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Extending the Healing Ministry of Christ Professionally We Serve, Personally We Care February | March 2015 New Appointments at Tsuen Wan Adventist Hospital Running for Something Better 2014 TIMELINE One Stop Spine Care A New Generation of Tailor-made Lenses for Cataract Surgery

February | March 2015 One Stop Spine Care · Extending the Healing Ministry of Christ Professionally We Serve, Personally We Care February | March 2015 New Appointments at Tsuen Wan

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Extending the Healing Ministry of Christ

Professionally We Serve, Personally We Care

February | March 2015

New Appointments at Tsuen Wan

Adventist Hospital

Running for Something

Better2014 TIMELINE

One Stop Spine Care

A New Generation of Tailor-made Lenses for

Cataract Surgery

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» PULSE – February | March

2014

Launched the “Heathy Team 20” program at Tai Woo ChurchHealth Union Kick-off Ceremony

Department Head Retreat

MarchJanuary February

The soft opening ceremony of the new Arrhythmia Center / Electrophysiology Laboratory at HKAH

Established the Hong Kong Voice of Prophecy Bible Correspondence School (Adventist Hospital Division)

Dr Frank YeungPresident / CEOHong Kong and Tsuen Wan Adventist Hospitals

A multitude of achievements took place over the past year and now, upon reflection, I can only say how proud and delighted I am of all the advancements that our hospital has made.

2014 marked the 50th anniversary of Tsuen Wan Adventist Hospital (TWAH), and it was indeed a year for celebration. When TWAH first opened in May 1964, it only comprised of three floor. We will soon see a new building with 25 floors and 470 beds, offering even more enhanced equipment and quality services for our patients.

On the Hong Kong side, our medical services were strengthened with the launch of our unsurpassed Minimally Invasive Spine Surgery (MISS) Center, a single stop for spine care which hosts the most technologically advanced equipment and treatments. We also opened the Adventist Medical Center (AMC),

a conveniently located clinic providing a wide range of out-patient surgeries, procedures, and wellness assessments.

According to the Chinese zodiac, this is the year of the sheep, an animal commonly regarded as auspicious, well-liked, and caring. These are all attributes that are reflected in the philosophy of our hospital and never before have we been more proud of these traits. It is in this heartwarming spirit that I wish to thank you for all your support over the years.

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Both Hospitals Hong Kong Adventist Hospital Hong Kong Adventist Hospital

2014 TIMELINE

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» PULSE – February | March

Adventist Jubilee Charity Walk cum Carnival hosted by the TWAH Development Board

MarchFebruary April May

TWAH Golden Jubilee Gala Dinner - Guest of honor, Secretary for Food and Health, Dr Ko Wing Man, BBS, JP (middle of the front row).

TWAH 50th Anniversary Thanksgiving Worship

Appreciation certificates awarded to Mrs Alice Chiu, BBS, JP (first left), Dr Tang Kam Hung, MH (second right), and Dr Lee Yuk Lun, JP (first right).

Mother’s Day Morning Tea hosted by HKAHF

Mission Retreat

Pr James Wu speaks at the TWAH 50th Anniversary Thanksgiving Tour at Bayview and Tai Wo Church

Pr Terry Tsui shares at the TWAH 50th Anniversary Thanksgiving Tour at Kowloon Church of Seventh-day Adventists.

Launched the “NEWSTART® Detoxing and Wellness“ program with Mission Hills Group

Dr Frank YeungPresident / CEOHong Kong and Tsuen Wan Adventist Hospitals

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Tsuen Wan Adventist Hospital Adventist Medical Center

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» PULSE – February | March

The Physicians’ Annual Banquet - Chorus by the administration of Adventist Hospitals

International Church Health Fair

Low-charge beds provided at TWAHFather’s Day Morning Tea hosted by HKAHF

First NEWSTART® program co-organized with the Social Welfare Department

AugustJulyJune

Newly established prayer room at HKAH

Dr Frank Yeung shares at the TWAH 50th Anniversary Thanksgiving Tour at Pioneer Memorial Church

Pr James Wu shares at the TWAH 50th Anniversary Thanksgiving Tour at Hong Kong Adventist International Church

Pr Rick Aldridge speaks at the TWAH 50th Anniversary Thanksgiving Tour at Bible Auditorium Church

(Left to right) Dr Daniel Mok, Dr Chan Lung Wai, Dr Anthony Tang, Dr Stephen Wu and Dr Sidney Yip.

