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A PUBLICATION BY Registration No. 198901967K . MITA (P) 274/07/2006 . COMPLIMENTARY COPY ISSUE 4/2006


AESTHETIC<br />

Skin<br />

For<br />

By Dr Yeak Hwee Lee, Senior Family Physician and Aesthetics Practitioner,<br />

<strong>Raffles</strong> <strong>Medical</strong> Clinics<br />

Today’s women are amazing. Despite having to straddle<br />

the stresses of work and family, they somehow manage<br />

(and are expected) to look like a superstar.<br />

The most disturbing skin problem in tropical Singapore is<br />

probably acne and acne scarring. It causes such distress<br />

that many suffer from psychological issues (such as poor<br />

self-image) as a result of it.<br />

The more mature women have other grouses, primarily ageing<br />

skin–wrinkling, pigmentation (often aggravated by solar<br />

damage), sagging and loss of youthful glow and firmness<br />

of skin. The quest to restore skin to its youthful vitality has<br />

spawned the multimillion-dollar cosmetic industry.<br />

Pregnant ladies have their own unique set of problems.<br />

Though some ladies experience the rosy glow of pregnancy,<br />

most expectant mothers have to put up with dark blotches<br />

on the skin, hair growth in unusual areas, thinning hair on<br />

their head, rashes, acne, stretch marks, brittle or splitting<br />

nails, and worsening of existing skin conditions.<br />

As one ages, the risk of skin injury is increased as the skin<br />

is thinner, more fragile and the protective subcutaneous<br />

fat layer is lost. In addition, one’s ability to sense touch,<br />

pressure, vibration, heat and cold may be reduced. All<br />

these increase the risks of injury. Rubbing or pulling on<br />

the skin can cause skin tears. Fragile blood vessels are<br />

easily broken. Bruises, flat collections of blood, and raised<br />

collections of blood may form after even a minor injury.<br />

This is most easily seen on the outside surface of the<br />

forearms, but can occur anywhere on the body. Skin changes<br />

and loss of subcutaneous fat, combined with a tendency to<br />

be less active, as well as some nutritional deficiencies and<br />

other illnesses contribute to pressure ulcers.<br />

Ageing skin repairs itself more slowly than younger skin.<br />

Wound healing may be up to four times slower. This<br />

contributes to pressure ulcers and infections. Diabetes,<br />

blood vessel changes, lowered immunity, and similar<br />

factors also affect healing.<br />

Although it is not possible to turn back the hands of<br />

time, its effects can be slowed down and improved with<br />

the arsenal of procedures and techniques available.<br />

Anti-ageing creams such as retinols and alpha<br />

hydroxyacids and topical product like vitamin C and<br />

vitamin E serums are usually used to treat the milder<br />

symptoms of ageing such as damage to the skin’s<br />

uppermost layers. Sun avoidance by using sunscreens<br />

and other physical means such as hats and visors will<br />

help to prevent solar ageing.<br />

For more advanced signs of ageing and sun-damage,<br />

your dermatologist will choose the surgical method or<br />

combination of methods best suited to your individual<br />

skin condition. Here are some treatments that would<br />

refine your appearance and make your skin look and feel<br />

healthy and attractive.<br />

2<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


are<br />

AESTHETIC<br />

ll Ages<br />

CORRECTIVEPROCEDURES<br />

Chemical Peels<br />

Chemical peels are beneficial in the treatment of wrinkles, skin<br />

discoloration and age spots, as well as dull skin texture and<br />

mild acne scars. A customised chemical solution is applied<br />

to the skin to remove outer layers of aged and sun-damaged<br />

skin. Upon healing, generated new skin is noticeably smoother<br />

and fresher in appearance. A variety of peeling agents can<br />

be used to produce light, medium or deep chemical peels,<br />

depending on the amount of skin damage present.<br />

Facelift<br />

A well-known procedure, facelift removes sagging and<br />

redundant skin, particularly from the lower third of the face<br />

and under the chin. Some dermatologists now perform both<br />

facelifts and eyelid surgery as in-office procedures under<br />

local anaesthesia.<br />

Non-surgical face-lifts such as Thermage using radiowaves<br />

and Titan using infrared technology have deferred the need<br />

for surgical intervention till a later date.<br />

Dermabrasion<br />

Dermabrasion uses a special instrument to remove or abrade<br />

the upper layers of the skin and smooth out irregularities in the<br />

skin surface. Although usually performed to correct scarring,<br />

some physicians perform dermabrasion for substantial sun<br />

damage and pigmentation problems.<br />

Soft Tissue Fillers<br />

Soft tissue fillers involve injecting a filling substance under<br />

the skin. It is used to “plump up” or contour and correct<br />

wrinkles, furrows and hollows in the face. Filling substances<br />

include bovine collagen and related materials, fat removed<br />

from another part of the patient’s body and polymer implants.<br />

Botulinum Toxin (BOTOX)<br />

Botulinum toxin type A is a muscle blockade that is injected in<br />

very tiny amounts into specific muscles to treat and improve<br />

lines, wrinkles and furrows associated with facial expression.<br />

It is also used to immobilise the muscle bands sometimes<br />

visible on the neck.<br />

Laser Resurfacing<br />

Laser resurfacing uses the newest generation of the<br />

carbon dioxide and erbium YAG lasers to vaporise the<br />

undesired skin tissue one layer at a time, revealing fresh<br />

skin underneath. The laser’s highly focused beam enables<br />

the dermatologist to gently and precisely remove the skin’s<br />

surface with low risk of complications.<br />

Non-Ablative Resurfacing<br />

Non-ablative resurfacing has several of the benefits of<br />

traditional laser resurfacing without wounding the top layers<br />

of the skin, providing rapid postoperative healing. They<br />

rejuvenate ageing and sun-damaged facial skin through the<br />

use of non-ablative laser and intense pulsed light technologies<br />

as well as electro-surgical resurfacing using “cold” (low<br />

temperature) electrical energy. This latter technique allows<br />

rapid healing when used to treat wrinkles or scars.<br />

Microdermabrasion<br />

Microdermabrasion uses tiny particles that pass through<br />

a vacuum tube to gently scrape away the ageing skin<br />

and stimulate new cell growth. Because of the superficial<br />

nature of this technique, patients with mild to moderate skin<br />

damage and wrinkles are the best candidates, and multiple<br />

treatments are usually required to achieve subtle results.<br />

For more information or to make an appointment for the procedures above, please call<br />

