New Female Member Joins Nazri Nasir's Team - Raffles Medical ...

A PUBLICATION BY Registration No. 198901967K • MITA (P) 326/05/2004 • COMPLIMENTARY COPY
Raffles DentiCare
Food Allergy Wellness 2005
Health & You

OUR patients
New Female Member
Joins Nazri Nasir’s Team
Nazri Nasir, captain of the Singapore National Football Team,
and wife Sharifah have become proud parents of a lovely
baby girl named Alysha.
The little tyke uttered her first cry at 9.30 am on 18 October
2004, barely an hour after her mother was wheeled into the
labour ward for induced birth.
Dr Tan Yew Ghee, Consultant Gynaecologist and Senior
Partner of Raffles Women’s Centre, held the wailing baby in
his arms and showed her to an exuberant Sharifah.
Weighing 3.12 kg and measuring 51 cm, Alysha is the fourth
child of the growing Nazri family and the only girl in a family
of three boys.
"We are overjoyed," said a radiant Sharifah in her suite at
Raffles Hospital. "We have been blessed with three wonderful
boys and we were really looking forward to a girl," she said.
To the veteran football star,
2004 has been a hat trick
of achievements -
beginning with bagging the
championship in the
S-S-League and Singapore
Cup Final 2004 and
culminating in the arrival of
his long-awaited baby girl.
Sharifah with her baby girl Alysha
Besides Alysha, Sharifah’s youngest boy was also delivered
at Raffles Hospital by Dr Tan. "I came back to Raffles Hospital
again as everyone here is so nice and the service is great.
From Dr Tan to the housekeeping lady, everyone makes an
effort to ensure that I am comfortable and well," she said.
Other than Nazri, Dr Tan has also looked after the wives and
babies of other famous footballers in Singapore.
Beaming with pride, Nazri explained that while
the boys are great fun to
have around, a little girl
will be the perfect
companion for
Sharifah when
they go
shopping or do
girly things
together.
The Nazri family with staff of Raffles Hospital
Raffles Healthnews Issue 1/2005 3

OUR patients
Raffles Hospital Performs
Non-Related Living Donor
Kidney Transplant
Medical history was made at Raffles Hospital when it took
on and successfully completed its first non-related living
donor kidney transplant in October last year.
What made the feat more noteworthy, was that the patient,
Mr Um Sun Ho, is Korean. He and his donor flew all the way
to Singapore to have the renal transplant done here.
Mr Um was fortunate that the Human Organ Transplant Act
in Singapore had just been amended last year. With the
change, organ tranplants have extended beyond cadaveric
donation to include living non-related organ tranplantation.
(refer to box)
Mr Um Sun Ho, a long-time sufferer of diabetes, needed an
urgent renal transplant. He found a donor, but was frustrated
when hospitals in Korea could not carry out a renal tranplant
between two non-related people.
It was around June when his friend, a doctor with the Baeksang
Economic Research Institute (BERI), visited Raffles Hospital
for a benchmarking tour. His friend was impressed and
convinced that Raffles Hospital was the place to go for highlevel
and difficult surgeries. He went on to recommend the
hospital to Mr Um.
Mr Um himself was well-acquainted with Raffles Hospital,
having caught a documentary by the Korean Broadcasting
Station, which featured the high profile successful separation
of Korean Twins Ji Hye and Sa Rang.
His friend quickly emailed representatives of Raffles Hospital
who referred Mr Um to Consultant Nephrologist,
Dr A Vathsala.
They arranged for Mr Um, his wife and his donor to fly
to Singapore.
While here, Mr Um and his donor - who wants to be known
only as Mr Lee - had to undergo a series of preoperative
tests by the transplant team, headed by Renal Physician Dr
A Vathsala and a second nephrologist Dr Akira Wu. Other
than physical tests, both donor and recipient had to undergo
a Transpant Ethics Committee interview to ensure that the
donation did not stem from financial gains.
Dr Vathsala put Mr Um at ease by taking him through the
stages of the transplant step by step.
Surgery was carried out on 13 September 2004, a Monday,
so that there was a full week to observe and follow up on
his post-operative needs. Doctors used the
laparoscopic assisted harvesting method as
this decreases trauma and results in a
shorter healing period for both recipient
and donor.
While Mr Um underwent the lifechanging
surgery, his wife Mrs Um,
was in the good hands of transplant
coordinator Ms Lee Lee Boon.
Mr and Mrs Um with our nurses from the Intensive Care Unit
4 Raffles Healthnews Issue 1/2005