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Both Hospitals Hong Kong Adventist Hospital Hong Kong Adventist Hospital

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» PULSE – February | March

SeptemberAugustJuly

"Sunday Funday... Hope Shines through Carnival" hosted by HKAHF

Second NEWSTART® program co-organized with the Social Welfare Department

Launched “Healthy Team 20” program at Kowloon Church

“Ice-cream Day” at HKAH to thank the staff

Awarded ACHS Accreditation for the second time

Basic Life Support Training Center (BLSTC) established in TWAH

TWAH’s “Ice-cream Day”

AMC opens in Causeway Bay

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Tsuen Wan Adventist Hospital Adventist Medical Center

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» PULSE – February | March

NovemberOctober

Opening ceremony of AMC

Medical-Surgical Unit at HKAH commences services

Two trees on the stage symbolize the campus’ growth

Topping Out Ceremony for TWAH’s new building

(From left to right) Dr Wong Hong Soo, Dr Kenneth Lau, Dr Sum Kai Hoi, Dr Anthony Chan, Ms Clara Leung, Mr Alfred Choo, Ms Rachel Yeung, Dr Frank Yeung, Dr Robert Folkenberg, Jr, Dr Kenneth Ho, Dr Buddy Wong, Dr Tan Tai Kok, Ms Daisy Sin, Dr Sidney Yip, and Dr Chan Lung Wai.

International Symposium, “Medicine of 21st Century”, co-organized by HKAHF and Temple Health - The organization committee, speakers and guests of honor at the opening ceremony.

Patient Experience Model Workshop

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Both Hospitals Hong Kong Adventist Hospital Hong Kong Adventist Hospital

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DecemberNovemberOctober

World Heart Day The annual hospital-wide retreat

Charity Golf Classic hosted by HKAHF

Opening ceremony of the Minimally Invasive Spine Surgery (MISS) Center at HKAH

HKAHF Charity Walk & Run for the Heart 2014 Food and Fun Fair 2014 sponsored by Tsuen Wan District Council

Special Care Unit at HKAH established

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Tsuen Wan Adventist Hospital Adventist Medical Center

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1 CEO MESSAGE

2014 TIMELINE

9 MEDICAL NEWS A New Generation of Tailor-made Lenses for Cataract Surgery

11 Latest Studies Suggest Influenza is not Airborne

13 PHYSICIAN’S CORNER Profile of Our New Doctors at Adventist Health

15 HOSPITAL NEWS

AH Updated Admission Rights

HK Physicians Can Now Prescribe Dexmedetomidine

16 HK Potassium Chloride Premix Intravenous Solution

HK Bedside Discharge Medication Counseling for Better Care

HK Progress on Building Renovation

Contents

» PULSE – February | March

17 TW New Appointments at Tsuen Wan Adventist Hospital

TW Building With a View

18 EVENT HIGHLIGHTS HK Minimally Invasive Spine Surgery Center Opening at Hong Kong Adventist Hospital

19 HK Blessing and Dedication Ceremony HK Newly Established

20 HK Heart Program Appreciation Dinner 2015 HK World Heart Day 2014

COLUMNS

8 Cancer Fighting Foods

21 Battle of the Bulge

22 CHARITY EVENTS HKF Swinging Into ActionBACK HKF Running for Something Better

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Cancer Fighting Foods Nutrition tips to lower cancer risk

Cancer continues to challenge medical professionals and remains an enigma to many specialists. The last few years, though, there has been some promising research in the area of diet and prevention of cancer. Studies show some populations have lower incidences of cancer due to higher concentrations of foods from vegetable origin or plant-based foods that protect against several different types of cancers. Namely, vegetables are packed with antioxidants that prevent damage to the cell deoxyribonucleic acid (DNA), impeding any abnormal development of the cells.

Remarks:

* Glutathione-S-transferase (GST) is one of the most powerful antioxidants, and can prevent cells from becoming cancerous.# Deoxyribonucleic acid (DNA) is the genetic portion of the cell. In cancer cells, the DNA is altered or damaged.^ Estrogen or the female hormone is related to breast and ovarian cancer.

Examples of anti-cancer substances found in plant-based foods

Food Anti-cancer substance Anti-cancer action

Citrus fruits Limonene Excretion of carcinogens

Garlic, onions Allyl sulfides Increases GST* (anti-oxidant)

Broccoli Dithiolthiones Protects against damage to DNA

Lemongrass Farnesol Activates GST*

Peppermint Menthol Activates GST*

Tomatoes Licopene Prevention of prostate cancer

Grapes Ellagic acid Protects DNA#

Soybeans Phytosterols Blocks estrogen^

» LMC

» PULSE – February | March

Alan SIU Registered Dietitian

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Cataracts are part and parcel of the ageing process. They are also the leading cause of progressive blurred vision in adulthood. Without

