtel Recreation Club, Comcentre B2
Time: 12 pm to 2 pm
Topic: Common ENT Conditions
Speaker: Dr Vyas Prasad, Senior Consultant Otolaryngologist-Head & Neck Surgeon
Disease of the Ear, Nose and Throat affect all ages and are relatively common making up to 40% Self-referrals to General Practitioners. Condition such as the common cold, influenza, allergic rhinitis and chronic cough are a staple of both the General Practitioner and Specialist Otolaryngologist.
In this talk, Dr Vyas highlighted the variety of conditions that present to the Otolaryngologist and the impact they have on the individual and their carers. These include common infections which can develop into far more serious complications. Head and Neck Cancer and airways issues that are associated with sleep and others that can also comprise breathing.
360 Health Management Seminar
360 Health Management Seminar
Date: 30 March 2019
Time: 10am to 2pm
Venue: SPH News Centre Auditorium
If you value your health, you would do well to pay heed to the adage: Prevention is better than cure. You can also put it into practice by attending The Straits Times Mind & Body 360 Health Management Seminar. This event gives you the opportunity to gain more knowledge and tips on how to protect, manage and support your health.
keep a look out for our next Health talk in 19 Oct 2019
Preparation for Colonoscopy and Gastroscopy
How to Prepare for Colonoscopy and Gastroscopy
Learn how you can prepare for and what to expect during scope procedures such as Colonoscopy and OGD (Oesophagoscopy, Gastroscopy and Duodenoscopy).
Colonoscopy is used to detect colorectal cancer (also known as colon cancer). A doctor may recommend this scope procedure if a patient has/requires:
- Change in bowel habits
- Familial colorectal polyposis
- Screening for polyps or having a family history of colorectal cancer
- Haemorrhoids
- Rectal bleeding
- Anaemia or decrease in the amount of red blood cells
- Blood in stools (or when tested positive during Faecal Occult Blood Testing/FOBT)
OGD procedures (referring to Oesophagoscopy, Gastroscopy and Duodenoscopy) are used to screen for ulcers, gastritis and cancer in the upper digestive tract.
Apart from screening, treatment can also be administered during OGD by:
- Applying treatment to a bleeding ulcer to stop the bleeding
- Removing polyps or foreign bodies
- Treating enlarged blood vessels in the food pipe (oesophagus) by tying them up
How to prepare for a scope
For colonoscopy, performing bowel cleansing before the procedure is required. However, for OGD, fasting for 6 hours (without food and drink) is needed.
Improper preparation may result in patients having to repeat or reschedule their scope procedure.
Bowel Cleansing for Colonoscopy
There are two methods of colon cleansing – Oral Fleet and Fortrans (or PEG powder). Your doctor will decide which is suitable for you.
How to prepare Oral Fleet: Usually 2 bottles of Oral Fleet are given for colon cleansing. Each bottle contains 45ml of medicine and each is to be taken half an hour apart. Divide each bottle into 15ml by pouring into 3 glasses. Fill each glass with approximately 250ml of plain water. You can also add honey, glucose, barley water or isotonic drinks to flavour the solution. Drink all 3 glasses over 10mins. Repeat for the second bottle of Oral Fleet.
How to prepare Fortrans (PEG powder): Your doctor will decide the number of packets you require. Dilute 1 packet with 1 litre of plain water. Drink it over a 1 hour period.
Once you feel the bowel preparation mix taking effect, stay close to the bathroom.
Tips to reduce discomfort of a scope
For Colonoscopy: 3 days before the procedure, try to avoid fruits and vegetables, red meat and brown rice.
If your scope is scheduled for the morning, have a soft diet 1 day before the procedure and consume clear liquids only.
If your scope is scheduled for the afternoon, have a light breakfast and clear liquids only.
For OGD: If you feel thirsty during the 6-hour fast, rinse your mouth with water or suck on some ice cubes.
While preparing for a colonoscopy or OGD, you may be asked to stop certain medications depending on your doctor’s advice.