<strong>Raffles</strong> Aesthetics Centre in <strong>Raffles</strong> Hospital: 6311 1222 (24 hour appointment hotline)<br />

<strong>Raffles</strong> <strong>Medical</strong> Clinic in OUB Centre: 6535 2222 or 6538 0057<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

3


WELLNESS<br />

<strong>Medical</strong>, Dietary & Exercise Advice For A<br />

SLIMMER YOU<br />

Hands up if you think you could do with some weight loss. You are not alone. A survey by AC Nielsen in 2004 says that 80 per<br />

cent of Singaporeans are attempting to shed some weight. How can this be done? Raffl es Hospital’s experts in their fi elds,<br />

Consultant Endocrinologist Professor Cheah Jin Seng and Dietitian Ms Michelle Funk, as well as California Fitness Regional<br />

Director of Fitness Development Mr Rob Devereux, sheds light on how you can be slimmer.<br />

<strong>Medical</strong> Problems and Weight Loss<br />

By Professor Cheah Jin Seng<br />

Calorie-packed fast food and drinks and increased portion<br />

sizes combined with a sedentary lifestyle have spawned<br />

global obesity.<br />

Half of Singapore’s adult population are either overweight<br />

or obese. Obesity is not only socially and aesthetically<br />

undesirable, it shortens life expectancy and it can result in<br />

many serious and debilitating diseases such as diabetes<br />

mellitus, high blood pressure and heart disease.<br />

Obesity can be due to an underlying<br />

medical problem<br />

While the vast majority of obese people are in the state they<br />

are in due to over-eating and under exercising, a small minority<br />

has underlying medical disorders resulting in the weight gain.<br />

These include hypofunction of the thyroid, hyperfunction of<br />

the adrenal (Cushing’s Syndrome), diminished function of the<br />

gonads and pituitary and rare genetic disorders.<br />

Before undergoing a weight management programme,<br />

it is important that the overweight person consult the<br />

endocrinologist or physician to see if there’s an underlying<br />

cause or if he is suffering from any co-mobidities.<br />

Weight management in the overweight with<br />

co-morbid states<br />

In general, overweight patients with co-morbid disorders have<br />

a greater urgency to lose weight than those without as weight<br />

loss leads to the improvement of the co-morbidites and<br />

medication reduction. An overweight non insulin-dependent<br />

diabetic that loses fi ve to 10 kg may even be cured of the<br />

diabetes! Joint pains (osteoarthritis) are common in the obese;<br />

these subjects can only do limited exercise such as swimming,<br />

walking and cycling. In these patients, reduced caloric intake<br />

and anti-obesity drugs are helpful.<br />

Even modest weight loss is signifi cant in improving the wellbeing<br />

and co-morbidity in the obese. In the morbidly obese<br />

(BMI 37 and above), laparoscopic gastric banding is an<br />

effective and safe option.<br />

Team management is the key to successful<br />

weight management<br />

Together with the help of the physician, dietitian, exercise<br />

therapist, behavioural therapist and surgeon, the overweight<br />

can shed the extra pounds easily.<br />

You are what you eat –<br />

Tips for a successful weight loss!<br />

By Ms Michelle Funk<br />

To lose weight, you need to use up more calories than the<br />

calories consumed. An effective way to do so is to eat less fat<br />

as every gram of fat is double the calories contributed by other<br />

macronutrients like protein and carbohydrate.<br />

1g fat = 9 calories<br />

1g carbohydrate = 4 calories<br />

1g protein = 4 calories<br />

Less fat for a more satisfying and healthier meal<br />

Compare the difference:<br />

1 bowl of prawn noodle, soup 293 calories, 2g fat<br />

1 bowl of prawn noodle, dry 409 calories, 12g fat<br />

1 bowl plain rice 260 calories 0g fat<br />

1 bowl chicken rice 434 calories 9g fat<br />

2 chapati 180 calories, 6g fat<br />

1 prata 317 calories 11g fat<br />

In each set, the amount of food is similarly fi lling. The difference<br />

in calories is due to the different fat content. To make the<br />

higher fat item the same calories as the lower fat item, you’ll<br />

have to eat less of the higher fat item, thus reducing the size<br />

of your meal and your satisfaction level.<br />

Fad diets work... only temporarily<br />

Most people on diets such as low carbohydrate diets or fruit<br />

only diets inevitably put the weight back on. Currently, there is<br />

still insuffi cient data to support the many variation of diets that<br />

are high in protein, high in fat and low in carbohydrate.<br />

Set long-term goals<br />

Set your goal for permanent weight loss by slowly changing<br />

your eating and lifestyle habits. A healthy rate of weight loss is<br />

about half to one kilogramme per week. Do not rush<br />

yourself as rapid and excessive<br />

weight loss is unhealthy.<br />

Take the time to make<br />

changes that you will be<br />

able to continue for a<br />

very long time.<br />

4<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


Sweat it out!<br />

By Mr Rob Devereux<br />

A good exercise programme should be balanced. It should<br />

comprise cardiovascular exercise, resistance training and<br />

stretching. However, this does not mean that all of these<br />

components need to be incorporated into every training session.<br />

The amount of exercise done in each session is largely<br />

determined by your goals, current fi tness level, and time<br />

available. Everyone who has the physical capacity to do<br />

so should accumulate 30 minutes of moderate intensity<br />

exercise (eg: brisk walk or slow jog) on as many days of the<br />

week as possible.<br />

During exercise, the heart rate should be elevated and<br />

breathing laboured. After exercise the individual should feel<br />

that he has exerted himself but not to the extent that he<br />

feels exhausted.<br />

The main activity focus in weight loss programmes is<br />

cardiovascular exercise because this type of exercise is ideal<br />

for calorie burning. A cardiovascular exercise is any activity<br />

that raises the heart rate through the use of large muscle<br />

groups in a rhythmic nature and that can be maintained for a<br />

relatively long period of time. Brisk walking, jogging, cycling,<br />

swimming and rowing are all examples of cardiovascular<br />

exercises that help burn off the extra calories.<br />

Resistance training should also be incorporated into a<br />

weight loss programme because well trained and toned<br />

muscles have a higher metabolic rate which means that<br />

even at rest they burn more calories than untrained poorly<br />

toned muscles.<br />

A suggested half an hour exercise programme<br />

Here’s a good combination for a weight loss programme.<br />

1. Start off with 20 minutes of your preferred cardiovascular<br />

exercise (eg: swimming, jogging or aerobics).<br />

2. Follow that up with 10 minutes of callisthenics. The<br />

calisthenics could include a circuit of the following<br />

three exercises:<br />

a. Squat down to touch the ground<br />

then standing back up again 15 times<br />

b. Push ups, 15 times<br />

c. Crunches, 15 times<br />

Weight Management Services<br />

Sign up for a <strong>Raffles</strong> Hospital Weight Loss package<br />

which includes four consultations with a Consultant<br />

Endocrinologist, four sessions with a dietitian and<br />

laboratory tests.<br />

Mothers, get back in shape through the Postnatal<br />

Back-to-Shape Package. The package includes a<br />

gynaecologist check-up, a back to shape aesthetic<br />

treatment and dietetic advice.<br />

Special Price of<br />

S$220<br />

Find out what is the appropriate treatment you should<br />

go for to reduce excessive weight quickly and effectively<br />

through the <strong>Raffles</strong> 32 Screening. The package consists<br />

of a specialist consultation, blood tests, electrocardiogram<br />

and an ultrasound of the liver.<br />

Treatments for severe obesity:<br />

Special Price of<br />

S$420 until 31 Dec 06.<br />

Special Price of<br />

S$350 until 31 Dec 06<br />

Intragastric balloon (non-surgical<br />

treatment) is a quick and non-invasive.<br />

treatment to lose weight 6kg to 20kg).<br />

Laparoscopic banding (surgical<br />

treatment) is a reversible keyhole procedure<br />

with minimal scars that will lead to a weight<br />

loss of 20 to 100kg permanently.<br />

In conjunction with California Fitness Jackie Chan Sport,<br />

you can also get a special training package at:<br />

WELLNESS<br />

This circuit of three exercises could be repeated three times to<br />

complete a 10-minute workout for some of the major muscles<br />

of the body.<br />

S$892 for 12 personal training<br />

sessions (to be completed in 6 weeks).<br />

S$848 for 8 personal training<br />

sessions with 3-month gym membership.<br />

or<br />

Email: specialist@raffleshospital.com<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