proper treatment, cataracts make daily activities frustrating, adversely affecting activities in your personal and professional life from reading or watching television to driving or working on the computer. However, just because you are getting older, it does not mean you should accept these sorts of problems with your vision. Recent technological advances have allowed ophthalmologists to make use of premium intraocular lenses (IOLs) to treat a wide range of cataract-related visual disorders, whilst tailoring function according to the patients’ interests and hobbies. How do premium IOLs differ? Traditional IOLs implanted after cataract surgery allow sharp vision for a specific distance, for example, for far distances, however spectacles are still required for reading. For patients with high visual demand where distance, intermediate and near vision is important, there are Premium Multifocal IOLs that can enhance vision after cataract surgery. The newer generation of premium multifocal IOLs have improved over their predecessors, as a result of changes triggered by feedback according to patients’ outcomes and surgeons’ comments. With this new technology, patients can now see over a range of distances without spectacles and enjoy better quality of vision. As long as patients are given accurate information regarding the advantages and disadvantages of these lenses, most patients are thrilled with the postoperative results.

Can premium IOLs treat other types of visual errors? Astigmatism, where images are elongated at certain axes, used to be a bugbear of vision after cataract surgery. Corneal relaxing incisions, which aim to reduce astigmatism, are often not replicable and gave inaccurate results and regression was common. However, there are now premium toric IOLs that can circumvent this problem. This, however, requires accurate measurements, prudent planning before surgery, and a surgeon who is experienced in implanting this IOL. For patients who require good vision for all distances and have astigmatism, there is the multifocal toric IOL – a combination of both aforementioned technologies. Can my vision be further improved even though it has already undergone cataract surgery? In some cases, yes. Depending on the cause, patients can remove any near or far-sightedness and even astigmatism that remained after the first cataract surgery. Every patient’s treatment is individualized. There are numerous options. Corneal procedures such as LASIK can treat mild forms of refractive error. For larger refractive errors or if LASIK is not appropriate, there are now studies on premium secondary IOLs, also known as piggyback IOLs, for enhancing varying distances in patients’ vision who have already undergone cataract surgery. The results are encouraging. Who is suitable? Your ophthalmologist will discuss whether this is a suitable option for you after eliciting a history and

Dr Leonard YUEN Specialist in Ophthalmology

A new generation of tailor-made

lenses for cataract surgerycataract surgery

MEDICAL NEWS

» PULSE – February | March9

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thorough examination. In the event that you are not suitable, there are other options such as monovision, where one eye is deliberately catered for distance vision, and the other for either intermediate or near vision. Monovision actually occurs frequently in the physiological state, and is a safe and effective option for some patients. Case study Lisa (not her real name), an active 65-year old academic, noted progressive blurring of vision in her right eye over four months. She was near-sighted already, and became even more so with time. Her vision was not remedied no matter how often she changed her glasses. Her ophthalmologist made a diagnosis of increased myopia caused by a cataract. Lisa chose to have monovision surgery. Since she could rely on her left eye for near vision, she opted for cataract surgery in the right eye and aimed to achieve good distance vision. She underwent successful surgery and is now completely spectacle free for distance. Her other eye was cataract free and she now uses this to read. She says the surgery has helped her regain full independence and an active lifestyle and says it was “the best thing which ever happened” to her eyes. Conclusion Optimizing patients’ health, wellbeing and quality of life are our top priorities. Premium IOLs are no longer a novelty and although they cannot mimic the precision of the human crystalline lens, they continue to evolve and offer more patients the potential of relatively spectacle-free lives. Minimally invasive cataract surgery in the form of small-incision sutureless phacoemulsification (phaco) and IOL implants already offer safe, speedy recovery and allow the resumption of an excellent quality of life for millions of patients worldwide. Premium IOLs are the icing on the cake. However, patients need to fully understand the procedure and its risks before surgery and it is important patients speak with an experienced ophthalmic specialist, who can advise them on the nuances of each premium IOL and determine which option is most appropriate. Source: American Academy of Ophthalmology (AAO)

MEDICAL NEWS

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At present, all international guidelines, including those of the World Health Organization, categorize influenza as an opportunistic airborne

infection. This means that typically it is not transmitted by the airborne route except when aerosol generating procedures (AGPs), such as intubation, are undertaken (WHO, 2014). Nevertheless, there are still scientists who believe influenza is capable of airborne transmission because experimental studies seem to indicate this is possible. However, a new study suggests this is not so.

First of all, it should be noted that experimental studies in which only polymerase chain reaction (PCR) was used in diagnosis could not be considered conclusive because it would not be possible to ascertain whether detected particles had a viable virus that could result in transmission. So only studies which measure live virus particles can be accepted.

Note: The article is extracted from the annual “Lowbery’s Lecture” delivered by Dr Seto Wing Hong who was invited to speak at the

Hospital Infection Society at Lyons on November 20, 2014.