Medications to continue: Hypertensive/thyroid
Medications to discontinue: Blood thinning medicine, iron tablets, and medication for diabetes on the day of the procedure (only for colonoscopy)
After your procedure, you can return home immediately if no sedation was given. If sedation was given, you will be required to be accompanied home by an adult.
Source reference: https://www.healthhub.sg/live-healthy/16/screening_heart_disease
Self-Assessment for Heart Disease Test
Early detection prevents complication such as heart failure, stroke, kidney disease and artery disease. Heart disease is 1 of the top leading cause of death worldwide and affects not only the heart but other major parts of the body. Early detection prevents complication such as heart failure, stroke, kidney disease and artery disease.
Heart (Cardiovascular) Screening
Heart disease is a broad term that uses to describe a range of diseases of the heart and blood vessels. Heart disease is often used interchangeably with cardiovascular disease.
Why is cardiovascular screening important?
Cardiovascular disease begins with damage to the body from lifestyle factors like smoking, physical inactivity and an unhealthy diet. This progresses to the development of high-risk diseases such as obesity, high blood pressure and diabetes.
Screening identifies those at risk of future cardiovascular events of the heart and other major body organs. It also identifies those with modifiable risk factors, which are reversible and reduce one’ s risk of developing cardiovascular disease.
Who should go for the screening of cardiovascular risk factors?
- Every adults aged 18 years and above should go for the screening of cardiovascular risk factor
- Patients with diabetes, high blood pressure
- Long-standing kidney disease patients
the above are those who are having a higher risk for cardiovascular disease and should be screened regularly based on their doctor’s advice.
Cardiovascular Risk Assessment
What is the global cardiovascular risk assessment?
Global cardiovascular risk assessment involves assessing a patient’s total cardiovascular risk rather than just assessing risk factors (high cholesterol, blood pressure, diabetes or obesity) in isolation.
The best known global cardiovascular risk assessment tool is the Framingham Risk Score (FRS). Based on the FRS adapted for local use, the risk for an asymptomatic individual is classified as:
- Low-risk corresponding to <10% risk of vascular events* over a ten-year period
- Intermediate-risk corresponding to 10-20% risk of vascular events over a ten-year period
- High-risk corresponding to >20% risk of vascular events over a ten-year period
*These vascular events include heart attack and coronary death.
It should be done every five years starting from the age of 18 years. For individuals at risk but who have no symptoms, the assessment is followed by advice on making certain lifestyle changes such as cutting back on cigarettes, eating healthy foods and exercising regularly and, where appropriate, medicines are given to treat high blood pressure, high lipids and diabetes. Individuals at low risk should continue to lead a healthy lifestyle. More frequent assessment is recommended for those who are diabetic, chronic smokers or obese.
How to calculate the ten-year coronary artery disease risk?
It is calculated based on:
Age
Sex
Ethnicity
Smoking status
Total and High-Density Lipoprotein (HDL) or good cholesterol level
Systolic blood pressure
Additional Screening Tests
What additional screening tests may be needed following global cardiovascular risk screening?
These additional tests may be needed for cardiovascular evaluation of individuals moderate and high risk without any symptoms.
- Resting Electrocardiogram (ECG)
- Exercise Treadmill Test
- Coronary artery calcium score
- Cardiac stress imaging (Stress Echocardiology)
- CT Coronary angiography
- Carotid intima-media thickness
When should screening for body mass index (BMI), waist circumference, high blood and high cholesterol be done?
Pre-exercise Screening
It helps identify those at risk for the cardiovascular event during exercise. The questionnaire below recommended for safety reasons before participating in any physical activity.
Physical Activity Questionnaire (PAR Q) can be obtained from HPB (https://www.healthhub.sg/sites/assets/Assets/Programs/NSC-Corporate/Season-4/pdfs/PAR-Q.pdf)
Follow-up on the Results of Screening for Cardiovascular Disease and Risk Factors
Discuss the result of your screening with your doctor and know what you can do to live a healthy lifestyle as well as ways to prevent and treat your medical conditions.