OUR patients
Amendments to
Human Organ
Transplant Act
Mr and Mrs Um with Ms Cecilia Teo from Intensive Care Unit
Mrs Um relates her experience fondly: “When we were
worried, we just have to approach Lee Boon and she would
make us feel so much better. Her friendship and kindness
has really touched our hearts.”
Lee Boon's warm personality was essential in keeping the
Ums, as well as Mr Lee, calm throughout the procedure.
Another medical staff, Ms Cecilia Teo of the Intensive Care
Unit, was also singled out for special mention.
Cecilia’s cheerful nature did wonders for the couple as they
coped with being alone in a foreign land.
Cecilia would download popular Korean songs on her
handphone and play them for Mr Um. When Mr Um moved
to a studio room for recovery, Cecilia borrowed Korean VCDs
for him to watch and even bought authentic Korean
food for the couple, knowing how much they missed their
local cusine.
Three weeks flew by and soon, Mr Um was ready
for discharge.
"We will always remember our stay in Singapore because of
Raffles Hospital. All the love and care shown to me has been
truly unforgettable, " said Mr Um gratefully.
On 6 January 2004, the Human Organ Transplant
(Amendment) Bill was passed by Parliament to allow
more Singaporeans to benefit from organ donation.
The amendments extend HOTA beyond cadaveric
donation to also regulate living donor organ
transplantation.
The amendments to HOTA were:
a. To extend HOTA beyond kidney to include liver,
heart and cornea;
b. To extend HOTA beyond deaths due to accidents
to all causes of death; and
c. To extend HOTA beyond cadaveric donation to
also regulate living donor organ transplantation
Living, non-related organ donation is also allowed,
provided the Transplant Ethics Committee is satisfied
that two major professional and ethical concerns are
adequately addressed.
First, the donor thoroughly understands the nature
and consequence of the medical procedures and has
given his or her full informed consent.
Second, there is no emotional coercion or financial
inducement to donate an organ. This applies to
transplants where the donors are related to the
recipients, and transplants where the donors are
unrelated to the recipients.
Raffles Healthnews Issue 1/2005 5

COVER story
Making healthcare more affordable
for our patients:
Raffles Hospital lowers
surgery and ward charges
Special Fixed Price Packages
Raffles Hospital’s Special Fixed Price Packages have taken
off with a flying start and has attracted interest from both
local and foreign patients alike.
In the three months since Raffles Hospital introduced the
attractively priced packages for 10 common surgical
procedures, the hospital has seen an increase in the number
of enquiries and appointments. The Raffles Hospital packages
are all-in, covering hospitalisation charges, surgical
charges and specialists’ professional fees for patients in a
4-bedded ward.
Says Ms Joanne Ho, Manager, Raffles Surgery Centre, “We
have seen a 20% increase in the number of heart bypass
surgeries and hip and knee replacement surgeries since the
Special Fixed Price Packages were introduced.”
Introduced in September, the Special Fixed Priced Packages
offer price reductions by as much as 20-30% for common
medical procedures such as hip and knee replacement,
cataract surgery and removal of gall bladder, ovarian cysts
and fibroids.
Some of the package prices are comparable to closest
competitors in Thailand and Malaysia; lower than other
private hospitals in Singapore and even lower than some
restructured hospitals in Singapore.
CABG or Open Heart Surgery for example, costs S$15,700.
In Thailand, a similar procedure costs S$13,000, and S$1,000
more for every subsequent graft done.
A heart angiogram will cost S$1,800 now, just S$90 more
than what it would cost in a Thai hospital.
Cataract operation costs S$2,000 which is one of the lowest
among private and public hospitals in Singapore.
For normal delivery of
babies, patients pay a neverbefore
rate of S$1,600.
Explaining the move, Dr Loo Choon Yong, Chairman of Raffles
Hospital, who also chaired the Healthcare Services Working
Group of the Economic Review Committee, said: “We
constantly organise ourselves to be more efficient so
that we can deliver healthcare more cost effectively for
our patients.”
“We hope that with this, the skills of our doctors, our facilities
and our cutting-edge technology will be made available to
benefit more patients both locally and in the region.”
Lower room rates for 6-bed ward
From 1 Jan 2005, patients who opt for a 6-bed room will pay
S$100 a day, down from the current rate of S$120 a day.
Explaining the new pricing policy, Mr Lawrence Lim, General
Manager of Raffles Hospital, said: “We introduced the 6-
bed wards at very economical rates to provide patients with
more choices based on their needs and budget. It may be
a choice made for a patient requiring long hospital stay, or
by a patient wishing to stretch their health budget.”
At S$100 a day, the 6-bed room rate is comparable to that
of Class B2+ rates of some restructured hospitals here.
Patients in the 6-bed room enjoy amenities and services that
include: treatment by specialist consultants, an attached
common bathroom, air-conditioned room, television set
and telephone, and internet access upon request.
For the patient, it means paying less for a stay in a private
hospital with the assurance of quality medical care from a
team of specialists.
6 Raffles Healthnews Issue 1/2005