Dr SETO Wing Hong Specialist in Clinical Microbiology and Infection

Latest studies

suggest influenza

is not airborneis not airborne

However, there are now at least two studies showing the presence of viable viral aerosols in exhaled breathe (Milton, Donald, Fabian, Patricia, Cowling, Benjamin, Grantham, Michael, McDevitt and James, 2013). Yet this is not sufficient to confirm airborne transmission unless there is also evidence to indicate inoculation of these viable viral particles onto another patient who is susceptible. Already in one of the above two studies, Milton et al found that most of these particles did not possess viable viruses in large numbers and commented on the possibility that the “vast majority of the virus exhaled by influenza A patients is actually noninfectious” to others (Milton, Fabian, Cowling, Grantham and McDevitt, 2013). So just because viable particles are found in exhaled breath does not mean that it can infect another person. The case that influenza is airborne seemed to be confirmed when two studies were published showing that a viable virus may be transmitted to the host (Noti, Lindsley, Blachere, Cao & Kashon, et al., 2012, and Bischoff, Reid, Russell and Peters, 2011). Nevertheless these were by artificially generated aerosols by simulators and it was difficult to be certain whether the situation was similar to real life. In fact in the study by Noti et al, both coughing and breathing simulators were used (Noti et al, 2012).

The big news to report here is that finally a study has been published where the sources were naturally infected influenza volunteers (Tang, Gao, Cowling, Koh and Chu, et al., 2014). In this study, the authors claimed to be the first “end-point host-exposure and sampling study” where special manikins were exposed

MEDICAL NEWS

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to these volunteers at a distance of 0.5m to 1m. The results were rather unexpected because absolutely none of the specimens taken from the manikins were found to be positive after the exposures. The authors therefore concluded that the findings suggest that influenza might not be readily transmitted by the airborne route from a naturally-infected human source. This is reassuring as it affirms that influenza is transmitted by droplets in general and a surgical mask

MEDICAL NEWS

World Health Organization (2004). Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections. Retrieved from http://apps.who.int/iris/bitstream/10665/112656/1/9789241507134_eng.pdf?ua=1

Milton DK, Fabian MP, Cowling BJ, Grantham ML, McDevitt JJ (2013) Influenza virus aerosols in human exhaled breath: particle size, culturability, and effect of surgical masks. PLoS Pathog 9(3): e1003205.

Fabian P, McDevitt JJ, DeHaan WH, Fung ROP, Cowling BJ, et al. (2008) Influenza virus in human exhaled breath: an observational study. PLoS ONE 3(7): e2691. doi:10.1371/journal.pone.0002691

Noti JD, Lindsley WG, Blachere FM, Cao G, Kashon ML, et al. (2012) Detection of infectious influenza virus in cough aerosols generated in a simulated patient examination room. Clin Infect Dis 54: 1569–1577. doi: 10.1093/cid/cis237

Bischoff EW, Reid T, Russell BG, Peters T. (2011) Transocular Entry of Seasonal Influenza-attenuated Virus Aerosol and the Efficacy of N95 Respirators, Surgical Masks and Eye Protection in Human. JID 204: 193-199.

Tang JW, Gao CX, Cowling BJ, Koh GC, Chu D, et al. (2014) Absence of Detectable Influenza RNA Transmitted via Aerosol during Various Human Respiratory Activities – Experiments from Singapore and Hong Kong. PLoS ONE 9(9): e107338. doi:10.1371/journal.pone.0107338

will be sufficient for infection control unless there are AGPs when a N95 respirator is needed. The latest research finding is presented here because a Hong Kong private hospital also follows the WHO guidelines and this should help reassure colleagues that the present practice is indeed safe and adequate.

References:

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AH

» PULSE – February | March

PHYSICIAN’S CORNER

Dr YUEN Hsu, Leonard Specialist in Ophthalmology

WHAT WOULD YOU LIKE TO SHARE WITH US? It is an honor to work at the Adventist Hospital. I look forward to meeting and working with all of you.

SCOPE OF SERVICE Optimizing vision Screening, preventing, and treating eye conditions.

STRENGTHS Cataract (routine and advanced surgery, secondary intraocular lenses).Cornea (ocular surface, lamellar and penetrating keratoplasty).Comprehensive care (paediatrics, oculoplastics, neuro-ophthalmology, treatment of glaucoma, uveitis, and retinal disorders). Research (clinical ophthalmology, ophthalmic epidemiology, public health).

CREDENTIALS MBBS (London) | MRCOphth (UK) | MPH (Harvard, USA) | FRCSEd (Ophthalmology) | FCOphth (HK) | FHKAM (Ophthalmology) |

HOBBIES AND INTERESTS Triathlons, Scrabble, oil painting, music, charity work.

Dr LEE Hou Tao, Louis Specialist in Psychiatry

WHAT WOULD YOU LIKE TO SHARE WITH US? My expertise in psychiatry, dedication to the promotion of mental health and my passion for sports.

