1. The Waiting Time is Long

The universal rule of demand and supply applies.  There is this good doctor.  And there is only one of him or her.  Well, guess what?  There is indeed a lot of people who would want to see this particular doctor !  It does sound very much like deciding on which Char Kway Teow stall to buy your noodles from in a food centre.  A good reputation as a doctor takes a long time to build.  And when a level of reputation is achieved, one can be certain that patients keep coming back for more.  And not only them, but their parents, cousins, colleagues, nephews and nieces too.  Try not to give up waiting for a good doctor, there is a reason for his or her popularity.  Some of us feel happy to be the only patient in a clinic, seemingly given exclusive attention by numerous staff.  But wait.  Ask yourself: Why is no one else here ?

2. The Specialist Does Not Offer Extras 

A specialist has chosen sometime in their medical training to focus on a certain area of practice.   And most of them stuck to that area when they were employed in a public hospital.  But when they arrived in the jungle of private practise, things changed.  Free of institutional restrictions, GPs and specialists begin to offer more services and products.  It is now well known that many doctors can undergo a short course and rebrand themselves as Aesthetics Doctors, which is pretty specialist-sounding to most people.  And so, if the GPs can do it, why can’t other specialists?  And so they do.  Is your specialist concentrating on the liver or kidney or ovaries, or is he/she offering you botox, liposuction or “body contouring”, and even “medical grade” face creams and skin cleansers ?   I have a hard time believing all this extras is not profit-driven.  I, for one, will not be a patient of a clinic that is competing for the beauty parlour dollar.  Who knows, maybe one day some doctors might offer “medical grade” manicures too?   Take a good look at your doctor’s website.  Make sure the physician or surgeon is indeed a specialist and not the proverbial Jack of All Trades.

5 ways to tell if the doctor is good

3. No Excessive Advertising – Preferably None !

In the days of old, when doctors were forbidden to advertise, reputations were built through word of mouth.   These days doctors advertise themselves no differently from manufacturers of mobile phones, soft drinks, running shoes and toys.  Their advertisements can be seen in newspapers, lifestyle magazines, and on the Internet.  If you are reading this, chances are high you have been searching for good doctors and spotted many Google ads in the search results.  Doctors should have websites.  The information on the website helps potential patients or their loved ones to find a suitable doctor online.   But I see advertising as a weakness of a medical professional who is not happy just to build a good reputation through word of mouth or peer recommendation.   And as the number of medical advertisement increases, the temptation to aggrandise themselves escalates.  Their clinic is suddenly “premier”.  The doctor is “renowned”.   Taglines and slogans now abound: “Exquisite Tummy Tucks” and “Bigger Breasts Now!” says an ad from a cosmetic surgeon.  “Relief your pain instantly!”.   And if you click on enough of these ads, you might have noticed that some doctors buy numerous slots such that no matter which ad you click on, it always leads to the same doctor !

4. The Doctor Stays Put in One Place

While not always true, most good doctors with a sizeable following stay in one hospital or medical centre.  They generally have too many patients to cope with in one hospital and feel it is best to be available all the time in case the hospital wards need them urgently.   So if your specialist’s address is at Mount Alvernia, he or she should be stationed there most of the time.  Some doctors run a “satellite clinic” somewhere else.  This secondary clinic serves to “catch” potential patients in an HDB estate or a shopping mall who would otherwise not go to a hospital.  Then there are doctors who seem to be operating in a few hospitals in any given week.  2 days in Mount Alvernia, Wednesdays in Novena and another 2 days in Mount Elizabeth.  Now, I have serious reservations about that.  Are they spreading their bets and trying to catch as many patients in as many places as possible?  Will he be in the right hospital when I really need him to see me ?  I am not sure.

5. The Doctor  Tells You to Take Your Time

Many patients complain that they felt rushed into a decision about surgery.  Let us face it.  Surgeons earn money doing surgery.  One more surgery that week is going to increase his income a fair bit.  Let us suppose the surgery is indeed necessary.  I would want my surgeon to explain the rationale for the surgery.  And I will need time to think about it.  And I might want to seek a second opinion.  And possibly even a third opinion if the type of surgery is rare or risky.    A Vietnamese patient once commented that her surgeon rushed her to make a decision regarding surgery because it was a “serious” condition, but at the same time suggested that she can get a breast surgeon colleague to increase her bustline.  Alarm bells went off in her head and she immediately looked around for other doctors.  And fortunately for her, she found another surgeon who does that operation for a much lower cost, without the boobs-upsizing side dish.

