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mosaic A P A r k w A y P A n t A i P u b l i c A t i o n A P r J u n 2 01 7 Parkway Pantai shares the results of its first regional Employee Engagement Survey Time for Sharing 12 Spotlight Mount Elizabeth Hospital nurses win the Healthcare Humanity Award 16 Service Gleneagles Global Hospitals inspires nurses at all levels to embody leadership 28 coMMUNitY Pantai Hospital Ayer keroh strives to keep diabetes at bay editor snote People and Patients I Editor-at-large Editorial Advisor Copy Editors When we treat our people right we re giving them wings to deliver the brand of quality healthcare that we stand for. n order to deliver quality healthcare we rely on people to treat people. That is why it is important for us to support and nurture our people so they have what they need to thrive and excel. Our cover story for this issue of Mosaic turns the spotlight on the results of Parkway Pantai s first regional Employee Engagement Survey. Turn to page 8 to learn what our people across five countries are saying and what we as an organisation will be doing to address the issues that matter most to them. It is also timely to celebrate three nurses from Mount Elizabeth Hospital who have received the prestigious Courage Fund Healthcare Humanity Award conferred by Singapore s Ministry of Health (page 12). They embody the nursing excellence that we strive towards and to this end it is worthy to note that our team in India has been busy inspiring leadership in nurses at the 6th International Clinical Nursing Leadership Conference (page 16). In Singapore the recent launch of four new Nursing Taskforces (page 20) will certainly accelerate our journey to excellence as well. Meanwhile in Malaysia Pantai Hospital Kuala Lumpur introduces the country s first-of-its- kind dedicated centres for Lung and Allergy & Immunology and the latest technology in preimplantation genetic screening (page 22) -- a significant stride forward in delivering quality healthcare to more people. I hope you enjoy reading these stories and more in this issue of Mosaic. Lim Bee Ling Lim Bee Ling Janet Low Angeline Ang Charissa Tan Jaime Kwek AMAZINE Mosaic is published quarterly by Parkway Pantai Limited and printed by Toppan Security Printing Pte Ltd. All rights reserved. No portion of this publication may be reproduced without the written permission of the publisher. We take every care and precaution to ensure that information published in Mosaic is accurate at the time of publication but Parkway Pantai cannot guarantee its accuracy and we may change the information at any time without prior notice. The information contained in Mosaic magazine is not an invitation to invest in the shares or any other products or services or otherwise deal in these or enter into a contract with Parkway Pantai or any other Parkway Pantai Company. Parkway Pantai Limited TripleOne Somerset 111 Somerset Road 15-01 Singapore 238164. Tel ( 65) 6307 7880 Fax ( 65) 6738 7341. Parkway Pantai Limited 2017. This publication and information contained herein is strictly for internal use only and contains Parkway Pantai proprietary information which is restricted to Parkway Pantai employees and within the Parkway Pantai Group. Access to use or copying by non-Parkway Pantai employees in any form or other is strictly prohibited. For information about Parkway Pantai visit www.parkwaypantai.com. All information correct as of date of print. Parkway Pantai Limited Company Registration No. 201106772W MCI (P) 037 02 2017 Editorial & Design Mosaic Apr-Jun 2017 04 08 12 18 20 26 28 30 36 contents Newsflash 04 A regional round-up of what s happening across Parkway Pantai persoNalities 24 Dr Chee Chee Pin discusses brain surgery and quality of life for patients Dr Ganesh Ramalingam talks about making the most of every opportunity focus 08 Parkway Pantai s Employee Engagement Survey outcomes across five countries 26 commuNity 28 Pantai Hospital Ayer Keroh strives to keep diabetes at bay Mount Elizabeth Hospital brings healthcare to the heartlands India Operations Division rallies around World Cancer Day spotlight 12 Mount Elizabeth Hospital nurses win the Healthcare Humanity Award 30 service 16 Gleneagles Global Hospitals inspires nurses at all levels to embody leadership Gleneagles Global Hospitals Master Class in Liver Disease sees international participation New Nursing Taskforces to drive excellence in Singapore Pantai Hospital Kuala Lumpur introduces new services 32 18 KNowledge 34 Parkway East dietitian Louis Yap debunks common myths about cancer diets 20 22 lifestyle 36 Exploring the link between happiness and health news flash Regional Round-up Get up to speed on what s happening across Parkway Pantai. TALK OF THE TOWN New Obstetrics and Gynaecology Specialty in Nanjing P arkway Pantai expands its footprint in China with a third hospital project after Gleneagles Chengdu and Gleneagles Shanghai. Gleneagles Nanjing is a 70-bed obstetrics and gynaecology specialty hospital located in Central Nanjing. Slated to open by the end of 2018 the hospital is a 60 40 joint venture between Parkway Pantai and Jiangsu Zifeng Healthcare with a registered capital of RMB100 million. Gleneagles Global Hospitals Launches New Facility in Bengaluru G leneagles Global Hospitals opened its latest facility in Richmond Road Bengaluru on 8 April 2017. The new feeder centre is the brand s fourth facility in the south-western state of Karnataka. Spread over 15 000 square feet it houses more than 10 core specialties and is equipped with state-ofthe-art equipment and advanced diagnostics to offer multidisciplinary patient care. Gleneagles Hong Kong Opens its Doors T hree years after breaking ground Gleneagles Hong Kong has begun seeing patients in March 2017. All 500 beds have been operational since day one backed by a dedicated team of healthcare professionals including doctors nurses and support staff. Gleneagles Hong Kong is the first hospital in Hong Kong to offer fixed-priced all-inclusive medical packages. For a start it is offering 50 standard packages covering procedures for eye nose throat endoscopy general surgery gynaecology ophthalmology orthopaedic and urology. 04 Mosaic apr-Jun 2017 news flash Training Drivers to Save Lives ontinental Hospitals is doing its part to raise the quality of emergency medical care at accident sites by delivering a Basic Life Saving Skills Training Programme to Uber drivers in India. The training provided by the hospital s Emergency Medicine team equipped 30 Uber drivers with life-saving techniques like Cardio Pulmonary Resuscitation imparted knowledge on oxygen administration bleeding control and splinting and taught them how to respond to other emergencies like snake bites and paralytic attacks. These drivers can be easily identified by the Continental Hospitals advertisement displayed on their cars. C Being trained in basic life saving skills is imperative for drivers as it helps them to save lives in case of accidents or other emergency situations. All these techniques imparted focus on sustaining life until the patient gets access to medical treatment. Dr CHiDrupi SHArmA HEAd OF dEPArTmENT EmErGENCy & TrAumA CONTiNENTAL HOsPiTALs ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ iNsidE PArKWAy PANTAi ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ Going the Next mile Together ............................................................................ ............................................................................ ............................................................................ ............................................................................ roup Chief Executive Officer and Managing Director Dr Tan See ............................................................................ ............................................................................ ............................................................................ Leng convened two country-level staff town halls in Singapore ............................................................................ ............................................................................ ............................................................................ ............................................................................ and Malaysia on 23 January and 16 February respectively to share ............................................................................ ............................................................................ ............................................................................ Parkway Pantai s 2016 highlights and 2017 plans. ............................................................................ ............................................................................ ............................................................................ ............................................................................ In Singapore staff from the different hospitals and corporate ............................................................................ ............................................................................ ............................................................................ offices gathered at Suntec Convention and Exhibition Centre for the ............................................................................ ............................................................................ ............................................................................ town hall. On top of the presentation there was also a management ............................................................................ ............................................................................ ............................................................................ ............................................................................ panel to address staff issues and questions raised through an online ............................................................................ ............................................................................ ............................................................................ platform. A similar interactive experience was replicated with a ............................................................................ ............................................................................ ............................................................................ ............................................................................ twist in Malaysia a combined staff session was held for the first ............................................................................ ............................................................................ ............................................................................ time together with the introduction of the online platform for staff ............................................................................ ............................................................................ ............................................................................ ............................................................................ engagement. Over 400 staff mostly from Klang Valley gathered in ............................................................................ ............................................................................ ............................................................................ Kuala Lumpur for the town hall while many others watched the live ............................................................................ ............................................................................ ............................................................................ webcast from their respective hospitals and facilities. ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ ............................................................................ pantai Hospital ipoh Holds Continuing ............................................................................ ............................................................................ ............................................................................ ............................................................................ medical Education Webinar ............................................................................ ............................................................................ ............................................................................ ............................................................................ n 18 January 2017 ............................................................................ ............................................................................ ............................................................................ Pantai Hospital Ipoh ............................................................................ ............................................................................ ............................................................................ ............................................................................ became the first private ............................................................................ ............................................................................ ............................................................................ hospital in northern Malaysia ............................................................................ ............................................................................ ............................................................................ ............................................................................ to organise a Continuing ............................................................................ ............................................................................ ............................................................................ Medical Education (CME) ............................................................................ ............................................................................ ............................................................................ session in the form of a ............................................................................ ............................................................................ ............................................................................ ............................................................................ webinar. In collaboration with Pfizer (M) Sdn Bhd the webinar ............................................................................ ............................................................................ ............................................................................ connected 28 doctors general practitioners and paramedical staff ............................................................................ ............................................................................ ............................................................................ ............................................................................ with Dr Jose L Zamorano Professor of Cardiology from University ............................................................................ ............................................................................ ............................................................................ Hospital Ram ny Cajal in Madrid Spain. ............................................................................ ............................................................................ ............................................................................ ............................................................................ In the 60-minute session the professor discussed New ............................................................................ ............................................................................ ............................................................................ Guidelines in Dyslipidemia Impact on Treatment & Clinical Practice ............................................................................ ............................................................................ ............................................................................ and explained how these new guidelines could help doctors ............................................................................ ............................................................................ ............................................................................ ............................................................................ better manage dyslipidemia and potentially reduce the risk of ............................................................................ ............................................................................ ............................................................................ cardiovascular events in patients. The session which included an ............................................................................ ............................................................................ ............................................................................ ............................................................................ interactive Q&A session was chaired and moderated by Dr Philip ............................................................................ ............................................................................ ............................................................................ Ho Resident Cardiologist from Pantai Hospital Ipoh. ............................................................................ ............................................................................ ............................................................................ ............................................................................ G O Mosaic apr-Jun 2017 05 news flash AWArds & ACCOLAdEs Among the Best i HH Healthcare has dominated the Malaysia c o u n t r y re s u l t s o f A s i a m o n e y s 2 0 1 6 Corporate Governance Poll with six major wins. The awards were handed out on 22 February 2017 at Asiamoney s New Year Awards Dinner in Hong Kong. The poll takes into consideration the opinions of chief executive officers chief information officers and senior executives from fund management and hedge fund companies in the region as well as research leaders and senior brokerage analysts. Dr Kelvin Loh (middle) Chief Executive Officer for Singapore Operations Division Parkway Pantai Limited which is a wholly-owned subsidiary of IHH Healthcare represented the organisation in receiving the awards. ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... Best Overall for Corporate Governance ............................................................................................... ............................................................................................... ............................................................................................... Best for Shareholder s Rights and Equitable Treatment ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... Best for Responsibilities of Management and the Board of Directors ............................................................................................... ............................................................................................... ............................................................................................... Best for Investor Relations ............................................................................................... ............................................................................................... ............................................................................................... Best Managed Large Cap Company in Malaysia ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... Best Executive in Malaysia - Dr Tan See Leng ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... ............................................................................................... Seals of Approval G leneagles Kota Kinabalu and Pantai Hospital Manjung received a four-year accreditation from Malaysian Society for Quality in Health the national accreditation body for health care facilities and services from February and March 2017 respectively. The accreditation certifies that the hospitals have achieved substantial compliance in all core standards and other safety measures putting them on par with the best hospitals in Malaysia and around the world. In November 2016 Gleneagles Penang also received accreditation from Joint Commission International. It is now the third hospital in Parkway Pantai s Malaysia Operations Division to achieve what is recognised as the Gold Seal of Approval for international quality standards for patient care and organisation management. people First P arkway Pantai s Head of Human Capital Management for Singapore Operations Division Yeo Swee Har has been conferred the Medal of Commendation from National Trade Union Congress (NTUC) at the NTUC May Day Awards 2017. This was based on the strong recommendation by the Singapore Manual & Mercantile Workers Union and is in recognition of her contributions towards good labour management relations and workers welfare. Together with Swee Har the management will continue to work towards staff initiatives and policies that are competitive and encompassing. 06 Mosaic apr-Jun 2017 news flash ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. FEATurE ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. India works together to transport a donated heart over a record ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. distance of 2 200km from New Delhi to Gleneagles Global Health ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. City in Chennai to save a life. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. he meticulous planning and cooperation of various ................................................................................................................................. ................................................................................................................................. The Speed of Life ................................................................................................................................. government and private entities saved one man s life on ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. 