SCOPE OF SERVICE Psychiatric consultation in various domains: general adult, perinatal, addiction, child and adolescent, old age, and forensic.

STRENGTHS Common mental disorders such as anxiety, depression, panic disorders, social phobias and sleep-related disorders; stress-related psychological issues; attention deficit hyperactivity disorder; early psychosis; dementia.

CREDENTIALS MBBS (Melb) | MRCPsych | FHKCPsych | FHKAM (Psychiatry)

HOBBIES AND INTERESTS Triathlons, scuba diving, badminton, tennis, volleyball, hiking, cooking, films, books, museums, and languages.

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Dr TO Shing Howe, VictorSpecialist in Otorhinolaryngology

SCOPE OF SERVICE Endoscopy of the nose, nasopharynx and larynx | Biopsy of nasopharynx | Cauterization for epistaxis | Ear suction under microscope | Ultrasound guided fine-needle aspiration cytology of neck mass | Otolaryngology - head and neck operations |

STRENGTHS Sleep apnoea surgery | Functional endoscopic sinus surgery | Endoscopic thyroidectomy | Transoral robotic surgery |

CREDENTIALS MBBS(HK) | MRCS(Ed) | FRCSEd(ORL) | FHKCORL | FHKAM(ORL) | DipClinDerm(Lond)

HOBBIES AND INTERESTS Photography, swimming and cooking.

AMCPHYSICIAN’S CORNER

» PULSE – February | March

HKAH TWAH AMC

Dr CHAN Wing Kwan, Anthony Specialist in Otorhinolaryngology

WHAT WOULD YOU LIKE TO SHARE WITH US? I am so glad and excited to join the enormous Adventist Health family. I believe my lonely days of solo practice has been history already.

SCOPE OF SERVICE In- and out-patient specialist care for ear, nose, and throat problems.

STRENGTHS Otology, endoscopic sinus surgery, and sleep-related airway surgery.

CREDENTIALS MBChB(CUHK) | FHKAM(ORL) | FHKCORL | FRCSEd | PDipEID(CUHK) | PDipIntMed & Therapeutic (HKU) |

HOBBIES AND INTERESTS Ice skating, rollerblading, golf, and skiing.

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Cardiology Dr LAM Yat Yin

Cardiology Dr LEUNG Kwok Fai

Cardiology Dr TSE Kai Fat

Gastroenterology and Hepatology Dr LI Tat Wing, Francis

General Practice Dr LAU Chi Ming

General Practice Dr WONG Yen, Emily

General Surgery Dr LEE Siu Wing, Augustine

General Surgery Dr POON Tung Chung, Jensen

General Surgery Dr WONG Pok Hei

Obstetrics and Gynaecology Dr WONG Hong Soo

Obstetrics and Gynaecology Dr WONG Kit Wah

Ophthalmology Dr CHAN Wai Nang, Clement

Ophthalmology Dr YUEN Hsu, Leonard

Orthopaedics and Traumatology Dr NGAI Wai Kee

PHYSICIAN’S CORNERHOSPITAL NEWSAH

Tsuen Wan Adventist Hospital

Specialty Name

Cardiology Dr TSE Kai Fat

Dentist Dr TSUI Wai Kin

Endocrinology, Diabetes and Metabolism Dr TSUI Hon Yee

General Surgery Dr LAM Yick Wang

General Surgery Dr POON Tung Chung

Medical Oncology Dr MA Tin Wei

Obstetrics and Gynaecology Dr WONG Kit Wah

Orthopaedics and Traumatology Dr CHEUNG Kin Wing

Orthopaedics and Traumatology Dr NGAI Wai Kee

Orthopaedics and Traumatology Dr WAN Siu Ho

Otorhinolaryngology Dr LI Ming Fai

Paediatrics Dr TSUI Kit

Plastic Surgery Dr MOK Chun On

Psychiatry Dr LEE Hou Tao

Radiology Dr LAI Kwok Hung

Respiratory Medicine Dr LAM Yee Man

Dexmedetomidine (trade name: Precedex®) is a relatively selective alpha-2 adrenergic agonist with sedative characteristics used in the intensive care unit for patients who are initially intubated and mechanically ventilated. It is also indicated for sedation in non-intubated patients undergoing surgical or other procedures. It effectively diminishes the increase in blood pressure and heart rate during intubation.

As a postoperative analgesic, intravenous dexmedetomidine effectively relieves pain but at the expense of marked sedation and frequent bradycardia. Compared to propofol and midazolam, patients who received dexmedetomidine were significantly more cooperative, better able to communicate their pain, and more easily awaken. Common adverse effects of dexmedetomidine are hypotension and bradycardia due to the peripheral -receptor stimulation, which must be intensively monitored during the treatment.