5


FITNESS & NUTRITION<br />

Strategies to prevent aches,<br />

pains and injuries<br />

By Mr Lim Hun Teck, Senior Physiotherapist<br />

The back is a well-designed structure made up of<br />

bones, muscles, nerves and other soft tissues. It takes<br />

on the stress of the work and play we do 24 hours a<br />

day. For this reason, the back is particularly vulnerable<br />

to injury. The good news is that back pain and injuries<br />

are avoidable.<br />

Be fit<br />

Regular exercise is one of the best methods to maintain a healthy<br />

spine. Keep your weight in check as being overweight strains<br />

your back muscles. Regular low-impact aerobic activities that<br />

don’t strain your back can increase the strength and endurance<br />

of your back and allow your muscles to function better. Walking<br />

and swimming are good choices.<br />

Abdominal and back muscle exercises help condition these<br />

muscles so that they work together like a natural corset for your<br />

back.<br />

Pay attention to posture<br />

A healthy spine has three natural curves. When these curves<br />

are in their proper position, we have good posture. Poor posture<br />

stresses your back. When you slouch or stand with a swayback,<br />

you exaggerate your back’s natural curves. This can lead to<br />

muscle fatigue and injury. In contrast, good posture relaxes your<br />

muscles and requires minimal effort to balance your body.<br />

Correct standing posture<br />

When standing, imagine that someone is making you taller<br />

by pulling a string attached to the top and back of your head.<br />

Tighten your pelvic fl oor muscles and your tummy muscles to<br />

support your back in this posture. If you view from the side, a<br />

good standing posture is where your ear, shoulder and knee fall<br />

along a straight line. If you stand for long periods, rest one foot<br />

on a stool or small box from time to time.<br />

Correct sitting posture<br />

To promote comfort and good posture while sitting, choose<br />

a chair that supports your back. Adjust the chair so that your<br />

back and upper back is supported by the backrest. If the chair<br />

doesn’t support your lower back’s curve, place a rolled towel or<br />

small pillow behind your lower back. Place the feet on a stool<br />

if they are not resting on the fl oor. Hold reading material at eye<br />

level and don’t bend forward when reading or working.<br />

Correct sleeping posture<br />

The best lying or sleeping posture may vary, depending on your<br />

symptoms. Try to sleep in a position which helps to maintain the<br />

curve in the back. Eg, lying on your back with a pillow under the<br />

knees or on the side with the knees slightly bent.<br />

People with back pain have commonly been told to use a fi rm<br />

mattress. Recent studies, though, indicate that a medium-fi rm<br />

mattress might be better. However, the type of mattress to be<br />

used still depends on the condition of the back. Do use pillows<br />

for support but do not use a pillow that is either too thin or too<br />

thick that forces your neck into a severe angle.<br />

6<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


Lift smart<br />

If you have to carry anything, hold it close to your body, bend<br />

your knees rather than your back (as if squatting) and try not<br />

to twist. When shopping, divide your purchases into two equal<br />

loads and carry one bag in each hand. Do recruit help if the<br />

load is too heavy.<br />

Reduce stress<br />

Stress causes you to tense your muscles, and this can make you<br />

more prone to injury. Try to minimise your sources of stress both on<br />

the job and at home. Develop coping mechanisms for times when<br />

you feel especially stressed. For instance, perform deep-breathing<br />

exercises or talk out your frustrations with a trusted friend.<br />

Tips to manage back pain<br />

Keep moving<br />

Prolonged bed rest may result in wasting of the back muscles<br />

and hinder the healing process. Light activity speeds healing<br />

and recovery. If the back hurts, stop the aggravating activities<br />

but try to keep activities that aren’t painful.<br />

Apply cold or heat<br />

Hot bath and hot or cold compresses, can soothe sore and<br />

infl amed muscles. Use cold treatment immediately after injuring<br />

your back; apply ice pack or cold compress several times a day,<br />

for up to 20 minutes at a time. Wrap the cold compress with<br />

a cloth or towel to keep a thin barrier between the equipment<br />

and the skin. Use for as long as spasms persist. After spasms<br />

and acute pain subside, you can apply heat from a heating<br />

pad or heat lamp to help loosen tight muscles. Limit each heat<br />

application to 20 minutes.<br />

Use pain relievers<br />

Your doctor may prescribe nonsteroidal anti-infl ammatory<br />