29 March 2017. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. It started with an unfortunate accident that despite the ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. best efforts of the medical team at the R & R Army Hospital in New ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Delhi left a civilian of the Indian Airforce in a brain-dead state. His ................................................................................................................................. ................................................................................................................................. between New Delhi ................................................................................................................................. grieving family came forward to donate his organs so that others could ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. and Chennai ................................................................................................................................. live -- and so he too could continue to exist in this world by giving life ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. to someone else. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. One such person was at the Gleneagles ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Global Health City in Chennai suffering ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. from end-stage heart failure and awaiting to implant the ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. a suitable heart transplantation. donated heart ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. News of a heart donor reached ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. the hospital s transplant coordination ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. team from TRANSTAN the apex body ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. that governs organ transplantations in ................................................................................................................................. average flight time ................................................................................................................................. ................................................................................................................................. Tamil Nadu. But the intercity distance ................................................................................................................................. ................................................................................................................................. between the cities ................................................................................................................................. ................................................................................................................................. of 2 200km was longer than any ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ever bridged for an organ transplant ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. especially when a donated heart must be implanted into the recipient ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. within four hours of its retrieval. The teams had to work quickly and in ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. from Chennai airport sync if they were to save the patient s life. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. to Gleneagles Global ................................................................................................................................. First the R & R Army Hospital harvested the organ. The Delhi Traffic ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Health City Police then created a green-corridor so that the organ could be rushed ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. to the Indira Gandhi International Airport quickly and taken aboard a ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Jet Airways flight. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. When the plane landed at the Chennai International airport about ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. two and a half hours later the Chennai City Traffic Police took over ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. and transported it to Gleneagles Global Health City in just 36 minutes. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. There Dr Sandeep Attawar Gleneagles Global Hospitals Group s ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Director and Chair of Heart Failure and Transplant Program and his ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. team of doctors successfully implanted the heart into the ailing patient ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. giving him a new lease of life. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Gleneagles Global Health City is grateful to the city administration ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. police force fire and rescue department public works department and ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. aviation partners for working together to save a life. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. Going the Distance T 2 200 km 4 hours 2.5 hours 36 minutes Mosaic apr-Jun 2017 07 F cus regional employee e n g a g e m e n t S u r v e y 20 16 Listen... and Take Action Parkway Pantai takes on-board 15 000 opinions from its first regional Employee Engagement Survey to create a better workplace for its people. or an organisation to succeed it needs to listen to its most important stakeholders -- its people. What do employees think the organisation is doing right What issues do they face on a daily basis What changes do they desire What matters most to them Parkway Pantai set out to find answers to these questions through its first regional Employee Engagement Survey. The survey conducted by an external party is an anonymous channel for employees to share in their views on different aspects of the work environment candidly and in confidence. It was last conducted within Singapore and Malaysia in 2014. The latest 2016 edition however saw staff in five countries -- Singapore Malaysia India China and Brunei -- invited to participate. In just three weeks in October close to 15 000 staff at all levels responded. This resulted in an encouraging 84 per cent response rate and a wealth of data that Parkway Pantai is eager to translate into actionable insights that will contribute to a better workplace environment for its people. F Survey SnapShot weeks 3 in October 2016 of planning and post survey reporting by a multi-disciplinary project team of over 18 staff from Human Resources Corporate Communications IT and beyond months 4 Singapore Malaysia India China and Brunei countries 5 against global regional and national norms industry benchmarks 9 as it is administered by a professional external agency anonymous 100% overall response rate totalling close to 15 000 respondents exceeding industry response rates 84% to the question How can we improve Parkway Pantai suggestions 6 000 Response rates and results have been aggregated across the five countries. Facility or department versions may vary. Results for similar questions vary by country entity and departments. 08 Mosaic apr-Jun 2017 F cus regional employee e n g a g e m e n t S u r v e y 20 16 The Report card Employees have been honest in sharing their opinions on what Parkway Pantai is doing well and where it can do better. Let s find out what they think Key FindingS 87% of respondents feel enabled by being part of a team that works on challenges effectively 80% of respondents are confident in the decisions made by senior management 77% of respondents feel that their immediate supervisor is interested in their well-being 77% of respondents feel enabled in an environment that supports productivity and performance Top chALLenGe ttracting and retaining the right talent is a key challenge for any organisation in any industry. The same can be said for Parkway Pantai. People believe in keeping their options open when it comes to their careers which is little wonder that a December 2016 article in Fortune magazine cited a new study that found 87 per cent of companies surveyed said that improving retention is a critical priority. In the global healthcare sector the war for talent also rages on. A talent shortage means that skilled and experienced healthcare workers are in great demand and Parkway Pantai is well aware that it needs to do more to retain its best and brightest. A talent retention employeeS higheSt rated areaS Working Conditions & Occupational Health 1 Employees feel that their work area is safe and that technology is adequately used to improve operational efficiency. Guess WhAT Parkway Pantai staff in corporate operations and technical functions report significantly more favourable experiences (averaging 13% higher) than those directly involved in care-giving functions. The frontline role is no doubt a tough one Parkway Pantai s healthcare personnel from nurses to allied health professionals are truly heroes and heroines running a very tight ship and deserve to be saluted for their dedication in providing patients with top-notch care. 2 Sustainable Engagement Employees feel that they have the resources and support to do their job well and through their work they enjoy a sense of personal achievement. 3 Working Relationships Employees feel that they are treated with respect and that there is good cooperation within teams and departments across the organisation as a whole. Mosaic apr-Jun 2017 09 F cus regional employee e n g a g e m e n t S u r v e y 20 16 country highlights Here s an overview of what staff in different countries have to say about working with Parkway Pantai. sinGapore response rate 4 333 respondents Malaysia response rate 6 861 respondents india response rate 3 162 respondents 87% 84% 81% Overall improvement in employees perception of Parkway Pantai s organisational culture compared to previous national surveys they now feel safer speaking up and challenging the norm. Staff across all demographics are concerned about their training and development needs and feel more can be done despite discernible strides made since 2014. Outperformed the Asia healthcare norm in supporting employees to excel in their roles. Overall improvement in most categories from previous national surveys. Nurses in India are the happiest among the five countries surveyed reporting significantly better experience (averaging 15% higher) across all survey categories. Outperformed the national healthcare norm in most categories. china response rate 341 respondents brunei response rate 125 respondents 93% 85% Millennial staff in China are generally happy about their life with Parkway Pantai. Employees aged 45 to 62 are most concerned about their training and development needs. The supervisory professional group are among the most content of Brunei employees and are pleased with the hospital leadership. Middle management seeks continuous sustainable engagement and is concerned about career development. Response rates and results have been aggregated across the five countries. Facility or department versions may vary. Results for similar questions vary by country entity and departments. 