Table of reference – Live a healthy lifestyle
| What you can do | Recommendations |
|---|---|
| Healthy eating | Eat five to seven servings of rice and alternatives daily (of which two to three servings should be wholegrain products)
Eat two servings of fruits and two servings of vegetables daily Eat two to three servings of meat and alternatives daily (of which half a serving should come from dairy or other high calcium products) Use fats, oils and salt sparingly to flavour food Drink six to eight glasses of fluid (1.5 to 2.0 litres) daily |
| Maintain a healthy weight | Target to have your BMI between 18.3 to 22.9 kg/m2
Keep your waist circumference equal or less than 80 cm for women 90 cm for men If you are overweight, aim to lose only 0.5 kg per week. A slow and steady weight management is healthier and easier on the body |
| Engage in regular physical activity | If you are not exercising regularly, start today with ten minutes of brisk walking and build up as your physical fitness improves. You will enjoy the better health that comes with regular exercise
Target to exercise regularly e.g. brisk walking 30 minutes a day five days a week, or a pedometer reading of 10,000 steps a day If you enjoy doing other exercises, be regular in doing them |
| Cut back on cigarettes | See your doctor if you need help to quit smoking or to discuss more about it |
| Limit alcohol use | Avoid alcohol bingeing
Ask your doctor s advice on setting the limits on alcohol consumption |
Table of Reference – Prevent your medical conditions
| What you can do | Recommendations |
|---|---|
| Keep your cholesterol levels in check | Desirable levels are:
Total Cholesterol Less than 5.2 mmol/L (200 mg/dL) Check with your doctor the levels to set for yourself |
| Keep your blood pressure levels in check | Normal blood pressure levels are:
Systolic BP Less than 130 mm Hg |
| Keep your blood sugar levels in check | Optimal (target goal for majority of patients) are:
HbA1c 6.5 7.0% Check with your doctor the levels to set for yourself |
| Take your medications regularly | Take your medicines regularly even if you feel well
Check with your doctor on the targets of control if they are not optimal |
| Go for regular monitoring if you have chronic medical conditions | You need regular monitoring if you have high cholesterol levels, high blood pressure or diabetes |
Keep up to date on your screening appointments for you and your family using our MWH Medical Mobile Apps.
Download MWH Mobile Apps through Apple or Android Store.
Source reference: https://www.healthhub.sg/live-healthy/16/screening_heart_disease
At the heart of healthcare
23 October 2018 marked another milestone for Singapore Medical Specialists Centre – The opening of MWH Medical Pte Ltd at Royal Square Novena 7th Floor.
Our one-stop facility comprises 3 different focus area and is named as follows:
MWH Medical Specialists Centre presents a multidisciplinary set of specialists’ healthcare services.
MWH Heart, Stroke and Cancer Centre with the main focus of treating the 3 main causes of death: Heart disease, Stroke and Cancer by interventional cardiologists and radiologists.
MWH Centre for Medical Imaging provides health screening and diagnostics imaging, which is the backbone of our efforts to preventive healthcare.
Singapore Medical Specialists Centre aims to be the ideal healthcare choice for locals and medical travellers, by delivering medical services with safe, accurate and excellent outcomes. Our one-stop facility provides comprehensive healthcare and advanced diagnostic services by leading physicians in a private setting with a focus on excellent service standards, with the key focus on ‘Preventive Healthcare, Early Detection and Intervention”.