The Pharmacy and Therapeutics Committee recently updated the policy of prescribing dexmedetomidine. The restriction that only anesthesiologists may prescribe it has been removed. Now physicians in other specialties may prescribe dexmedetomidine, provided the patient is monitored in an intensive care setting.

Physicians Can Now Prescribe Dexmedetomidine

» PULSE – February | March

Hong Kong Adventist Hospital

Specialty Name

Updated Admission Rights (From November 2014 to January 2015)

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A patient’s medication regime is well looked after by professionals during the hospital stay, but errors can occur when the patient is at home. As many as 20 per cent of patients experience an adverse event after hospital discharge and about 60 per cent of these are medication related. Pharmacist counseling can improve clinical outcome and patient satisfaction, according to a recent paper published in American Journal of Medical Quality.

Hong Kong Adventist Hospital is now offering the “Beside Discharge Medication Counseling” program for patients who are discharged from Medical, Surgical or Medical-Surgical Unit during office hours. At discharge, the hospital pharmacist will go to the bedside to explain the indications and side effects of each medication, and allay patient’s concerns so as to help ameliorate possible confusion. Written information may also be given to the patient to increase medication adherence.

If you feel this service is invaluable to your patient because of complicated discharge drug regimen, please do not hesitate to request for the “Beside Discharge Medication Counseling” service on your physician order. Our pharmacists will try their best to accommodate your request even if the patient is discharged from other wards or outside office hours.

Bedside Discharge Medication Counseling for Better Care

Progress on Building RenovationThe Intensive Care Unit on the sixth floor has commenced services. The six-bed unit, with negative pressure facilities, will make treatment and recovery better for patients, and things easier for visitors as well as hospital caregivers.

Renovation of the Out-patient Department on the ground floor is in progress. The remodeling of three consultation rooms and nurse station number two has been completed.

HKHOSPITAL NEWS

Concentrated potassium chloride (KCl) injection is a high-alert medication and must be diluted before use. To reduce the potential for error, Pharmacy Department now stocks KCl intravenous (IV) solution as a premixed formulation that is ready to infuse.

At Hong Kong Adventist Hospital, 20meq in 1,000ml IV fluid is the most commonly prescribed concentration of KCl. Pharmacy Department will initially stock 10meq in 500ml normal saline (i.e., 20meq in 1L normal saline) preparation. It is

Potassium Chloride Premix Intravenous Solution

» PULSE – February | March

recommended that physicians prescribe the KCl infusion in this concentration. For other concentrations, Pharmacy Department will continue supplying concentrated KCl ampoules (20meq in 10ml water for injection) which will be added to the IV fluid by nurses.

Pharmacy Department will periodically review usage and may stock other KCl premix preparations if needed. KCl premix is stored as ward stock and will be available in the Medical, Surgical and Medical-Surgical Units.

Updated Admission Rights (From November 2014 to January 2015)

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PHYSICIAN’S CORNERHOSPITAL NEWSTW

New Appointments at Tsuen Wan Adventist Hospital

We are pleased to announce two new appointments.

Dr Monty Lee has been appointed Chairman of the Infection Control Committee for Tsuen Wan Adventist Hospital with effect from January 2015. Dr Lee has been the resident general surgeon of TWAH since 1998 after completing his surgical training at the Pamela Youde Nethersole Eastern Hospital and the Prince of Wales Hospital. Since joining the TWAH family, he has been a content and satisfied staff member,

succeeding in a role which has given him the opportunity and honor to serve God, the Church and his patients. In particular he is proud to have witnessed over the last 15 years the gradual but gratifying transition and advancement of TWAH to a high caliber, premier health care provider. In his new role, Dr Lee is looking forward to facing the challenges of maintaining optimal standards of infection control at a much bigger hospital, something of utmost importance as we learned through the experience of the SARS and avian flu outbreaks. Dr Lee hopes the infection control team will be able to formulate effective policies and guidelines to help hospital staff and patients alike achieve and maintain excellent standards of care. We are also happy to announce the appointment of Dr Chow Kwan Lung as Assistant Chief of Medical Staff, with effect from January 2015. Dr Chow started his family medicine training at Tseung Kwan O hospital 15 years ago. He began serving as a general practitioner in the Out-patient Department of Tsuen Wan Adventist Hospital in 2006. A Christian devoted to the field of medicine, Dr Chow is committed to maintaining professional standards, which offer timely and accurate diagnose and the best possible treatment. His efforts in healthcare were recognized in 2007 when he was awarded the “Best Customer Service” prize. He believes that the increasing trend of psychosomatic symptoms for patients makes communication crucial in finding out the root cause of problems. Dr Chow is looking forward to the opportunities that come with this new post. He is dedicated to coordinating the affairs of the medical staff in a way which will benefit them as well as patients. Please join us in welcoming Dr Lee and Dr Chow. We look forward to being a part of their journey and witnessing their valuable contributions to our hospital.