10 Mosaic apr-Jun 2017 F cus regional employee e n g a g e m e n t S u r v e y 20 16 What s next Now that the Employee Engagement Survey results are out it s time for management to take action mployees have spoken and now it is the organisation s move. The management team is committed to seeing through and supporting a series of post-survey initiatives to address key concerns raised through the survey. Of course the survey and its follow-up actions are only part of a bigger picture advocating positive change. Everyone from employees to management has a role to play in shaping the work culture and workplace environment so please keep sharing The Employee Engagement Survey is just one of many communication channels for staff to share about where Parkway Pantai is doing well and the areas where it can do more for staff development. e shARinG ResuLTs Step the action plan 1 2 In the first quarter of 2017 results have been shared with staff through their Heads of Departments. TAkinG AcTion Step From the second quarter employees can look forward to a customised series of department initiatives and activities designed to address areas for improvement. These initiatives are very often designed by staff and supported by management. DRiLLinG DeepeR Step 3 Countries that have significantly outperformed the rest in certain areas will be regarded as success cases. Further analysis will be conducted to understand their best practices so these can be shared with other countries. cAse FiLe 1 cAse FiLe 2 Who Where When Nursing Department Pantai Hospital Ayer Keroh Malaysia Q4 2016 Issue Cumbersome admissions paperwork and processes APProAch ormedmulti-disciplinaryteam F to review current processes educedlengthofadmissions R form ntroducedbedsideregistration I in some wards Spedupdischargeprocess ouTcome A pulse survey revealed that nurses are happy with the new admissions process did you Know After the 2014 survey over 160 initiatives were organised in singapore and malaysia with mostly positive outcomes. It is hopeful that the post survey 2016 activities will be just as effective in making Parkway Pantai a better place to work Who Where When Food & Beverage Department Mount Elizabeth Novena Hospital Singapore Q3 2016 Issue 40% of staff feel that there is little opportunity for training due to manpower issues APProAch onductedfocusgroupto C understand specific concerns nalysedtraining learning A needs dentifiedsuitableexternaland I in-house training programmes ouTcome All staff have since attended at least one training course each Mosaic apr-Jun 2017 11 SP TLIGHT From left Ma Swe Swe Thet Kwang Chern Hui and Ng Siang Yong. Our Healthcare Heroines Applauding three nurses from Mount Elizabeth Hospital for receiving the Ministry of Health s Courage Fund Healthcare Humanity Award I t doesn t take superhuman speed or strength to be a hero. What it does take for healthcare workers at least is courage extraordinary dedication selflessness steadfastness in ethics as well as compassion and humanity. These are the values that the Courage Fund an initiative by Singapore s Ministry of Health looks for and celebrates at its annual Healthcare Humanity Awards. This year nurses Ma Swe Swe Thet Ng Siang Yong and Kwang Chern Hui have done Mount Elizabeth Hospital proud by earning this prestigious accolade. They have proven through their daily work that they place service before self in caring for others. Their actions are an inspiration to all and their stories a reminder of the strength and virtues of the human spirit. Read on to learn their stories. 12 Mosaic apr-Jun 2017 SP TLIGHT G THe LOnG ROad rowing up in Myanmar Ma Swe Swe Thet dreamt of being an engineer until her father a healthcare worker himself suggested nursing. Her caring nature and passion to help others made her suited for the profession he said. With his encouragement Swe Swe discovered her true calling as an operating theatre nurse but getting there proved to be a challenge. In her first hospital posting after nursing school her request to be assigned to the operating theatre was not granted. I understood that as a novice nurse I had to prove my worth so I worked hard in the role I was given but I never gave up on my dream said Swe Swe who eventually earned the chance to enter the operating theatre. Since then it has become her second home. Having grown in this role especially after moving to Singapore in 2004 and joining Mount Elizabeth Hospital two years later Swe Swe hopes to be a good mentor to her junior nurses. I try to train my juniors to be familiar with the operating theatre environment to keep calm in difficult situations and to always think one step ahead. My mother always said that no matter how little I make I should set aside one-third of my salary for donations. Now I participate in overseas mission trips to help others and to teach my own children the same values. Ma Swe Swe TheT Senior Staff Nurse Operating Theatre When Lives are at Stake Swe Swe was working in a small rural hospital in Myanmar when a fire broke out in the nursing quarter. While people were rushing for the exit she chanced upon a scene that remains etched in her mind until today. A woman kneeling by her father s bedside cried as she told him that she couldn t carry him out to safety. Then she pulled the sheets over his head and ran. Without a second thought Swe Swe went to the patient held his hand and assured him that she would stay with him until help came. Fortunately the fire was extinguished before it reached the ward. I was so shocked and heartbroken to witness that scene that I didn t think of my own safety until after the incident was over Swe Swe admits. I just wanted to be there for him. Mosaic apr-Jun 2017 13 SP TLIGHT I HeLPInG HabITS t s almost as if Ng Siang Yong has been training to be the High Dependency Unit nurse that she is today from the young age of 11. That was when she was introduced to the St John Ambulance of Malaysia (SJAM). First intrigued then inspired by the work that the group does Siang Yong signed up as a full member when she was 13 and picked up first aid skills. Much to her parents initial displeasure she spent most of her teenage years doing voluntary work with SJAM whether teaching first aid to school children or spending the festive season on emergency standby along Malaysia s busy North-South Highway. This experience has put her in good stead as a Senior Staff Nurse in the High Dependency Unit. It s a high-stress and fast-paced environment where situations could arise quickly. Being observant having good judgement and making quick and accurate decisions are essential qualities of a High Dependency Unit nurse. I guess this comes naturally to me because I have experience with first response medical care said Siang Yong. I believe that human beings are designed to help one another. when I help others I m constantly learning something new -- about people about cooperation about compassion. Ng SIaNg YoNg Senior Staff Nurse High Dependency Unit Sister Aid Siang Yong laughs when her nickname Sister Aid is brought up. It was given to her a long time ago by the people in her hometown of Malacca she says. While she tries to downplay it the nickname s significance is clear. For over 20 years Siang Yong has given selflessly to others whether through formal volunteering opportunities or informally when friends and neighbours called for help or advice. She would visit the sick help to dress their wounds check their blood pressure and even counsel their family. Even after moving to Singapore and starting a family she continues to cross the Causeway regularly to support St John Ambulance of Malaysia. Today she focuses on teaching home nursing care and first aid to young volunteers. 14 Mosaic apr-Jun 2017 SP TLIGHT F YOunG HeaRTS or Kwang Chern Hui watching her brother just three years her junior grow up with special needs inspired more than just a career in paediatric nursing -- it made her dedicate her life to helping children. Back when she was just a teenager Chern Hui took on the responsibility of caring for her brother including taking him to school and back. The first time I visited his school I realised that many children with special needs also have other medical conditions. Schools are also often short-handed and while they try their best the teachers and caregivers cannot always be watching every child said Chern Hui who decided then to volunteer her time at special needs schools. I m just glad that I can make a difference in children s lives whether as a volunteer or a paediatric nurse. Just a smile and a hug from them is more than enough reward for me she said. helping others is a personal choice that comes from the heart there s no forcing it. If it s in you to make a difference in other people s lives then I encourage you to find an avenue to do so whether in a big or small way. KwaNg CherN huI Senior Staff Nurse Children s Ward Seed of Hope In March 2014 a six-year-old boy from China was admitted to the Children s Ward where Chern Hui works. The child had lapsed into a vegetative state due to a brain tumour and his mother cared for him alone. Without a support network of family and friends and hampered by her inability to speak English the mother struggled. Chern Hui stepped up to help and soon the boy s mother opened up to her. She found an apartment just across the road from the hospital and wanted active medical care for her child at home shared Chern Hui who volunteered her personal time to make this happen. She sourced for medical equipment and supplies prepared the mother for home care and even made regular visits to check in on both the child and his mother. The little boy has since left this world but with him as a shared memory Chern Hui and his mother remain close friends. Chern Hui is happy to share that his mother has been blessed with another child and is doing well. Mosaic apr-Jun 2017 15 Ser ice Leading from the Ground Up Gleneagles Global Hospitals collaborates with USA s University of Wisconsin to inspire greater leadership in all nurses from bedside to boardroom. Wrapping up the successful 6th International Clinical Nursing Leadership Conference in India. The event inspired nurses at all levels to strive for and embody leadership. L eadership is action and example not title and authority. This is particularly true in a dynamic healthcare environment where nurses regardless of their seniority are expected to adapt and respond to new challenges and opportunities on a daily basis. Leadership is also a journey not a skill picked up overnight. It deserves an early beginning to better prepare nurses for higher responsibilities and from the organisation s perspective to enable effective succession planning. With this in mind Gleneagles Global Hospitals hosted the 6th International Clinical Nursing Leadership Conference themed Clinical Nursing Leadership for Healthcare in India - Vision 2020 . Co-organised with University of Wisconsin Oshkosh USA the conference set out to explore what skills knowledge and capabilities would be required of nursing leaders in the year 2020. The one-day conference on 7 January 2017 was open to nurses at all levels who aspire to lead. Over 230 nurses from across 11 Indian states and almost 30 from Singapore and the USA participated and together with expert speakers discussed the paradigm shift in clinical nursing leadership. 