中国经济新闻网 2018-10-26 – 携手新加坡MWH医疗集团，西门子首个亚洲标准中心正式落成
携手新加坡MWH医疗集团，西门子首个亚洲标准中心正式落成
—MWH医疗集团与西门子强强联合，创建了西门子在亚洲首个标准医疗中心，此次合作必将为西门子在亚洲地区进行高科技智能化医疗起到强有力的推动作用
新加坡MWH 医疗集团与西门子医疗系统有限公司于2018年10 月23 日正式宣布合作，西门子首个亚洲标准中心正式落成启用。位于诺维娜皇家广场7楼的MWH医疗集团旗下又一大型综合性医疗中心举行了盛大的开业典礼。新加坡副总理兼国安部部长张志贤阁下当天作为主宾出席开业大典。
图注：新加坡副总理兼国安部部长张志贤(Teo Chee Hean)阁下作为主宾出席开业典礼。并与西门子医疗执行副总裁Arthur Kaindl医生、西门子医疗董事会主席Michael Reittermann先生、MWH医疗集团医疗总监Michael Lim医生、新加坡国会副议长Charles Chong先生、Quadria Capital执行合伙人Amit Varma医生、MWH医疗集团总裁CEO Wendy Huang女士、Quadria Capital执行合伙人Abrar Mir先生，共同为7楼的MWH医疗中心剪彩，祝贺其正式落成。
MWH医疗集团和西门子共同携手开启高科技医疗的大门
此次合作必将成为推进亚洲先进医疗科技的重要之举。“西门子亚洲标准中心”的建立标志着高科技智能化医疗科技在亚洲地区正式开启。MWH医疗集团作为领航亚洲高科技医疗的先锋集团，其长期目标是：以世界最前沿的科技为基石、以患者为中心，为患者提供更安全可靠的疾病管理方案和高质量的医疗服务。当今，慢性疾病的患病率不断升高，患者年龄也逐渐年轻化，MWH医疗集团与西门子医疗的合作，必将提高新加坡乃至亚洲临床影像诊断的水准。
图注：全亚洲第一台3T Magnetom Vida 磁共振成像仪器
图注：双源CT Somatom Drive 计算机断层扫描仪器
通过双方的共同努力，来自全世界的西门子专家团将会分批莅临该“标准中心”，为新加坡本地以及全亚洲的医疗从业人员进行培训。双方将继续扩大医疗服务合作项目，确保达到更精准的疾病管控，提高患者的整体预后，期望未来可以在疾病预防领域做出更大的贡献。
新加坡乃至全亚洲首个西门子标准医疗中心
西门子医疗集团在MWH医疗中心内设立了首家亚洲标准中心。该中心将作为先进医疗设备的展示中心，为亚洲各地区的医疗从业人员呈现西门子最前沿的医学新科技。这一战略合作关系也必将为MWH医疗集团在新加坡医疗卫生行业的领军地位奠定坚实的基础。在患者对行业整体体验以及个性化诉求不断提高的今天，该中心的成立为医疗领域搭建了又一新型的交流平台;该中心以建立良好的医患关系、增加患者便利以达到患者的期望为目标，为来自世界各地的医疗从业人员提供互相学习交流的平台。两大集团强强联合，为本地医疗服务的进步注入了新的活力，也为本地医疗服务质量带来一系列新的标准。
MWH医疗集团是本地第一个引进人工智能与生物科技相结合的西门子3T Magnetom Vida磁共振成像设备的医疗中心。该设备不仅大大缩短了检查时间，还能提供更加清晰、精准、高分辨率的医学影像。该技术可根据每位患者的特定情况和需求自动校准图像的清晰度，从而做到个性化影像诊断，迎合不同患者的特定需求。
MWH医疗集团提供数字化医疗，提高以患者为核心的医疗服务标准
“在亚洲很多地区仍然充斥着基础设施不发达、医疗资金紧缺、医护人员及医疗设备短缺的问题。为配合新加坡的智慧国家计划，我们认识到，为了解决人们日益增长的医疗需求，我们需要先进的医学新科技”，MWH集团的医疗总监林俊龙医生说。