drugs or in some cases, a muscle relaxant, to relieve mild to<br />

moderate back pain that doesn’t get better with overthe-counter<br />

pain relievers<br />

When to seek medical advice<br />

Most back pain gradually improves with home treatment<br />

and self-care. Although it may take several weeks<br />

before it completely disappears, you should notice some<br />

improvement within the fi rst 72 hours of self-care. If not,<br />

see your doctor or physiotherapist<br />

In rare cases, back pain can signal a serious medical<br />

problem. See a doctor or physiotherapist<br />

immediately if your back pain:<br />

Is constant or intense, especially when lying down or<br />

at night<br />

Spreads down one or both legs<br />

Causes weakness, numbness or tingling in one or<br />

both legs<br />

Causes new bowel or bladder problems<br />

Is associated with abdominal pain or pulsation<br />

(throbbing), or fever<br />

Follows a fall, blow to your back or other injury<br />

Is accompanied by unexplained weight loss<br />

Also, see your doctor if the pain is new and you’re<br />

older than age 50 or have a history of cancer,<br />

osteoporosis, steroid use, or drug or alcohol abuse.<br />

<strong>Raffles</strong> Physiotherapy Centre<br />

can help you with:<br />

Back and neck pain or stiffness<br />

Muscle strains/contusions<br />

Joint sprains/stiffness/instability<br />

Arthritis<br />

Muscle imbalances/weakness<br />

Muscle spasm<br />

Tendonitis/bursitis<br />

Rehabilitation following occupational injury,<br />

surgery, sporting injuries.<br />

FITNESS & NUTRITION<br />

Using brace or corset<br />

They can provide warmth, comfort and a degree of support to<br />

your back. But it’s best to use a brace or corset only for short<br />

periods or during back-straining activities. Prolonged usage of<br />

the brace or support may weaken the muscles of the back, if at<br />

all. The best brace or corset you can give yourself is your own<br />

“muscle corset.” You can build up your muscle corset through<br />

back strengthening and stability exercises.<br />

For more information or to make an appointment with our physiotherapist, please call our<br />

Appointments Hotline: 6311 1222<br />

or<br />

Email: specialist@raffleshospital.com<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

7


CORPORATETSCENE<br />

Dinner guests were each given a copy of the <strong>Raffles</strong> <strong>Medical</strong> commemorative book. Guest of Honour DPM Wong Kan Seng received the first copy.<br />

Raffl es <strong>Medical</strong> <strong>Group</strong> celebrated its 30th anniversary on<br />

29 July this year with a gala dinner, a charity drive and the<br />

launch of a commemorative book.<br />

The dinner was held at Raffl es City Convention Centre, and<br />

is also meant as an opportunity to thank the <strong>Group</strong>’s more<br />

than 1 million patients as well as corporate clients from<br />

5,000 companies for their unwavering support over the past<br />

30 years.<br />

their patients. This vision is translated into a private group<br />

practice model of integrated care which is unique in a setting<br />

in Singapore where solo private practice is the norm, extends<br />

from the <strong>Group</strong>’s GP services to its specialist services, and<br />

to its practices overseas.<br />

The <strong>Group</strong> currently manages a network of 60 family medicine<br />

and dental clinics covering the island and providing care for<br />

our patients where they work and live.<br />

8<br />

A special commemorative book titled “A Journey of Faith –<br />

the Raffl es <strong>Medical</strong> Story” was launched during the dinner.<br />

The book chronicles the history and development of Raffl es<br />

<strong>Medical</strong> <strong>Group</strong> that started in 1976 as a two-clinic GP<br />

practice to become one of the largest integrated healthcare<br />

organisations in Singapore and the region.<br />

Raffl es <strong>Medical</strong> <strong>Group</strong> was founded by partners Dr Loo<br />

Choon Yong and Dr Alfred Loh with the simple vision of<br />

working as a team to provide the best personalised care for<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006<br />

Its fl agship tertiary hospital – the 380-bed Raffl es Hospital<br />

- offers a wide range of specialist medical and diagnostic<br />

services that span across more than 40 specialties.Five years<br />

since its opening, Raffl es Hospital has already garnered a<br />

reputation of being able to perform some of the most<br />

complex surgeries, as well as a destination of choice among<br />

international patients who comprise 36% of the hospital’s<br />

patients.<br />

Over the years, the <strong>Group</strong> has expanded regionally, with clinic<br />

operations in Hong Kong and representation in a number of<br />

cities in the region.