16 Mosaic apr-Jun 2017 Ser ice Addressing participants Elaine Ng Parkway Pantai s Group Director of Nursing said As young nurses or middle managers you may not regard yourself as a leader but in the current age leadership from nurses is needed at every level and across all settings. The conference underscores Gleneagles Global Hospitals belief that healthcare organisations and nursing education programmes must ramp up efforts to nurture a talent pipeline of effective nursing leaders by 2020. Creating an aCtion Plan As part of the 6th International Clinical Nursing Leadership Conference Gleneagles Global Hospitals organised a focus group workshop under the banner of the Association of Health Care Providers India (AHPI) at its Chennai hospital. The goal was to craft a strategic plan for nurturing clinical nursing leaders conceptualise a framework to achieve this and develop a standardised Clinical Nursing Leadership module that can be rolled out to nurses nationwide. To this end Gleneagles Global Hospitals invited 42 nursing leaders from India and abroad to contribute to the discussion. Growing future nursing leaders for India is a long-term quest just like the journey of nursing at Gleneagles Global Hospitals is an ever-growing continuum of excellence in assuring patient care quality and safety. 1 7 15 20 focus group workshop international nursing experts state-level nursing expert national-level nursing experts Dr Jothi Clara J MiCheal Director-nursing & Quality gleneagles global Hospitals Learning to Lead Some key takeaways that nurses gleaned from the conference Self Learning to look inwards to recognise their own strengths and how they can draw on this to hone their leadership skills Team Examining the differences in managing cross-generational teams and how effective leadership can create an inspiring environment for team members to excel OrganiSaTiOn Understanding their role as an enabler of multi-disciplinary collaboration and how this can have a positive impact on clinical outcomes and patient satisfaction there is an urgent need to develop middlelevel nursing staff into clinical nursing leaders such that they become quality champions and play a synergistic role with clinicians to improve patient safety. Dr girDhar gyani Director general association of HealtH care proviDers inDia Mosaic apr-Jun 2017 17 Ser iCe Accelerating Liver Care Over 800 delegates from around the world join Gleneagles Global Hospitals for the 2017 edition of its Master Class in Liver Disease. The event was well attended by members of the international medical community. Luminaries in the field shared their expertise at the annual event. F or the seventh year Gleneagles Global Hospitals successfully organised its Master Class in Liver Disease for over 800 members of the international medical community in Chennai from 20 to 22 January 2017. Themed Basics of Liver Diseases & Transplantation the highly-acclaimed three-day conference was inaugurated by Dr C. Vijaya Baskar Minister of Health and Family Welfare of the Government of Tamil Nadu. The annual series was envisaged as a means to deliver high quality teaching in the field of liver disease and transplantation. Since its inception in 2011 the master class has established itself as one of the most popular medical meetings in the region. Each edition is planned as a single theme conference with participation from national and international experts in adult and paediatric haepatology haepatobiliary surgery and liver transplantation. Each year we have tried to adopt a theme that would be relevant to all specialities involved in the care of patients with liver disease shared Professor Mohamed Rela Director - Institute of Liver Disease & Transplantation Gleneagles Global Hospitals. With the rapid increase of interest in liver disease and transplantation and with increasing number of liver transplant 18 Mosaic apr-Jun 2017 Ser iCe Earning inDustry rEcognition Gleneagles Global Hospitals Master Class in Liver Disease series is widely endorsed by industry bodies at home and abroad. Running India s most TheLiverIntensiveCareGroup ofEurope(LICAGE) AmericanSocietyofTransplant Surgeons(ASTS) TheEuropeanAssociationfor theStudyoftheLiver(EASL) InternationalHepato-Pancreato BiliaryAssociation(IHPBA) India InternationalLiver TransplantationSociety(ILTS) IndianAssociationofSurgical Gastroenterology(IASG) TheTransplantationSociety (TTS) successful multi-organ transplant programme over the years demonstrates our commitment to both cuttingedge clinical work and thought-provoking academics. I m delighted by the support that our Master Class in Liver Disease has received in and beyond India. Dr K ravinDranath CHIef PatROn Of MasteR CLass In LIveR DIsease anD CHaIRMan GLeneaGLes GLObaL HOsPItaLs Thank You To DisTinguisheD speakers The Master Class in Liver Disease 2017 was made possible by the generous sharing of many world-renowned liver experts. Gleneagles Global Hospitals expresses its gratitude to this year s distinguished speakers. JanLerut(Belgium) ToruIkegami(Japan) MarinaBerenguer(Spain) AnilDhawan(UK) AnitaVerma(UK) JamesNeuberger(UK) JohnO Grady(UK) JuliaWendon(UK) MarkBellamy(UK) VarunaAluvihare(UK) WayelJassem(UK) AbrahamShaked(USA) GiulianoTesta(USA) JohnRoberts(USA) KimOlthoff(USA) NancyAscher(USA) PatrickKamath(USA) Attendees benefited from the insightful sharing of over a dozen expert speakers from around the world. programmes happening in India we consider it apt to go back to the basics of liver disease and to listen to the experts in this field from around the world. This year s programme covered topics such as fatty liver disease immune-mediated liver diseases liver tumours organ preservation and support as well as immunosuppression delivered by experts in the field. Mosaic apr-Jun 2017 19 Ser ice 3 2 1 Soar Parkway Pantai in Singapore takes flight towards greater nursing excellence with the launch of four Nursing Taskforces. he nurses of Singapore Operations Division are accelerating their journey towards greater excellence in patient safety and clinical outcomes with the official launch of four Nursing Taskforces. These were unveiled on 23 March 2017 at an aviation-themed event that reflected the nurses collective aspiration and ambition of scaling new heights. T NursiNg ExEcutivE taskforcE From left Senior Nurse Manager Tan Lai Poh (Head of Clinical Practice Taskforce) Assistant Director of Nursing Daphne Ng (Head of Professional Development Taskforce) Nurse Educator Nazrin Razack (Head of Nursing Executive Taskforce and Shared Governance Taskforce) Senior Nurse Educator Mis Rohaiza (American Nurses Credentialing Centre Steering Committee) Nurse Clinician Ong Lay Keow (Clinical Representative) Not pictured Group Director of Nursing Elaine Ng (Consultant) Director of Nursing Lim Siok Hong Sally (Management Representative) The driving force for all other taskforces provides leadership and support to lead operational changes across the four hospitals in singapore Enhances networking of all members of healthcare throughout the organisation sharEd govErNaNcE taskforcE First row from left Staff Nurse Penelope Panganiban Nurse Educator Juliana Dawn (Vice Chairperson) Senior Staff Nurse Evelyn Mondala Second row from left Nurse Educator Nazrin Razack (Chairperson) Nurse Manager Say Poh Kin (Finance Manager) Senior Nurse Manager Denise Megan (Secretary) Third row from left Staff Nurse Arce Dimaranan (Logistics) Senior Staff Nurse Ang Tze Qin Not pictured Staff Nurse Nguyen Hong Nhung Staff Nurse Chaw Kalaya Nway sees to the smooth running of nursing processes and practices in hospitals Empowers nurses through multi-disciplinary collaboration and teamwork for best patient outcomes Demonstrates shared decision-making based on the principles of partnership equity accountability and ownership 20 Mosaic apr-Jun 2017 Ser ice The nurses-for-nurses initiative involves four taskforces a Nursing Executive Taskforce that sets and steers the direction as well as three taskforces that oversee shared governance professional development and clinical practice. In the captain s seat is Group Director of Nursing Elaine Ng (pictured) who takes on the role of Nursing Executive Consultant. Each taskforce member has been chosen for their outstanding work performance and will serve for an initial term of two years. They dressed the part at the launch event sporting neck scarves synonymous with cabin crew and set up game booths to help their colleagues understand the scope of each taskforce. The event venue was also decked out to heighten the excitement in the air complete with a themed photo booth for nurses to commemorate the occasion in style. In line with their Nursing Philosophy of Professionalism Expertise and Advocacy the Nursing Taskforces are prepared to inspire and lead their colleagues in Singapore on an enriching and purpose-driven journey for the best patient outcomes. Join and enjoy this ride towards pinnacles of excellence ProfEssioNal dEvEloPmENt taskforcE From left Assistant Director of Nursing Daphne Ng (Chairperson) Nurse Manager Tan Vui Vui (Logistics) Staff Nurse Lee Zhi Jun Nurse Educator Nursyahidah Staff Nurse Gemma Rose Nurse Manager Low Siew Yen (Finance Manager) Senior Staff Nurse Kartikasari Not pictured Nurse Manager Adeline Kooh (Secretary) Nurse Educator Fiona Tan Ei Hong Senior Nurse Educator Mis Rohaiza promotes educational initiatives benchmarked against industry standards for the professional development of nurses Facilitates specialty development and career advancement for nurses Elevates the level of professional nursing through ongoing education skills and evidence-based practices cliNical PracticE taskforcE Standing from left Staff Nurse Betilda Yvonne Nurse Manager Lim Chow Hiang (Logistics) Senior Nurse Educator Vivienne Lim (Vice Chairperson) Staff Nurse Ritty Andom Nurse Manager Siti Samira (Finance Manager) Senior Staff Nurse Gao Lina Seated from left Nurse Manager Beak Soon Eng (Secretary) Senior Nurse Manager Tan Lai Poh (Chairperson) Not pictured Senior Staff Nurse Krshnasamy Navamani Gracy Nurse Manager Muhammad Nasir Ensures that reliable highquality evidence-based patient and family-centred nursing care standards are established across singapore operations Division Empowers nurses to drive change through evidencebased practice reviews proposals for changes in practices policies and work instructions that impacts patient care Mosaic apr-Jun 2017 21 Ser ice Get Better with More Greater convenience to lunG patients alaysia gets its first one-stop shop in the management of respiratory diseases with the opening of a new Lung Centre at Pantai Hospital Kuala Lumpur. Located on Level 3 Block A of the hospital the 3 500 square feet facility is well-resourced with a dedicated team of respiratory consultants nurses physiotherapists and a respiratory technician. It enjoys good connectivity to pharmacy and radiology services for patients requiring X-rays and other advanced imaging modalities. It is also the only private centre in Malaysia that can perform endobronchial ultrasound (EBUS). The Lung Centre provides comprehensive specialist care for lung patients AirwayDiseases - Difficult Asthma - Bronchiectasis - Chronic Obstructive Pulmonary Disease ComplexLungDiseases - Lung Fibrosis - Pulmonary Hypertension - Sarcoidosis PulmonaryInfections - Pneumonia - Bronchitis ThoracicOncology M Pantai Hospital Kuala Lumpur introduces Malaysia s firstof-its-kind dedicated centres for Lung and Allergy & Immunology and the latest technology in preimplantation genetic screening. antai Hospital Kuala Lumpur in its unwavering