COVER story
SPECIAL FIXED PRICE PACKAGES
SPECIALTY
TOTAL HOSPITAL
CHARGES
INCLUDE
DOCTORS FEES
MAXIMUM MEDISAVE
CLAIM
(SUBJECT TO
OPERATION CODE AND
LENGTH OF STAY)
LENGTH OF STAY
CARDIOLOGY PACKAGES
Coronary Angiogram
$1,800
$1,100
1 night
Coronary Artery Bypass Graft (CABG)
$15,700
$5,600
Up to 8 nights stay
(2 nights ICU)
EYE PACKAGE
Cataract Extraction with IOL Implant
$2,000 $1,550 Day Surgery
GENERAL SURGERY PACKAGES
Laparoscopic Cholecystectomy
(with Histology)
$4,200
$1,700
1 night
Diagnostic Gastroscopy
$380
Up to $350
Day Surgery
Diagnostic Colonoscopy
$800
Up to $750
Day Surgery
ORTHOPAEDIC PACKAGES (Exclude Implants)
Total Knee Replacement
- unilateral (exclude MRI / CT Scan)
$9,800
$4,700
Up to 5 nights
Total Hip Replacement
- unilateral (exclude MRI / CT Scan)
$10,800
$5,000
Up to 6 nights
OBSTETRIC & GYNAECOLOGY PACKAGES
Normal Delivery
$1,600
$1,350
Up to 2 nights
Open / Laparoscopic Myomectomy / Ovarian
Cystectomy (exclude histology)
$3,800
$3,200
Up to 2 nights
* Prices are correct at the time of print and are subject to periodic review. Prices are before GST.
Packages include :
• Hospital charges for standard non-complicated procedures for up to the stipulated days of stay
• Doctors and anaesthetists’ operation and daily attendance fees
To find out more about our Special Fixed Price Packages, kindly contact us at
Tel: (65) 6311 1222 Email: enquiries@raffleshospital.com
Raffles Healthnews Issue 1/2005 7