CORPORATESCENE<br />

The AMF had sent medical teams to Aceh and Nias in 2004 and 2005 respectively.<br />

The <strong>Group</strong> has also evolved along the healthcare value<br />

chain to include health insurance through International<br />

<strong>Medical</strong> Insurers, its specialist healthcare insurance unit,<br />

and consumer healthcare through <strong>Raffles</strong> Health Pte<br />

Ltd–a subsidiary set up to develop and distribute quality<br />

vitamins, supplements and medical diagnostic equipment<br />

in Singapore and the region.<br />

As <strong>Raffles</strong> <strong>Medical</strong> <strong>Group</strong> grows, it aims not only to bring its<br />

brand of healthcare to more people in more communities<br />

but to harness its professional expertise and resources to<br />

serve the sick and underprivileged in the region.<br />

The AMF also despatched medical teams and supplies to<br />

the Nias Earthquake of 28 March 2005.<br />

Looking ahead, the AMF plans to send missions overseas<br />

to provide assistance with and training in organising or<br />

provision of specifi c health care services. These could range<br />

from primary care services (such as vaccinations and care<br />

of sick children) to specialised services to planning and<br />

management of hospitals or healthcare systems.<br />

This commitment to serving the community is undertaken<br />

by The Asian <strong>Medical</strong> Foundation (AMF), the <strong>Group</strong>’s<br />

humanitarian arm.<br />

Incorporated as an Institute of Public Character in<br />

November 2003, the AMF will leverage on its core<br />

competencies – medical expertise, skills in emergency<br />

medicine and health education – to meet specific needs.<br />

The first activity of the AMF was in 2004 when it adopted<br />

the Ling Kwang Home for Senior Citizens, and raised<br />

funds to support its residents with medical equipment and<br />

daily necessities.<br />

During the Asian Tsunami Disaster of 2005, the AMF sent<br />

humanitarian and fi nancial aid to disaster victims in Aceh,<br />

Indonesia. In collaboration with Munich Reinsurance<br />

Singapore, it despatched a medical team of two doctors and<br />

two nurses to Aceh to treat 1,000 survivors.<br />

The AMF raised $200,000 through the charity Golf event in April.<br />

As part of the programmes of its 30th Anniversary<br />

celebrations, the <strong>Group</strong> raised $200,000 for the Foundation<br />

earlier this year through a charity golf donation drive. The<br />

cheque was presented to the Board Of Trustees of the AMF<br />

at the Anniversary Celebration Dinner. The money raised will<br />

be used to meet the needs of the underprivileged, particularly<br />

those requiring urgent medical treatment.<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

9


NEWSERVICES<br />

Do your staff dread work? Have you noticed that certain<br />

persons in office are under-performing due to issues in<br />

their personal life or work?<br />

Companies invest significant amounts of time and money on<br />

their workforce. It only makes sense to support employees<br />

to protect this investment and demonstrate commitment<br />

to them.<br />

The Employee Assistance Programme (EAP) is one such<br />

programme. A workplace-focused programme, the EAP<br />

assists to identify and resolve employee concerns such as<br />

work stress, issues in working relationships, family problems<br />

and bereavement which may affect one’s work performance.<br />

The programme provides professional assistance such as<br />

counselling to help employees cope with their work-related<br />

or personal problems. Through a systematic approach, the<br />

programme identifi es the employee’s problem and sets out to<br />

fi nd a solution while maintaining the strictest of confi dentiality.<br />

The provision of an EAP is a practical way of demonstrating<br />

that the organisation has a sincere interest in the well being<br />

of its employees.<br />

10<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


EAP<br />

programme components<br />

NEWSERVICES<br />

Lifestyle and Health Survey<br />

This online survey may be done as a mental health survey, or as<br />

a lifestyle and health survey which provides a physical and mental<br />

health status inventory of the employees of the company.<br />

Telephone counselling<br />

This is a telephone hotline service manned by qualifi ed and<br />

experienced counsellors, whom employees can call for<br />

assistance when they need to.<br />

Face to face consultations<br />

The service provides your employees the advantage of faceto-face<br />

consultation sessions with a counsellor, psychologist<br />

or psychiatrist. Face-to-face consultations or counselling<br />

sessions are useful to help employees discover their own<br />

strengths, skills and resources to move towards a solution.<br />

Talks / Workshops<br />

Talks or workshops conducted by our specialists may be<br />

organised for your management staff and/or employees.<br />

These talks and workshops are always workplace focused<br />

and will advise what the employer and employee needs to<br />

do to move on. Some examples include Anger Management,<br />

Anxiety Management, Counselling and Support Skills, and<br />

Success Over Stress.<br />

Quarterly reports to companies<br />

Companies will also be provided with a quarterly report<br />

comprising aggregated data on utilisation and problems raised<br />

by employees. The reports will not include any information that<br />

will infringe on the privacy of the individual using the services.<br />

Some examples of the reports include number of calls received<br />

by counsellors for telephone counselling, number of staff who<br />

require individual counselling sessions and the main problems<br />

presented by staff.<br />

Benefits of the<br />

Companies who have participated in the EAP<br />

have found that many benefits can be gained<br />

by implementing an EAP. These include:<br />

Enhanced Performance And Productivity<br />

Optimum Levels Of Workforce Efficiency<br />

Reduced Healthcare Costs<br />

Reduced Absenteeism<br />

Improves Attraction And Retention Of Talent<br />

Improved Health And Well Being Of Employees<br />

Improved Customer Satisfaction<br />

Assistance For Organisational Change<br />

Promotes A Positive Company Image<br />

Raffl es Counselling Centre provides a comprehensive programme to suit the individual needs of your organisation.<br />

To fi nd out more about the Employee Assistance Programme, call our Hospital Marketing hotline at<br />

Appointments Hotline: 6311 2228<br />

or<br />

Email: specialist@raffleshospital.com<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

11


REGIONALOFFICE<br />

<strong>Raffles</strong> Hospital<br />

expands to more<br />

overseas locations<br />

Our Representative Offices<br />

will assist you with:<br />

Information and answer to queries<br />

Booking of medical appointments<br />

Travel documents & VISA application<br />

Counselling on medical procedures<br />

and more...<br />

For more information on our overseas<br />

Representative Offi ces, call our International<br />

Marketing department at 6311 1111<br />

Indonesia<br />

PT <strong>Raffles</strong> Medika Indonesia<br />

Address: Jl. Wolter Monginsidi 3,<br />

Jakarta 12110, Indonesia<br />

Phone: 62-21-7251 656<br />

Fax: 62-21-7204 916<br />

Email: rhindo@cbn.net.id<br />

To serve an ever-increasing number of overseas patients from regional countries,<br />