Building With a ViewThe building facade is scheduled for completion in April. The curtain wall will showcase the new building’s modern architectural design that invites natural light penetration for environmentally friendly purposes. Two lifts have been installed and have been operational since February.

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Minimally Invasive Spine Surgery Center Opening at Hong Kong Adventist Hospital

Having provided modern treatment to patients since 1971, Hong Kong Adventist Hospital unveiled in November 2014 the Minimally Invasive Spine Surgery (MISS) Center. The center is aimed to provide a one-stop solution with a less traumatic approach for patients who would benefit from interventions.

Patients with back pain and symptoms of nerve compression caused by spinal problems are common problems confronting general physicians. Yet patients who might benefit from surgical intervention, such as laminectomy or discectomy to remove the source of compression, or foraminotomy to allow more room for the exit of nerve roots are often put off by the need for a wide

Advanced techniques benefit patients with spinal conditions

HK

ROW 1

» Dr Clarence LEUNG (left) and Dr CHO Kwai Chee

» Ms YAN Fei Yin once suffered from spine problems.

» Dr Clarence LEUNG, Clinical Director of MISS Center.

ROW 1

» (From left to right) Ms Linda LEUNG, Ms Iris CHUAH, Mr Alfred CHOO, Ms Rachel YEUNG, Dr Frank YEUNG, Dr Clarence LEUNG, Dr Kenneth HO, Dr Buddy WONG, and Ms Clara LEUNG.

EVENT HIGHLIGHTS

» PULSE – February | March

excision and perceived morbidity associated with traditional spinal surgery.

Minimally invasive surgery provides tangible benefits for patients, including dramatically smaller incisions, less pain, reduced blood loss, shorter hospital stays and faster recovery, according to the American Association of Neurological Surgeons. Our 3T magnetic resonance imaging provides the most accurate anatomical diagnosis, and our operating rooms are equipped with state-of-the-art instruments for minimally invasive spinal surgery. We have also teamed up with top neurosurgeon who is experienced and specialized in the use of MISS procedures.

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ROW 1

» (From left to right) Ms Jullian HUI, Ms Iris CHUAH, Pr James WU, Dr Kenneth HO, Dr Frank YEUNG, Dr Buddy Wong, Ms Clara LEUNG, Mr Alfred CHOO, and Ms Margaret PANG.

ROW 2

» A performance by Chaplaincy Department at the end of the ceremony

» Pr James Wu enjoys the refreshments

» Dr Frank YEUNG thanks all doctors and staff for their consideration during the renovation

To commemorate the opening of the new Medical-Surgical Unit (Med-Surg), Paediatric Unit and Special Care Unit (SCU) on the second floor of Hong Kong Adventist Hospital, a special blessing and dedication ceremony was held in January 2015. The ceremony was well attended by staff from various departments, and all enjoyed the delightful refreshments served.

Newly EstablishedThe new Med-Surg aims to restore the health of adult medical or surgical patients in the most efficient and compassionate manner possible. Located

on the second floor, this newly remodeled 16-bed unit also features a choice of a spacious one-person suite, five private rooms, four semi-private single beds and six standard beds.

The new SCU provides attentive observation and nursing care services that are above the level provided in a general ward. Patients may be admitted for close monitoring following a major surgery or a high risk procedure such as cardioversion, or transitional care from the Intensive Care Unit (ICU).

Blessing and Dedication Ceremony

PHYSICIAN’S CORNEREVENT HIGHLIGHTSHK

» PULSE – February | March19

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HKEVENT HIGHLIGHTS

Themed “Healthy Heart, Start from You!” for World Heart Day 2014, the annual fun fair took place at Happy Valley Hong Kong Jockey Club last November. As with past years, the hospital rendered its full support with staff setting up a “Health Awareness Booth” to promote the importance of regular physical activity and fitness.

Hong Kong Adventist Hospital hosted an appreciation dinner in January, 2015, for the cardiologists and paediatric cardiologists of the Heart Program. The reception, held at The Hong Kong Parkview, was a token of the hospital’s sincere appreciation and gratitude to this special team of specialists for their dedication in building the highly reputed, world-class cardiology services.