LATEST news
New Geriatric Programme at Ang Mo Kio Clinic
Raffles Medical Clinic at Ang Mo Kio is introducing a Geriatric Care and
Assessment Programme. As elderly patients have far more delicate and
complex needs than younger patients, they are best seen by a doctor
trained in Geriatric medicine. Through our comprehensive assessment,
our doctor will help ascertain patients’ medical condition and tailor
unique healthcare plans for them.
Our geriatric services include:
• Geriatric Assessment Health Screening (Golden Years Wellness Packages)
• Examinations tailored to the needs of elderly patients such as
Cognitive Screening, Mood Assessment, ADL / IADL assessments
and medication reviews.
• Blood tests
For more information or to make an appointment, kindly visit or contact our Ang Mo Kio clinic.
Ang Mo Kio
Blk 722 Ang Mo Kio Ave 8,
#01-2825, Singapore 560722
Tel : 6453 2288 Fax : 6455 3182
Mon – Fri
8.30am - 1.00pm, 2.00pm - 5.30pm, 6.30pm - 9.30pm
Sat, Sun & PH
8.30am - 1.00pm
New Regional Centre at Causeway Point #05-02
Raffles Medical opens a new regional centre at Causeway Point on 10 January 2005.
With its opening, the existing clinics in Marsiling MRT and Causeway Point #05-03 will
transfer to the new regional centre. Six times larger than the existing clinic at Causeway
Point, this spacious regional centre will cater to the needs of our patients and corporate
clients in the northern part of Singapore.
The new regional centre will offer more consultation rooms, health check, and a minor
operating theatre. Specialist services are planned to be introduced in the future.
To provide a more comprehensive range of services and convenience for our patients,
a dental clinic will be opened at the existing Causeway Point #05-03 clinic, on the same
floor and just opposite our new regional centre.
For more information or to make an appointment, kindly visit or contact our Causeway Point clinic.
Causeway Point
1 Woodlands Square, #05-02,
Causeway Point, Singapore 738099
Tel : 6894 0777 Fax : 6894 2267
Mon – Fri
8.00am - 5.30pm, 6.30pm - 9.30pm
Sat, Sun & PH
8.30am - 1.00pm, 2.00pm - 5.30pm, 6.30pm - 9.30pm
8 Raffles Healthnews Issue 1/2005

LATEST news
New Dental Clinics
and Longer Hours for
Your Convenience
Raffles Denticare is expanding to serve you better.
Two new clinics are slated to open early next year in Jurong East and Causeway Point. Our existing dental clinic in
Raffles Hospital will also extend its services to include general dentistry, in addition to the specialist dental services which
it now provides.
Now, you may choose from more Raffles Denticare clinics, one that is closer to your home or work place, for your
dental services.
New Dental Clinics
Jurong East (Jan 2005)
Blk 131 Jurong East Street 13, #01-267 Tel: 6897 4118
Causeway Point (Feb 2005)
1 Woodlands Square, #05-03 Causeway Point Tel: 6891 0255
Raffles Hospital (General Dentistry - Jan 2005)
585 North Bridge Road, #13-00 Raffles Hospital Tel: 6311 2360
Opening hours:
Mon – Fri
8.30am – 1pm
2.00pm – 5.30pm
Sat
8.30am – 1pm
To provide even greater convenience, Raffles Denticare has extended the operating hours of the clinics in OUB Centre,
Ngee Ann City, Millenia Walk, Tampines DBS and Compass Point with effect from January 2005.
Extended Hours
OUB Centre
Tel: 6533 3640
Millenia Walk
Tel: 6339 7800
Ngee Ann City
Tower B
Tel: 6737 6195
Mon – Fri
8.30am – 1pm
2.00pm – 5.30pm
Sat
8.30am – 1pm
Tampines DBS
Tel: 6787 0093
Mon – Fri
8.30am – 1pm
2.00pm – 5.30pm
6.30pm – 9.30pm
Sat
8.30am – 1pm
2.00pm – 5.30pm
Sun
8.30am – 1pm
Compass Point
Tel: 6881 7227
Mon – Fri
12.30pm – 5.30pm
6.30pm – 9.30pm
Sat
8.30am – 1pm
2.00pm – 5.30pm
For more information or to make an appointment, kindly contact the
clinic of your choice.
Raffles Healthnews Issue 1/2005 9