commitment to quality healthcare has recently upped its service offerings. The 335-bed hospital currently houses six centres of excellence and approximately 200 consultants specialising in a wide range of medical and surgical disciplines. It recently introduced a Lung Centre a dedicated Allergy & Immunology Centre as well as next-generation preimplantation genetic screening services for mothers undergoing in-vitro fertilisation. P 22 Mosaic apr-Jun 2017 Ser ice HealinG allerGies and iMMunity probleMs ocated on the same level as the Lung Centre Pantai Hospital Kuala Lumpur s new Allergy & Immunology Centre provides integrated and personalised care for children and adults with allergies and other immune-mediated diseases such as autoimmune diseases and primary immunodeficiencies. Through its partnership with Pantai Premier Pathology it is the only centre in a Malaysian private hospital to offer advanced diagnostic and molecular allergy tests such as component resolved diagnostic diagnosis (CRD) and microarray test and in future flow cytometry services. The Centre provides one-stop convenience to patients with eczema food allergies allergic rhinitis allergic conjunctivitis allergic asthma anaphylaxis and drug allergies as well as specialist care for hives (chronic L GivinG in-vitro fertilisation (ivf) eMbryos tHe best cHance of success urticaria) and autoimmune connective tissue diseases. It uses the latest treatment options administered by doctors with international working experience. Some of the treatments provided include kinAllergies S - rticariaorHives Eczema AtopicDermatitis U Contactdermatitis Angioedema AllergicRhinitis - Allergicnose Sinusitis Rhinosinusitis AllergicAsthma AllergenAvoidanceAdvice AnaphylaxisEducation Allergen-SpecificImmunotherapy(ASIT) DrugAllergy FoodAllergy PrimaryImmunodeficiencyDiseases(PID) t Newlife PHKL the in-vitro fertilisation (IVF) unit of Pantai Hospital Kuala Lumpur a next-generation technology in preimplantation genetic screening has been adopted to help patients undergoing IVF increase their chances of pregnancy and take home baby rates. Chromosomal abnormalities are a major cause of implantation failure and miscarriage. The new method of screening the chromosomes of embryos is more accurate. By excluding genetically abnormal embryos from implantation pregnancy outcome is enhanced even with fewer embryos and the risk of multiple pregnancies is lowered. Preimplantation genetic screening is suitable for mothers Overtheageof35 Withfamilyhistoryofchromosomeproblems ithhistoryofrepeatedIVFimplantation W failure Withhistoryofrecurrentmiscarriage hosepartnerhasseveremalefactor W infertilityandwhosespermareknowntobeat highriskofhavingchromosomeproblems A To find out more about preimplantation genetic screening and other fertility services please visit www.newlifephkl.com. Mosaic apr-Jun 2017 23 PERSONAL TIES Advances in technology are a boon for neurosurgeons but Dr Chee Chee Pin believes that it s important to place patients and their quality of life at the core of every decision. 24 Mosaic apr-Jun 2017 PERSONAL TIES Making Tough Decisions The hallmark of good brain surgery is the patient s quality of life states Gleneagles Kuala Lumpur s Senior Consultant Neurosurgeon Dr Chee Chee Pin. O n the sunny Saturday of this interview 63-year-old Dr Chee Chee Pin was on his way to singing lessons something he has been diligently doing for the last eight years. He used to swim play badminton and later on tennis but nowadays prefers to do Qigong cycle or brisk walk on the treadmill. Two large pictures of koi fish adorn the walls of his clinic at Gleneagles Kuala Lumpur where he has been practising for almost two decades. The avid koi enthusiast refers to the fish as rabbits in the water because of their affectionate and loyal character and even has names for each fish such as Crystal Princess and Scarlet. Still nimble and active Dr Chee is an epitome of World Health Organisation s description of people aged 60 to 70. This age group known as the young old is still healthy and enjoying life albeit on a slower pace compared to their younger counterparts. What s most important is the quality of life emphasised the good doctor. The same philosophy is applied to his work where his clinical decisions are made based on whether his patients will still be functional and relatively well after brain surgery. That is how brain surgery is different from other medical specialties he explains. Every part of the brain is linked to another whether speech emotions the limbs eyes spinal cord or others. With advanced imaging systems such as CT scans angiography and MRI it is now easier for surgeons to identify and focus on problematic areas and plan treatment. We had nothing of that sort in the 1970s when I was a houseman Yet the neurosurgeons back then sometimes pulled off miraculous surgeries such as doing a burr hole procedure without anesthesia at the emergency room he recalls. Today neurosurgeons not only have a deeper understanding of the connection between the brain and blood system but also enjoy the precision offered by high-tech equipment such as the image-guided Gamma Knife and Cyber Knife. The advancing knowledge and techniques guided by these devices allow surgeons to conduct complicated procedures with the patient awake so that they can communicate with the surgical team throughout surgery. This way the surgeon will know that the vital parts of the brain like speech and motor control are not being affected by the surgery. Still surgery is just one aspect of the entire treatment plan. For Dr Chee post-surgery recovery is just as if not more important for the patient and his caretakers. This insight of course did not come overnight. As a medical student he had As a surgeon I ve faced some difficult moments when we had to advise family members that a surgery would be in vain. Their loved one might survive but in a vegetative state for a lifetime -- is that really the best choice for the patient seen cases where the surgery had been successful yet the patient would suddenly develop stroke and pass away a few days later. Ultimately it is about understanding limits he says and accepting the fact that there is still a lot to learn about how the brain interacts with the body systems. Even with the best of technology doctors still need to be truthful about the boundaries of any treatment to the patient family members and to themselves. Surgery is somewhat like singing he muses. Once he goes on stage he loses himself in the song belting his lungs out to every emotional rise and fall of the rhythm. The Operation Theatre is no different one just needs to give it his all he concludes. Doctor s note M y name is Chee Chee Pin and I consider myself a simple man who believes in miracles and continuous learning. As a child growing up in Penang in the 1950s I enjoyed the pleasures of countryside living such as catching spiders and guppies and playing in streams. In my adolescence I was a very active scout leader even becoming a Penang King Scout Council Chairman at one point. Today I still believe in community service and have been actively involved in the Kiwanis Club and several medical associations such as the Malaysian Neurosurgical Association and Asian Congress of Neurological Surgeons. Mosaic apr-Jun 2017 25 PERSONAL TIES When Opportunity Knocks With steady hands and a discerning eye Dr Ganesh Ramalingam General Surgeon with Mount Elizabeth Novena Hospital has built a successful and varied career doing what he loves. sk Dr Ganesh Ramalingam about his decision to pursue a career in medicine and the young General Surgeon with Mount Elizabeth Novena Hospital is humble in his reply. I didn t do well in humanities and mathematics wasn t my strong suit either. I did passably well in the sciences and I enjoy helping people so medicine was the best fit he said. Perhaps because I was raised as an active kid by parents who enjoyed sports I m a very hands-on person. I knew surgery was for me. At the same time I enjoy variety and thrive on new challenges so the breadth and depth of General Surgery appealed to me. So how did Dr Ganesh come to specialise not only in General Surgery but also develop interests in bariatric and advanced laparoscopic surgery as well as trauma I ve been blessed with many inspiring mentors visionaries in their own right who have been my guiding light he said. Dr Ganesh first trained under an obesity surgeon and developed an interest in keyhole surgery at a time when the minimally invasive procedure was dismissed by many in the medical community. When it came time for his overseas training Dr Ganesh chanced upon the opportunity to focus on trauma in Israel. Upon his return to Singapore the doctor went on to establish a Weight Management Centre and Bariatric Surgery Department at two restructured hospitals before he joined Mount Elizabeth Novena Hospital. A As a private practitioner I can spend more time on patient education which is important in weight management. What I can do for patients in terms of procedures is to reduce the quantity of food that they consume but that s resolving only one-third of the problem. Patients need to be committed to lifestyle change -- what they eat and how they burn calories -- in order for weight loss to be sustainable. While Dr Ganesh credits these series of fortunate events for the success he enjoys today it s clear that each time an opportunity came knocking he had a knack for making the most of it. Doctor s Note M 26 Mosaic apr-Jun 2017 y name is Ganesh Ramalingam and I have been with Mount Elizabeth Novena Hospital for about four years now. I am blessed to work with my wife Lisa who is the best clinic manager I could ask for. We are partners at work and for life and enjoy travelling and watching movies together. We are expecting our first child a baby girl in July this year and are absolutely thrilled to be starting a new chapter in our lives very soon. PERSONAL TIES With his passion to help others and a handson personality General Surgery was a natural choice for Dr Ganesh Ramalingam. Mosaic apr-Jun 2017 27 C MMUNITY Keeping Diabetes at Bay Pantai Hospital Ayer Keroh and Nestl Health Science set out to empower people in the fight against diabetes with healthy eating tips. The roadshow was officially launched by Tan Yew Aik (middle) Chief Executive Officer of Pantai Hospital Ayer Keroh. Interactive games made it fun and simple for people to pick up healthy lifestyle tips. F 28 rom 27 February to 3 March 2017 Pantai Hospital Ayer Keroh and Nestl Health Science hosted the Healthy Diabetes Living Starts With Breakfast roadshow an educational programme that promotes healthy eating as part of a successful diabetes self-management programme. The roadshow featured a series of fun and interactive games through which participants learnt the importance of consuming the ideal food portion and the effect of glycemic index on blood sugar level. Mosaic apr-Jun 2017 C MMUNITY The five-day roadshow at Pantai Hospital Ayer Keroh was successful in reaching out to many patients visitors and members of the public. Diabetes alert starting Young To encourage more children to adopt healthy eating habits Pantai Hospital Ayer Keroh started the Pantai School Project. The initiative aims to create behavioural change by sharing three simple lessons with school-going children. 