Raffl es Hospital plans to set up new Representative Offi ces in Myanmar, Sri<br />

Lanka and India – in addition to existing markets in Indonesia, Bangladesh and<br />

more recently, Vietnam.<br />

The hospital has been appointing more Associates who will assist all potential<br />

clients with enquiries, appointments and travel arrangements. Currently, the<br />

hospital has associates in 12 countries and representation in fi ve.<br />

Explaining the rationale behind this move, Dr Saw Chit Aung, Deputy Director<br />

of International Marketing said: “The standard of living in the regional countries<br />

have improved substantially over the last few years. These foreign patients have<br />

grown affl uent, can afford quality medical care and are willing to pay for better<br />

standards of service. Their search for quality healthcare brings them to Raffl es<br />

Hospital in Singapore.”<br />

Representative offi ces and associates act as medical referral centres to help<br />

patients gain access to specialist and hospital services quickly and effi ciently.<br />

Patients can expect a high level of quality care no matter which country they<br />

are from.<br />

Bangladesh<br />

Dhaka Representative Office<br />

Address: City Heart (9th fl oor),<br />

67 Naya Paltan, Dhaka 1000,<br />

Bangladesh<br />

Phone: 9334963, 9330676,<br />

9362624, 9353046<br />

Fax: 880-2-8314 306<br />

Email: rhbdesh@bdcom.net<br />

Vietnam<br />

<strong>Raffles</strong> Hospital Liaison Centre,<br />

Family Care International Clinic<br />

Address: 35 Pham Ngoc Thach St,<br />

Ward 6 District 3, Ho Chi Minh City,<br />

Vietnam<br />

Phone: 84-8-8222 713<br />

Mobile: 0903 934 717<br />

Fax: 84-8-8296 205<br />

Email: rh_hcmc@healthsolutionsvn.com<br />

12<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


Managing Screen Time<br />

By Dr Rosebeth R. Marcou<br />

HEALTHTIPS<br />

Andrew’s parents are concerned. Their 9-year-old son has lost<br />

interest in everything but Runescape and the latest Nintendo DS<br />

game. Lately, he does not seem to have energy even for legos<br />

or his soccer practices.<br />

The root of the problem may lie in his bedroom.<br />

Like typical doting parents, Andrew’s parents<br />

want him to have the best of everything. So<br />

Andrew’s room is equipped with a fl at screen<br />

TV, Game Cube, PS II and laptop.<br />

But bogged down with homework<br />

in the day, Andrew can hardly fi nd<br />

any time for computer games, to<br />

squeeze in some playing time,<br />

Andrew sneaks up at 4am – plays<br />

an hour of Runescape – and<br />

then quickly goes back to bed<br />

so that his parents think he<br />

has slept through the night.<br />

While there are confl icting studies as to the mid term impacts<br />

of excessive screen time. It is clear many forms of electronic<br />

entertainment are essentially ‘passive’. Players have to add<br />

very little from their own imagination to play, and the possibilities<br />

are highly scripted.<br />

There may also be an association with the increased rates of<br />

childhood obesity.<br />

As is true for many aspects of childhood, learning to do things<br />

in moderation is achievable.<br />

Children need to understand that if they are doing their<br />

school work well, playing successfully with their peers and<br />

demonstrating other interests – then some screen time each<br />

day can be relaxing and diverting, but that their parents will<br />

not permit it as a sole pre-occupation.<br />

Know you are serving your child’s needs best; in spite of the<br />

protests you might hear at fi rst!<br />

Andrew is not alone in<br />

his problem. For many<br />

children, electronic<br />

entertainment holds an<br />

extreme and sometimes<br />

inexplicable allure. It even<br />

shapes the way they<br />

interact with others. 11-<br />

year-old boys for example,<br />

often select their friends<br />

based on gaming systems.<br />

Though not always approving of this video<br />

game addiction, parents sometimes give in,<br />

believing that there is some value to small-motor<br />

coordination of gaming activities.<br />

Unfortunately, the truth is that there is very little carryover value<br />

in these highly repetitive movements. Furthermore, the young<br />

child who is simultaneously listening to music, talking on the<br />

phone, using Messenger and doing homework is not learning<br />

to multitask so much as they are not devoting enough focused<br />

attention to any of the given tasks. A child who needs a high level<br />

of instant stimulation is vulnerable when it comes to a range of<br />

more ‘tedious’ academic tasks.<br />

So what is a parent to do?<br />

First, do not feel guilty about applying limits. The intense<br />

stimulation is not an ‘entitlement’ of childhood. Children will<br />

protest initially, but after a few weeks, they will fi nd themselves<br />

rediscovering other pleasures and interests long left aside.<br />

Help your child to develop a healthy balance with regards<br />

to ‘screen time.’ If they have electronic entertainment in their<br />

bedroom, consider removing it as a fi rst step. If the TV/gaming or<br />

computer systems are centralised they can become part of family<br />

weekend fun and you can monitor content more consistently.<br />

DR ROSEBETH R. MARCOU – M.D., F.A.A.P.<br />

Qualification and Experiences<br />

American Board Certifi ed Developmental -Behavioral Pediatrician.<br />

MIT (BS), University of Pennsylvania (MD), Stanford University<br />

Hospitals (Residency) and Boston Children’s Hospital<br />

Worked in Alaska, Texas, and Jakarta.<br />

Worked extensively with educators and schools, regularly conducting<br />

training for teachers and parents throughout Asia.<br />

Area of Specialisation<br />

Evaluates and manages patients with concerns including: Attention<br />

Defi cits, Learning Differences / Disabilities, Developmental Delays,<br />

Autism Spectrum Disorders and general behavioral issues.<br />

Identifying and enhancing children’s strengths to help meet their<br />

challenges, always mindful of neurological and medical factors.<br />

Interest<br />

Children/adolescents with incompletely understood diffi culties with<br />

learning or with challenging temperaments.<br />

Focus on describing what is unique about the child- and helping<br />

the child to understand himself or herself.<br />

Dr Marcou will begin seeing patients in the Raffl es Children’s<br />

Centre at Raffl es Hospital on 14 August 2006.<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