“我们通过与西门子医疗集团的战略合作，以及响应新加坡政府发起的智慧国家的倡议，希望通过将医疗体验数字化为患者提高医疗服务的速度和效率。现在，医生和患者都可以通过MWH应用程序远程访问他们的医疗信息，患者也可以通过MWH医疗中心向来自世界各地的专家进行远程问诊。这甚至能够在一定程度上减少出国就医的需要”，他补充说。
解决亚洲地区日渐增长的医疗需求
“数字经济的兴起对各个行业都产生了深远的影响，引发了不同程度的适应风暴。作为亚洲乃至世界上最好的医疗系统之一，西门子医疗与MWH医疗共同在新加坡建立了首个亚洲标准中心，是一个皆大欢喜的决定。借助和MWH医疗集团的合作，期望在未来将我们领先世界的的创新医疗技术与精密的医疗仪器设备第一时间投入到患者的体验中”西门子医疗新加坡总经理萧爱莉女士说。
MWH医疗总监林医生补充道：“MWH医疗集团与西门子医疗的战略合作，对本地医疗现状来说是双赢的。借助西门子医疗的顶尖技术，既能够更好的满足本地的医疗需求，又能够大大的巩固新加坡作为高品质医疗服务以及先进医疗科技中心的地位。”
MWH医疗集团简介
MWH医疗集团(实属医疗卫生保健行业)成立于2002年，是新加坡首屈一指的大型全方位专科医疗中心。该集团提供一站式医疗服务，包括全身体检、多种专科诊疗、影像诊断、日间手术、医学美容以及预防保健等服务。
集团旗下有MWH医疗专科中心，MWH心脏、中风和癌症中心，MWH影像中心以及美容医学中心。
地址：MWH Medical Pte Ltd，#07-01, 101 Irrawaddy Road，Royal Square at Novena，Singapore 329565
来源：北国网 编辑： editor016
联合早报 2018年10月24日 3:30 AM 文/卓彦薇 摄影/严宣融 — MWH引进亚洲首台新仪器 磁共振扫描影像更快速清晰
西门子医疗新加坡常务董事萧爱莉指出，这台磁共振成像仪器通过人工智能技术和BioMatrix科技，可记录病人的生理机能，实时调整扫描参数，缩短扫描时间，增加影像解析度。
本地私人医疗业者MWH医疗集团引进亚洲首台结合人工智能，以及德国西门子医疗（Siemens Healthineers）独家BioMatrix科技的磁共振成像仪器，为病人提供更快速和清晰的扫描影像。
这台3T Magnetom Vida磁共振成像仪器，设在MWH医疗集团位于Royal Square@Novena的新综合医疗中心。
占据第七层楼的医疗中心还设有西门子亚洲标准中心，供培训和教育用途。MWH医疗集团和西门子医疗将通过该平台拓展医疗合作项目，相互交流医疗技术。
新医疗中心也采用指纹和脸部识别技术，进一步保障病人隐私。病人完成检查的三小时内，可通过MWH医疗集团开发的应用，获知报告结果。
西门子医疗新加坡常务董事萧爱莉受访时指出，磁共振扫描一般用于检查病人的软体组织如血管、肌肉、肌腱等部位。她说：“磁共振扫描没有辐射，因此也适用于检查小孩。”她补充，西门子医疗研发的3T Magnetom Vida磁共振成像仪器，通过人工智能技术和BioMatrix科技，可记录病人的生理机能，实时调整扫描参数，可缩短扫描时间，同时增加影像的解析度。
在医疗界有18年经验的萧爱莉，自2015年起担任西门子医疗新加坡的常务董事。她透露，医护人员一般需在病人进行磁共振扫描前，在机器上设置许多物理参数，但西门子研发的这款磁共振成像仪器可侦测病人的生理机能，减少前期准备时间。
另外，仪器的70公分孔径较一般磁共振扫描仪器来得大，可让病人在更大的空间接受扫描，减少幽闭症状。
MWH医疗集团总监林俊龙医生指出，医生和患者随时随地可通过应用获得他们的医疗资料，患者也可通过中心向世界各地的专家远程求诊，在一定程度上减少出国就医的需要。
林俊龙也是新加坡心脏、中风与癌症中心医疗总监。他认为，此次集团与西门子医疗合作，可借助对方的顶尖技术，满足本地医疗需求，为彼此创造双赢局面。
副总理兼国家安全统筹部长张志贤昨天出席新综合医疗中心的开幕仪式。
来自/联合早报