415million 642 million 17.5% people worldwide live with Type 2 diabetes today people are expected to be affected by year 2040 Dietitian Lee Eek Mui (left) provided useful advice to visitors. of Malaysians aged 18 and above have been diagnosed with diabetes Source International Diabetes Federation & National Health and Morbidity Survey Malaysia Drink water and avoid sweetened beverages Diabetes They were rewarded with a goodie bag while those with diabetes enjoyed a complimentary healthy breakfast. Lee Eek Mui a dietitian with Pantai Hospital Ayer Keroh was also around to provide food management counselling and support. Pantai Hospital Ayer Keroh is a strong proponent of diabetes education. In 2015 it opened a diabetes care centre to provide integrated care and support for diabetic patients. Through a multidisciplinary network of medical sub-specialists the centre offers a holistic approach to diabetes management from blood sugar monitoring to patient counselling. often goes undiagnosed due to a general lack of knowledge on the condition. With one in five of our patients suffering from diabetes we needed to take immediate steps to address the rise. Tan Yew aik Chief exeCutive OffiCer Pantai hOsPital ayer KerOh Eat less refined carbohydrates like white rice Eat more vegetables every day Pantai Hospital Ayer Keroh believes that these simple steps can curb the rise of diabetes and benefit not just the child but the entire family. Mosaic apr-Jun 2017 29 C MMUNITY Health in the Heartlands Mount Elizabeth Hospital brings cancer awareness and free screening to financially needy residents in Tampines through a new partnership with People s Association. From a public health talk to free cancer screening for CHAS Orange and Blue cardholders Mount Elizabeth is bringing quality healthcare to the heartlands in partnership with People s Association (Tampines Changkat). Raising awareness of breast and colorectal cancers by sharing tips on identifying early symptoms. I 30 n a tie-up with People s Association Mount Elizabeth Hospital is offering a strong boost to financially needy residents with breast cervical and colorectal cancer screening made free for CHAS Orange and Blue cardholders. The initiative saw the hospital s doctors reach out to the community through a public health talk held on Saturday 19 March 2017 at the Tampines Changkat Community Club. The full-house session had 80 attendees. During the event Colorectal Surgeon Dr Ho Kok Sun and Breast Surgeon Dr Tan Yah Yuen shared tips on how to identify the early symptoms of breast and colorectal cancers -- the leading cancer types for women and men respectively Mosaic apr-Jun 2017 C MMUNITY in Singapore -- and encouraged eligible residents to register for the free cancer screening. This was lauded by Desmond Choo Member of Parliament for Tampines Grassroots Constituency and Adviser to Tampines Grassroots Organisations who was also present at the health talk. We can manage cancer with early screening. Tampines Grassroots Organisations is glad to work with Mount Elizabeth Hospital to bring this important message to our residents and empower our seniors to take care of their health he said. In its efforts to bring assistance and available health checks to residents who require financial support the hospital will be providing cancer screening procedures like colonoscopies mammograms and pap smears for those with positive screening results the hospital will sponsor their cancer treatments through its Life Renewed Corporate Social Responsibility programme. Cancer screening and early detection is key to fighting cancer. Advances in medical science and technology have made cancer treatments more effective. Our efforts can make a difference especially among seniors who may have deferred medical attention due to financial difficulties or lack of awareness said Phua Tien Beng Chief Executive Officer of Mount Elizabeth Hospital. Apart from receiving a wealth of health tips participants were handed goodie bags filled with household staples to cap off the session. Phua Tien Beng Chief Executive Officer of Mount Elizabeth Hospital giving out goodie bags after the health talk. We are grateful to Mount Elizabeth Hospital s sponsorship of cancer treatment for needy patients which will go a long way in helping the less privileged among us enjoy a healthier and more fulfilling life. DEsMonD CHoo MEMbEr of PArliAMEnT for TAMPinEs GrAssrooTs ConsTiTuEnCy And AdvisEr To TAMPinEs GrAssrooTs orGAnisATions About Life Renewed The Life Renewed Project is a Corporate Social Responsibility initiative by Parkway Pantai and supported by the Khazanah IHH Healthcare Fund. It was launched in 2013 to support patients in Singapore and Malaysia who require financial assistance to access and reap the benefits of Parkway Pantai s wide network of world-class doctors and medical facilities. The name reflects the regaining of hope made possible by medical intervention. ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... The CanCer CounT ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... of deaths in men are likely to be women are likely to be ..................................................................................................... ..................................................................................................... ..................................................................................................... Singapore in 2014 affected by cancer by affected by cancer by ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... were related to 75 years of age 75 years of age ..................................................................................................... ..................................................................................................... ..................................................................................................... cancer Colorectal cancer is Breast cancer is the ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... the most common most common cancer ..................................................................................................... ..................................................................................................... ..................................................................................................... cancer type type ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... ..................................................................................................... Source Singapore Cancer Registry & National Registry of Diseases Office ..................................................................................................... ..................................................................................................... ..................................................................................................... 29.4% 1 in 4 1 in 5 Mosaic apr-Jun 2017 31 C MMUNI TY The Crusade Against Cancer Parkway Pantai s India Operations Division steps up the fight against one of the world s top killers on World Cancer Day 2017. ImprovIng the healIng Journey head of World Cancer Day Gleneagles Global Hospitals commissioned a nationwide survey in India in an attempt to understand the difficulties that cancer patients face in their journey from diagnosis to treatment and to identify key pain points that could be improved or resolved. The study titled The Painful Wait revealed eight such areas of concern ranging from the time between diagnosis and confirmation and access to qualified oncologists to issues such as the lack of cancer counselling. Along with the research findings Gleneagles Global Hospitals also released a short film about how one man s tobacco use not only affected his own life but also ruined the dreams of his loved ones. In just three days Miscalculation went viral on social media platforms achieving the team s objective of raising awareness about cancer. isit Gleneagles Global Hospitals YouTube V Channel to watch Miscalculation . A E let s talK about CanCer very year 8.2 million people die from cancer. On 4 February 2017 - designated World Cancer Day Parkway Pantai s India Operations Division joined the fight against what World Health Organisation calls the second leading cause of death globally. ontinental Hospitals marked World Cancer Day with a public awareness seminar led by its team of cancer specialists. It leveraged existing corporate tie-ups to bring similar talks to employees of several companies to widen the reach of its message. Continental Hospitals also produced a series of video advertisements depicting life after cancer to share hope with those whose lives are affected by the disease. The I Met Cancer series is based on true stories including one of a cancer survivor who later went on to become a professional karate champion. These videos didn t just tug on heartstrings they emphasised the importance of early detection and treatment in the fight against cancer. isit Continental Hospitals YouTube Channel V to watch the I Met Cancer series. C Through this campaign we aim to reach out to a wider audience and emphasise the need to quit smoking and chewing tobacco in any form. We will continue to focus our efforts on the prevention and treatment of patients while also providing counselling and support to their caregivers. ramesh KrIshnan chief executive officer of india operations division parkway pantai 32 Mosaic apr-Jun 2017 Kn wledge Clarifying the Cancer Diet Louis Yap Dietitian at Parkway East Hospital busts myths about foods that are rumoured to help treat cancer. Myth 1 T patient s diet. he most common type of help offered to cancer patients is in the form of food advice -- eat this or don t eat that . Here s a look at some bizarre food myths and why they shouldn t have a place in a cancer Avoid sugar it promotes cancer growth This is a half-truth. Yes cancer cells need sugar to grow. Yet the converse is also true that healthy cells like those that fight cancerous growths need sugar too. Sugar in the form of carbohydrates in our diet functions to provide us with energy fibre and even some vitamins and minerals. It helps to keep our moods up and maintain our weight. The latter is important to cancer patients as dramatic weight changes can affect the treatment process. A nutritionally balanced diet is key and professional dietitians can help. 34 Mosaic apr-Jun 2017 Kn wledge Myth 2 Go vegan meat causes cancer Myth 4 Juicing gives you all the antioxidants to fight cancer It is true that a diet high in fruits and vegetables like those consumed by vegans is an excellent way to get the vitamins and minerals our bodies need. A vegan diet also gives you antioxidants and other anti-cancerous compounds. But what about protein Protein plays an important role in helping the body recover from the damage caused by chemotherapy or radiotherapy. It also helps keep our immune system running so only omit meat if you re certain that you re consuming enough protein alternatives like tofu beans and dairy. Juicing can be a great and simple preparation method to get plenty of nutrients and minerals into a 250ml glass especially when a cancer patient is not eating enough. But juicing also tosses fibre out of the window and fibre is important to a wholesome balanced diet. Blending might be a better alternative but nothing beats eating the fruit whole. Myth 5 An alkaline diet neutralises the acidic nature of carcinogens Myth 3 Soursop leaf drinks can reduce tumour size Another myth making its rounds is