13


SERVICES<br />

New<br />

Satellite Japanese Clinic<br />

The new Japanese satellite clinic at Liang Court opened this year on 27 May to<br />

offer Japanese patients residing around the River Valley area greater convenience<br />

and more choices.<br />

Opens<br />

Skin<br />

In Liang Court<br />

Located at Liang Court Shopping Centre and on the same level as the popular Meidiya<br />

Supermarket, the Clinic provides GP services to the growing Japanese population<br />

in Singapore. Its choice location allows for the Japanese expatriates living in the area<br />

to see the doctor and run other errands within the same building.<br />

For<br />

Presently, the family physicians serving in the Clinic are Dr Onishi Yoichi and Dr<br />

Nagayama Kenichi. For patients looking for quality healthcare and shopping, Liang<br />

Court’s Raffl es Japanese Clinic is the ideal place to go to.<br />

<strong>Raffles</strong> Japanese Clinic – Liang Court<br />

177C River Valley Road<br />

#B1-09 Liang Court Shopping Centre Singapore 179036<br />

To make an appointment, please contact us at our<br />

Liang Court Clinic: 6334 1175<br />

<strong>Raffles</strong> Hospital : 6311 2290<br />

or<br />

Email: j-clinic@rafflesmedical.com<br />

<strong>Raffles</strong> Japanese Clinic – <strong>Raffles</strong> Hospital<br />

585 North Bridge Road<br />

Level 12, Singapore 188770<br />

<strong>Raffles</strong> Japanese Clinic<br />

Operating hours:<br />

Mon – Fri 9.45am – 1.00pm<br />

2.45pm – 6.00pm<br />

Sat<br />

9.45am – 12.30pm<br />

64 Slice CT Coronary Angiogram<br />

PROMOTION<br />

S$882.00U.P.<br />

S$980.00<br />

Extended to 30 Sept 2006<br />

Benefits:<br />

Non-invasive Fast (45 & females aged >55<br />

Hypertension<br />

High cholesterol<br />

Family history of heart disease<br />

Smoker<br />

Diabetic<br />

Peripheral vascular diseases<br />

Previous coronary stenting<br />

Symptomatic Factors<br />

Chest pain upon physical exertion<br />

Previous open heart surgery<br />

Previous coronary stent insertion<br />

64 Slice CT Scanner<br />

For more information or to make an appointment, please call<br />

Appointments Hotline: 6311 1222<br />

or<br />

Email: specialist@raffleshospital.com<br />

14<br />

<strong>Raffles</strong> Health<strong>News</strong> | Issue 4/2006


Vaccination<br />

are Packages for baby’s<br />

ll<br />

first<br />

Ages<br />

2 years<br />

Immunisation protects your baby against infectious diseases,<br />

which can cause serious damage to his/her health.<br />

PROMOTIONS<br />

Sign up for a Vaccination Package now to give your<br />

baby the needed protection.<br />

Our packages comprise a course of vaccinations and<br />

paediatrician consultation and developmental assessment<br />

(including checking of vision, hearing, refl exes and gross<br />

motor development).<br />

1st to 6th Months<br />

1mth<br />

3mth<br />

4mth<br />

6mth<br />

Hep B<br />

5-in-1<br />

5-in-1<br />

6-in-1<br />

OR<br />

2nd to 6th Months<br />

2mth<br />

4mth<br />

6mth<br />

6-in-1<br />

5-in-1<br />

6-in-1<br />

13th to 18th Months<br />

13mth Chickenpox<br />

15mth Measles, Mumps & Rubella<br />

18mth 5-in-1 Booster<br />

Enjoy greater savings if you take up the 13–18 Months Package<br />

with any of the first 6 Months Package!<br />

5-in-1 consists of Diphtheria, Tetanus, Pertussis, Poliomyelitis & Haemophilus Infl uenzae B<br />

6-in-1 consists of 5-in-1 and Hepatitis B<br />

Optional Vaccination Available<br />

– Measles, Mumps and Rubella in 3 separate vaccines<br />

– Rotarix<br />

– Prevenar for Streptococcus Pneumoniae<br />

– Hepatitis A<br />

To contact our clinic staff for more details on the<br />

vaccination packages, please call:<br />

<strong>Raffles</strong> Children’s Centre Tel: (65) 6311 1270<br />

Opening hours convenient for working parents<br />

Mon – Fri 8.30am – 10.00pm<br />

Sat<br />

8.30am – 1.00pm<br />

Sun/PH 9.00am – 12.30pm<br />

Issue 4/2006 | <strong>Raffles</strong> Health<strong>News</strong><br />

15


RCMPACKAGES<br />

<strong>Raffles</strong> Chinese Medicine Packages<br />

WELLNESS PROGRAMME<br />

Insomnia Management<br />

Weekly acupuncture treatment for shallow sleep, inability to fall asleep<br />

and failure to restore mental and physical vigour with sleep.<br />

Migraine Relief<br />

Weekly acupuncture treatment for relief of migraine condition.<br />

General Well Being<br />

Weekly acupuncture treatment for fatigue, loss of appetite, low<br />

immunity and digestive problem.<br />

Weight Management Packages<br />

Weight Loss Programme<br />

Weight Maintenance Programme<br />

PAIN MANAGEMENT PROGRAMME<br />

Acupuncture treatment package for tennis elbow, arthritis, frozen<br />

shoulder, muscle tension and pain, tingling, weakness or numbness in<br />

the neck, back, arm, wrist or feet.<br />

WOMEN’S HEALTH PROGRAMME<br />

Menopause Management<br />

3 month programme for management of conditions arising due to premenopausal<br />