HEALTH & you
Is the Food You are Eating
Making You Sick?
Dr Stephen T. S. Lee
Consultant ENT Surgeon
Adverse reactions to food have been
recorded from the days of Hippocrates
over 2000 years ago. Since then, an
explosion of food related literature has
appeared in medical journals.
Food Allergy - otherwise known as
“immediate onset type” - refers to the
classical immunological mediated
response to food ingested. This is well established to be
through an antibody, IgE, to the specific offending food. The
reactions occur within minutes, and up to two hours, after
ingestion of even miniscule amounts of food that is usually
eaten infrequently. The reactions tend to be persistent and
consistent each time that food is ingested. It is usually selfdiagnosed
and examples of the reaction include breathing
difficulties, rash, facial and lip swelling. Fortunately, it is
relatively rare affecting only 2% of the UK population.
Food Intolerance - also known as delayed or masked onset
type - is less well understood. It too is due to immunological
mediated responses, but it does not involve the IgE antibody.
Instead, studies have shown that it is linked to the presence
of another antibody called IgG. The reactions occur from
two to 72 hours after ingestion of the food, and are usually
triggered by food eaten frequently and often in larger
quantities. Avoidance of the food for an appropriate interval
increases tolerance to the food on subsequent exposure.
The more often the food is ingested, the less it is tolerated.
It frequently involves four to five or even more types of
food. Due to these characteristics, the individual affected
is normally not able to identify the relationship between
the food and its reaction.
It is more common than food allergy and estimated to affect
up to 45% of the UK population. Although the symptoms
tend to be low grade, the problem is that they are often
chronic, recurrent and associated with inflammation in
multiple organ systems.
To put it another way, do you recognise one or more of
these complaints?
“I’m tired all the time.”
“My head is killing me.”
“My sinuses are hurting again”
“I am nervous/depressed.”
“I’ve been coughing for months.”
“I can’t sleep.”
“I itch day and night.”
“I can’t get rid of this yeast (vaginal) infection.”
“My arthritis is bothering me.”
Of course, one needs to exclude definite physical causes
for the above situations. It is important not to miss potentially
life-threatening conditions. However, consider the number
of normal examinations and normal tests these patients
go through.
10 Raffles Healthnews Issue 1/2005

HEALTH & you
Common factors amongst these patients include:
• Frequent consultations
• Multiple physician consultations
• Normal laboratory /X ray results
• Repeated treatment failures
Many of these complaints may be the result of food or even
chemical reactions. Left undiagnosed, they can cause years
of recurrent symptoms, unnecessary medical visits,
evaluations and medication ingestion.
How to diagnose?
Food allergy is often self-diagnosed. The diagnostic methods
of skin prick testing or blood testing for IgE antibody are
excellent for this diagnosis.
For food intolerance, skin prick testing or blood testing for
IgE antibody will not be able to diagnose the problem food.
Since the underlying mechanism is not IgE based,
any test which detects IgE will not be helpful in
this situation.
It is generally accepted that the most reliable
method for identifying the problem food is to
follow an elimination diet in combination with
a food challenge. This means that the most
commonly eaten foods are eliminated for a period
of two to three weeks. Subsequently each food
is individually re-introduced at two to three day
intervals. The elimination diet aims to restrict as
many foods as possible to minimise the chance
of missing an allergy-causing food. Although this
method is considered the gold standard in
diagnosis of food intolerance, it is difficult, tedious
and time consuming.
To overcome this difficulty, an alternative but yet
reliable, reproducible and valid method would
be of great use. Currently, medical literature reveals
that a variety of tests are being used. These include
ELISA blood tests for IgG, intradermal injection
skin tests, immune complex blood tests and
antigen leucocyte cellular antibody tests.
These tests, with the exception of the injection
test, are laboratory-based.
(food intolerance in this case) and the reproducibility of the
test meaning the ability of the test to reproduce the same
result for identical samples under identical test conditions.
Many reports in scientific journals point to the usefulness
of IgG in food allergy. Reproducibility of any test is ensured
by the laboratory concerned having to fulfill strict regulatory
requirements, and more importantly, that the laboratory has
a practice of checking blinded split samples, meaning that
a sample is split into two without the knowledge of the
tester. There must be consistency between the test results
for it to be considered valid. As the ELISA blood test for IgG
meets these requirements, it is used as a method to determine
food intolerances.
There are other tests including electro dermal test, hair
analysis, pulse testing, pendulum testing and muscle strength
test. However the value of many of these tests are unproven.
Treatment
Having identified the foods causing food intolerance, the
obvious step is to avoid the offending foods. This is
recommended for a period of at least 4 months. Following
that it is often possible to reintroduce the food back into
the diet using the principles of rotation of food intake over
several days. It does not mean that you have to avoid that
food for life.
“By rigorously eliminating IgG mediated allergic foods as the
sole form of therapy, nearly 80%of chronic sufferers,
regardless of condition or symptoms, can expect to
experience good to excellent relief,” concluded Dr Lee.
References:
1. Food Allergies and Food Intolerance: The Complete Guide to their Identification
and Treatment. J Brostoff, L Gamlin. 2000 May.
2. Treatment of delayed food allergy based on specific immunoglobulin G (IgG)
testing. H.Dixon Journal of Otolaryngol Head & Neck Surgery 2000 July:volume
123:pp 49-54.
3. Is it food intolerance? L.Sun. The National Pharmaceutical Association 2004
Pharmacy Business & Practice, Pharmacy Practice. pp203-7.
4. The Clinical relevance of IgG food allergy testing through ELISA-Enzyme Linked
Immunosorbent Assay. R.M.Suen. Townsend Letter for Doctors and Patients.
. January 2004. #246.pp61-6.
With such tests, critical issues are whether the
measurement reflects the condition under test
Raffles Healthnews Issue 1/2005 11