Heart Program Appreciation Dinner 2015

World Heart Day 2014

» PULSE – February | March 20

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The health benefits of weight loss are quickly erased when weight regain – common after approaching the ideal goal – takes over. For a sustainable long-term outcome, researchers at the University of Missouri found that a new non-diet wellness approach “Eat for Life”, is more effective than traditional weight-loss programs in improving individuals’ views of their bodies and decreasing problematic eating behaviours. “Eat for Life” focuses on adopting mindful and intuitive eating as a lifestyle, rather that idealizing numbers such calorie count or weight on a scale. A patient worried about maintaining his or her ideal weight often has a preset idea that regain inevitably follows weight loss. This negative outlook is further augmented if diet and lifestyle modifications deprive a patient of quality of life. However, if the weight loss program includes behavioral modifications in line with the patient’s lifestyle, feeling full, sense of wellbeing and pleasure, a higher success rate in sustaining the weight loss can be achieved. In this non-diet approach, no food is regarded as good or bad – all food are allowed but consumed sensibly based on hunger and satiety. The role of the dietitian on a non-diet plan goes beyond a health instructor and is more of a partner, providing support and advice on pleasurable behavioral modifications that improve the patient’s quality of life.

Reference: Watkins, P. (2013). Health at every size: An end to the war on obesity? The European Health Psychologist, 15(1), 1-5.

Opportunities at Tsuen Wan Adventist Hospital are growing as quickly as our hospital campus is expanding. Join us in a supportive, enriching environment and serving the needs of our community.

We are currently seeking resident consultants with the following specialists:

Clinical Oncology Emergency Medicine (A&E) or Intensive Care Medicine Family Medicine Obstetrics and Gynaecology Orthopaedics and Traumatology

Find Your Future at Tsuen Wan Adventist Hospital

» Food & Dietetic

Battle of the Bulge

Guarantee monthly income will be offered for successful candidates. Please send résumé by email to Ms Carmen Ng at [email protected].

» PULSE – February | March

New approaches to weight loss without regainFion LIN Registered Dietitian

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HKCHARITY EVENTS

Last year’s successful golf fundraiser teed off in 2014 Charity Golf Classic was held in November, at Discovery Bay Golf Club. The event proceeds were donated to the Hong Kong Adventist Hospital Foundation’s Children’s Hearing Fund, to provide cochlear implantation to children suffering from profound hearing loss. At the post-tournament dinner, awards were presented to individual players and teams for the Best Gross Team, Best Net Team, Ladies’ Best Net, Men’s Best Gross, Closest to the Pin, Longest Drive and other achievements.

A big thank you to everyone who participated and supported the event, especially to those in the 11 teams who took the day off from work to make a difference in many children’s lives.

Swinging Into ActionDonors and sponsors made for the green at the 2014 Charity Golf Classic

ROW 1 » Dr Peter MILES » Mr Ron TSANG (second right), our Honorary Sponsor, and his team.

ROW 2 » Ladies’ team » Dr Daniel WU

ROW 3 » Dr Buddy WONG (first right) presents the “Best Net Team” award

ROW 4 » Mr Douglas VAN (right) presented the souvenir to our Honorary Sponsor, Mr Ron TSANG.

» Dr Buddy WONG, Medical Director of the Children’s Hearing Fund, welcomes all the players.

» Mr Douglas VAN, Chairman of the Children’s Hearing Fund, thanks all donors, sponsors and players.

» PULSE – February | March 22

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Running for Something BetterThe Hong Kong Adventist Hospital Foundation’s Walk and Run for the Heart was held in November 2014 at Cyberport. Supported by Hong Kong Adventist Hospital and Green Monday, the annual fundraiser is for our Adventist Paediatric Heart Fund to help more underprivileged children who are suffering from congenital heart disease. Around 550 participants joined us at the event, which raised over HK$540,000.

Aside from the walk and run, a carnival was also held for families at the Cyberport Arcade. The carnival featured a charity book stall as well as an array of attractions including kids’ games, face-painting, balloon-twisting, arts and crafts, and plenty of fresh cupcakes, popcorn and ice-cream.

Tsuen Wan Adventist Hospital

ADDRESS 199 Tsuen King Circuit, Tsuen Wan, N.T., Hong Kong

PHONE (852) 2276 7676

FAX (852) 2415 6767

EMAIL [email protected]

www.twah.org.hk

CHARITY EVENTSHK

Hong Kong Adventist Hospital

ADDRESS 40 Stubbs Road, Hong Kong

PHONE (852) 3651 8888

FAX (852) 3651 8800

EMAIL [email protected]

www.hkah.org.hk

ROW 1 » (From left to right) Mr Brian CHA, Ms Linda LO, Dr Eddie CHEUNG, Ms Jo SOO, Ms Rachel YEUNG, Dr Maurice LEUNG, Pr James WU, Ms Sharie Ross TSE and Mr Francis NGAI officiate the kick-off ceremony.

» Dr Maurice LEUNG (right) presents the awards to the winners

» Hong Kong supermodel, Ms Janet MA (middle), together with her daughter Ms Kayla WONG, and son, Mr Kadin Miles WONG, at the charity sale of T-shirts and children’s books.

» Ms Margaret CHUNG (right), our “Woman of Hope” Ambassador and celebrity yoga mentor, kicks off the “Charity Run” of the day with a yoga session.

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