hormonal changes.<br />

RESPIRATORY CONDITIONS RELIEF PROGAMME<br />

Asthma Relief Package A<br />

Choice of two acupuncture weekly treatment packages for treatment of<br />

asthma conditions.<br />

Sinus Relief<br />

Choice of two acupuncture weekly treatment packages for treatment of<br />

sinus conditions.<br />

HEALTHY HEART AND MICROCIRCULATION<br />

Cholesterol Control<br />

Weekly acupuncture treatment for cholesterol level management.<br />

Diabetes Management<br />

Weekly acupuncture for management of diabetes.<br />

The above offers are valid till 31 October 2006.<br />

RCM reserves the right to withdraw the packages without prior notice.<br />

S$200 (U.P. S$230)<br />

S$230 (U.P. S$270)<br />

S$200 (U.P. S$230)<br />

S$600 (U.P. S$668)<br />

S$360 (U.P. S$400)<br />

S$600 (U.P. S$668)<br />

S$380 (U.P. S$440)<br />

Premenstrual Tension Management<br />

3 month programme for treatment of painful or irregular menstruation. S$250 (U.P. S$330)<br />

S$190 (U.P. S$240)<br />

S$190 (U.P. S$240)<br />

S$200 (U.P. S$230)<br />

S$230 (U.P. S$280)<br />

For an appointment, please contact us at<br />

Appointments Hotline: 6311 2388 or Email: specialist@raffleshospital.com<br />

DIRECTORY<br />

<strong>Raffles</strong> Hospital<br />

585 North Bridge Road Singapore 188770<br />

www.raffl eshospital.com<br />

General Enquiries 6311 1111<br />

Call Centre Fax No. 6311 2136<br />

International Patients Centre Fax No. 6311 2333<br />

24 Hour Emergency 6311 5555<br />

Admissions / Business Offi ce 6311 1888<br />

Family Medicine Centre 6311 2233<br />

Raffl es International Patients Centre 6311 1666<br />

Physiotherapy Centre 6311 2350<br />

Radiology 6311 1290<br />

<strong>Raffles</strong> Specialist Centre<br />

24 Hour Appointments Hotline 6311 1222<br />

Fax No. 6311 2136<br />

Email<br />

specialist@raffl eshospital.com<br />

Raffl es Aesthetics Centre<br />

Raffl es Cancer Centre<br />

Raffl es Children’s Centre<br />

Raffl es Chinese Medicine<br />

Raffl es Counselling Centre<br />

Raffl es Dental<br />

Raffl es Eye & ENT Centre<br />

Raffl es HealthScreeners<br />

Raffl es Heart Centre<br />

Raffl es Internal Medicine Centre<br />

Raffl es Japanese Clinic<br />

Raffl es Orthopaedic Centre<br />

Raffl es Surgery Centre<br />

Raffl es Women’s Centre<br />

<strong>Raffles</strong> <strong>Medical</strong> <strong>Group</strong><br />

www.raffl esmedical.com<br />

Corporate Accounts Enquiries 6311 1333<br />

Fax No. 6311 2383<br />

Singapore Clinics 6311 1111<br />

Fax No. 6311 2392<br />

• Anchorpoint 6479 3818<br />

• Ang Mo Kio 6453 2288<br />

• Anson 6225 2188<br />

• Bedok 6441 1736<br />

• Bishan 6456 7122<br />

• Capital Tower 6323 5212<br />

• Causeway Point 6894 0777<br />

• Clementi 6872 9043<br />

• Compass Point 6881 7337<br />

• Grand Plaza 6333 0551<br />

• Harbour Front 6273 3078<br />

• Hougang Central 6386 7896<br />

• JTC Summit 6563 2622<br />

• Jurong East 6899 6688<br />

• Jurong West - Family Doctors 6565 7969<br />

• Lot 1 6765 3363<br />

• Loyang Point 6585 3333<br />

• Marina Square 6339 6644<br />

• Millenia Walk 6337 6000<br />

• Ngee Ann City 6734 7355<br />

• Ogilvy Centre 6223 1188<br />

• OUB Centre* 6535 2222<br />

• Raffl es Airport <strong>Medical</strong> Centre<br />

Passsenger Terminal Two* 6543 1118<br />

Airport Transit One 6543 1113<br />

Airport Transit Two 6543 1118<br />

Changi Cargo Complex 6543 1038<br />

• Raffl es City 6339 6911<br />

• Raffl es Hospital<br />

24 Hour Emergency 6311 1555<br />

Family Medicine Centre 6311 2233<br />

• Siglap 6442 0488<br />

• Tampines DBS 6788 6833<br />

• Tampines Junction* 6788 2222<br />

• Toa Payoh 6254 7667<br />

• Yishun 6755 0049<br />

* Clinics with X-ray Facilities<br />

Hong Kong Clinics (852) 2525 1730<br />

Regional Representative Offices/<br />

Liaison Centres<br />

Indonesia<br />

PT Raffl es Medika Indonesia 62 21 7251 656<br />

Fax No. 62 21 7204 916<br />

Bangladesh<br />

Dhaka Representative Offi ce 933 4963/933 0676/<br />

9362 624/935 3046<br />

Fax No. 880 2 8314 306<br />

Vietnam<br />

Raffl es Hospital Liaison Centre 84 8 8222 713<br />

Fax No. 84 8 8296 205<br />

Editorial Board<br />

Lawrence Lim, Liang Hwee Ting,<br />

Jason Lim & Magdalene Lee.<br />

The information contained in this publication should not be regarded<br />

as a substitute for detailed medical advice in individual cases.<br />

Please address all correspondence to<br />

The Editor, Raffl es Healthnews,<br />

Fax no. 6311 2383.<br />

Raffl es Healthnews is published by<br />

Raffl es <strong>Medical</strong> <strong>Group</strong> Ltd,<br />

585 North Bridge Road, Raffl es Hospital<br />

#11-00, Singapore 188770.<br />

Design and Production by Creative Essence • Aug 2006

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