SPECIAL promotion
Directory
Raffles Hospital
585 North Bridge Road Singapore 188770
www.raffleshospital.com
General Enquiries 6311 1111
Fax No. 6311 2390
24 Hour Emergency 6311 1555
Admissions / Business Office 6311 1888
Family Medicine Centre 6311 2233
Raffles International Patients Centre 6311 1666
Physiotherapy Centre 6311 2350
Radiology 6311 1290
Raffles Specialist Centre
24 Hour Appointments Hotline 6311 1222
Fax No. 6311 2136
Email
specialist@raffleshospital.com
Sneezing? Coughing? Rashes? These could be caused by the foods you consume daily.
Food Allergy, or hypersensitivity, is an abnormal response by your immune system to
foods that you have eaten. Your body thinks harmless foods are harmful and creates
antibodies to combat specific foods. When you next ingest the same food, a great
amount of histamines will be released causing the symptoms of food allergy.
Food Allergy occurs in people of all ages, so test yourself today to find out which foods
to avoid.
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(96 food items)
Herbs and spices Panal
(24 spices + 24 herbs)
Comprehensice food and Inhalants
(General Food Panal + Inhalant Panel)
* Prices inclusive of prevailing GST. Promotion valid till 31 March 2005.
Price
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For appointments, please call
(65) 6311 1222 or email specialist@raffleshospital.com
Raffles Aesthetics Centre
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Raffles Medical Group
www.rafflesmedical.com
Corporate Accounts Enquiries 6311 1333
Fax No. 6311 2383
Singapore Clinics 6311 1111
Fax No. 6311 2392
• Anchorpoint 6479 3818
• Ang Mo Kio 6453 2288
• Anson 6225 2188
• Bedok 6441 1736
• Bishan 6456 7122
• Capital Tower 6323 5212
• Causeway Point 6894 0777
• Clementi 6872 9043
• Compass Point 6881 7337
• Grand Plaza 6333 0551
• Hougang Central 6386 7896
• JTC Summit 6563 2622
• Jurong East 6899 6688
• Lot 1 6765 3363
• Loyang Point 6585 3333
• Marina Square 6339 6644
• Marsiling 6363 9000
• Millenia Walk 6337 6000
• Ngee Ann City 6734 7355
• Ogilvy Centre 6223 1188
• OUB Centre* 6535 2222
• Raffles Airport Medical Centre
Passsenger Terminal Two* 6543 1118
Airport Transit One 6543 1113
Airport Transit Two 6543 1118
Changi Cargo Complex 6543 1038
• Raffles Hospital
24 Hour Emergency 6311 1555
Family Medicine Centre 6311 2233
• Siglap 6442 0488
• Tampines DBS 6788 6833
• Tampines Junction* 6788 2222
• Toa Payoh 6254 7667
• Yishun 6755 0049
* Clinics with X-ray Facilities
Hong Kong Clinics (852) 2525 1730
Editorial Board
Lawrence Lim, Moiz Tyebally,
Dr Stephen Lee, Liang Hwee Ting, Angeline
Tan & Ong Kai Ching
The information contained in this publication
should not be regarded as a substitute for
detailed medical advice in individual cases.
Please address all correspondence to
The Editor, Raffles Healthnews,
Fax no. 6311 2383.
Raffles Healthnews is published by
Raffles Medical Group Ltd,
585 North Bridge Road, Raffles Hospital
#11-00, Singapore 188770.
Design and Production by Creative Essence • November 2004