that consuming beverages brewed from soursop leaves can help treat breast and prostate cancer. This was based on research findings but has been taken out of context it seems. Related studies have only been conducted on cells and lab mice so science has yet to prove that soursop leaf brews are effective on people. This acid-alkaline diet trend encourages people to eat more alkaline foods like fruits and vegetables. According to the association that promotes the diet our body s natural acidity promotes the growth of cancer cells. However when a review journal analysed thousands of scientific papers it couldn t find any conclusive evidence to suggest that an acid-rich diet could lead to bladder cancer. CHiCkEn CioPPino witH CELLoPHanE nooDLEs PREPARAtion S 1 ometimes all cancer patients can manage is a few spoonfuls of food. Swallowing can be an issue or they may find the food bland and unappetising. Parkway East Hospital s Dietitian Louis Yap and Executive Sous Chef Roslan Bin Abbas have come up with this simple soup recipe for a tasty energy-rich and nutrient-dense meal. Nutrient values Energy 544 kcal Carbohydrates 61g Protein 47g Fats 22g ingredients (Serves 4) Beetroot chopped Canola oil Carrot chopped Celery chopped Cellophane noodles dried Cherry tomatoes halved Chicken stock Chilli padi chopped Coriander leaf Free range chicken breast sliced Fresh lime juice Garlic minced Ginger Kaffir lime leaves Lemongrass chopped Roselle flower Shallot sliced Shimeji mushrooms Quantity 160g 1 tbsp 40g 30g 200g 30g 600ml 3-4 pieces 20g 480g 15ml 20g 20g 2 pieces 40g 10g 60g 40g In a stock pot add canola oil and lightly stir-fry shallot carrot celery garlic ginger chilli padi and lemongrass. Add chicken stock and bring to a boil. Remove the foam that forms on the surface. Add the roselle flower lime leaves coriander roots and beetroot. Allow to simmer. Add the chicken breast and poach for 20 to 25 minutes removing it once it s cooked. Strain the broth and season to taste. In a separate pan stir-fry the mushrooms and tomatoes for 5 minutes. Deep-fry the cellophane noodles until crispy. Place the chicken breast in a serving bowl and garnish with shallot carrot celery shimeji mushrooms cherry tomatoes and beetroot. Pour the broth over the chicken and top it with the crispy cellophane noodles. Serve and enjoy 2 3 4 5 6 7 8 9 Mosaic apr-Jun 2017 35 L feStyLe Be Happy Stay Healthy When people say that laughter is the best medicine they re not joking. Happiness may be good for your physical health in more ways than one as Mosaic finds out. 36 Mosaic apr-Jun 2017 L feStyLe Make happiness a choice a 2015 study of harvard s class of 1980 has revealed something quite interesting -- you can be happier if you make the conscious choice to be happy with what you do strengthen your closest relationships and take care of yourself physically financially and emotionally. data on the right are some common characteristics of the study s extremely happy respondents. So the next time life tries to bring you down stay positive and be happy Source Forbes 47% said they thoroughly enjoy what they re currently doing 62% do not expect to hit a mid-life crisis 67% believe the happiest period of their lives is now 77% said the state of their relationship was the greatest or very good Only 10% of them perceive themselves to be under stress Long Live the happy ones there s no better indicator of good health than longevity. Proponents of the happiness movement often cite a 2001 study by the university of kentucky which analysed the handwritten autobiographies of 180 catholic nuns when they were in their 20s. the nuns were then scored on the amount of positive emotion that they expressed such as amusement contentment gratitude and love. Researchers observed that the nuns with higher happiness scores lived longer with the happiest ones outliving the least happy by an impressive seven to 10 years Source university of kentucky feed your moods the whole idea of comfort food is based on the immediacy of the emotional connection between what we eat and how we feel. When you re feeling stressed out or depressed you might reach for a pint of ice cream but researchers at Pennsylvania State university recommend otherwise. they found that eating comfort food rich in fat sugar salt or carbohydrates actually lowers your overall mood even though you do feel a small positive effect while eating. instead when you need a little boost turn to protein. Source Forbes Mosaic apr-Jun 2017 Photo Picjumbo 123RF and FReePik Protein stabilises blood sugar and that protects you from mood swings and fatigue. Quinoa is a great option since it s both a complex carbohydrate and a complete protein. it ll keep your blood sugar and energy levels steady throughout the day. 37 L feStyLe the Land of the happy in the World happiness Report 2017 which is published by the united nations Sustainable development Solutions network and ranks 155 countries by happiness levels norway has taken top spot with its Scandinavian neighbours denmark and iceland close behind it. in asia Singapore remains the happiest country despite having fallen four spots since 2016. malaysia moved up five spots to come in 42nd (making it number four in asia) while china and india rank 79th and 122nd respectively. to determine the state of happiness researchers looked at several factors supporting happiness -- caring freedom generosity honesty health income and good governance. Source the World happiness Report A happy partner for a happy life having a happy spouse may be related to better health at least among middleaged and older adults -- this was suggested in a 2016 study published by the american Psychological association. in the research which involved close to 2 000 heterosexual couples in the united States it was found that those with happy spouses were much more likely to report better health over time. Researchers suggest that there are three possible reasons for this appypartnersarelikelyprovide H stronger social support appypartnersmayencouragetheir H other half to adopt healthy habits like regular sleep cycles a balanced diet and exercise eingwithahappypartnercould B make life easier even if not explicitly happier Source american Psychology association 38 Mosaic apr-Jun 2017 L feStyLe embrace post-workout bliss this one s pretty straightforward right exercise releases endorphins into the blood which makes you feel good. not quite according to some scientists. they suggest that there s a lot more happening behind the scenes. endorphins are neurochemicals structurally similar to the drug morphine. it s regarded as a natural painkiller minimising discomfort and bringing about feelings of euphoria and general wellbeing. Recent studies however are suggesting that endorphins cannot pass through the bloodbrain barrier. So where does post-workout bliss come from Some scientists point to serotonin or norepinephrine neurotransmitters that are produced in larger quantities when you exercise. the argument is that these neurotransmitters send positive messages throughout your nervous system making you feel positive. Whichever the case the euphoria from exercise is a very real feeling so keep to your workout routine Source cnn the aches and pains of unhappiness protect your heart with happiness a happy you could mean a lower heart rate and blood pressure in a 2005 study participants were asked to rate their happiness levels over 30 times throughout the day then again three years later. the study discovered that participants who were happiest at the start had a lower heart rate to show for it three years later and the happiest participants at the end of the study had better blood pressure. Researchers also noticed a correlation between happiness and stress -- the happiest participants had 23 per cent lower levels of the stress hormone cortisol Source the Greater Good Science centre university of california berkeley Source the Greater Good Science centre university of california berkeley Mosaic apr-Jun 2017 Photo Picjumbo 123RF and FReePik it may be no coincidence that an unhappy person falls sick more often. a 2003 study which sought to determine the relationship between psychological variables and physiological health involved 350 adult volunteers in an experiment. For six times over a two-week period participants were asked how often they experienced positive emotions (such as feeling pleased energetic and calm). they were then exposed to the common cold and placed in quaratine for five days. Sure enough the participants with the most positive emotions were less likely to have succumbed to the cold. to find out why some of the same researchers went to conduct another experiment in 2006. they gave 81 graduate students two doses of the hepatitis b vaccine each and had them rate their positive emotions. it turned out that those with high positive emotion were almost twice as likely to have a high antibody response to the vaccine. that s a sign of a robust immune system which could also explain why happy people seem less susceptible to illness 39 L feStyLe Live in the MoMent there are a couple of ways to boost happiness but perhaps none is as gratifying as living in the moment -- getting so involved in something that time seems to stand still and all your worries seem to melt away. this state of complete engagement is said to be able to boost your happiness levels Playing an instrument or being immersed in a good book are ways to achieve this. Similarly when you encounter something new you are likely to be focused on the present moment (and that s again a happiness booster). Look for novelty in everyday life and you could be happier for it Source mayo clinic hydrated happiness it s a good idea to sip water throughout the day to keep dehydration at bay. this has plenty to do with your happiness index early symptoms of dehydration in addition to headaches and fatigue are mood changes. You shouldn t try to quench your thirst with coffee and soft drinks that contain large amounts of caffeine either -- the withdrawal effects of caffeine can make you irritable and impatient. in fact when the Food & mood Project by uk-based mental health charity mind conducted a survey in 2002 to determine the food stressors and supporters of mental health water and sugar came up tops in opposite categories. the link between sleeping and smiling the results are in how much we sleep is linked to our overall happiness levels. Research has shown that when we re sleep deprived we re more likely to fall into depression experience higher stress levels gain weight and risk getting a stroke or diabetes. much of this has to do with how our brain reacts to sleep. the amygdala is the emotional centre of the brain that triggers primitive fight or flight feelings like stress fear and anger. When we re well rested our prefrontal cortex is able to keep the amygdala in check so we can better process feelings and produce healthier more balanced responses. consider that in one longitudinal study involving almost 1 000 adults it was found that participants with a history of insomnia were four times as likely to develop depression within the study s three-year timeframe. it just goes to show that we need sufficient sleep to keep smiling Source huffington Post harvard medical School StreSSorS 80% Sugar 79% Caffeine 55% 72% Fruit 53% 52% Oil-rich fish Alcohol Chocolate SupporterS Source bbc Water Vegetables 40 Mosaic apr-Jun 2017 PhotoS FReePik 80% 78%