Joop Ave, Indonesia’s former Minister of Tourism and Telecommunications, passed away at 6:30 p.m. on Wednesday in Singapore from complications due to various illnesses. He was 79.

His body will be flown to Indonesia on Thursday and will be cremated in Bali.

Tourism ministry spokesman Noviendi Makalam said Joop passed away at Mount Elizabeth Hospital in Singapore.

“According to the plan, he will be taken to Denpasar, Bali, on Thursday morning to be cremated on Saturday, Feb. 8,” Noviendi said.

The Yogyakarta-born former minister helped promote Indonesian tourism at the international level in the 1990s, Noviendi said.

Joop served as the minister from 1993 to 1998 under former president Suharto.

“We all feel saddened by the loss of Joop Ave, the father who made Indonesian tourism as big as it is today,” Noviendi said.

“Ibu Mari Pangestu [the current tourism minister] will fly to Bali and attend the cremation ceremony on Friday,” he added.

He served as Head of the Household of the Presidential Palace from 1972 to 1978.

The founder of Sri Rejeki Isman Textile Group and one of the richest men in Indonesia, H.M. Lukminto, died on Wednesday night, according to family sources in Singapore. He was 67 years old.

Lukminto had been receiving medical treatment in Mount Elizabeth Hospital, Singapore, since Jan. 31.

According to Sumartono Hadinoto, a Surakarta People’s Association (PMS) spokesman, “Lukminto had planned to go to Singapore for a check-up without any signs of a serious health issue, but his condition drastically declined. I was shocked to hear he passed away last night.”

Lukminto’s son, Iwan Lukminto, said his father had suffered a heart attack. The Solo businessman leaves behind a wife, three daughters and two sons. His body was transported to Solo on Thursday.

The beloved textile king will be laid to rest next week at the Delingan cemetery in Karanganyar, Central Java.

President Susilo Bambang Yudhoyono will visit Solo to pay his last respects.

In addition to his successful business in textiles, Lukminto was also known for his philanthropy, having made multiple contributions to Solo’s social development. He helped in the construction of a sports arena, founded a basketball team, and was responsible for the renovation of the Wayang Orang theater.

“He was exemplary man in business and society,” Sumartono said.

As founder of the largest integrated textile company in Southeast Asia, Lukminto was one of the richest businessmen in Indonesia. The Sri Rejeki Isman Textil (Sritex) Group is most famous for producing military uniforms exported to more than 70 countries. The textile giant currently employs more than 40,000 workers, making it one of the largest employers in Indonesia’s private sector.

Bladeless cataract surgery is made possible by using a Femtosecond laser – an exciting new technology originally FDA approved for use in refractive surgery. The FDA has now expanded the indications to include ‘cuts’ in the cornea, including vertical and lamellar cuts. The possibilities for use now include but are not limited to femtosecond keratoplasty, astigmatic keratoplasty, and Intacs for keratoconus.

Femtosecond laser differs from the traditional method of refractive surgery in a number of ways. This technology uses a near infrared light to create precise subsurface cuts. Traditionally in refractive surgery, ultraviolet light sources, such as the excimer laser, have been used for precise surface cuts on the cornea. These light sources were dependent on the tissue properties to absorb the light. Femtosecond laser, on the other hand, works independently of light tissue absorption so photodisruption of deeper tissues is possible and the patient’s anatomy, such as steepness, flatness or thickness of the cornea, will not interfere with the cuts. This leads to a more uniform treatment. In addition, femtosecond pulses are very short, subpicosecond duration, which allows lower energy levels and aids in precision. The lower energy also decreases collateral damage.

Traditional methods for cutting the LASIK flaps include the use of a microkeratome blade, an oscillating blade which creates a shear factor. In a patient with a weak epithelium, there is increased risk of a resulting epithelial defect. With the femtosecond laser creating the flap, there is no shear factor and the risk of an epithelial defect is less.

To reiterate, femtosecond laser allows extreme precision in surgery. In one study presented this year at the American Academy of Ophthalmology, femtosecond laser incisions achieved perfect diameter accuracy in 100% of cases, while only 10% of surgeons’ manual cuts were within 0.25 mm error.

With the FDA label extension, femtosecond laser technology is spreading, with its largest impact on the future of cataract surgery. This technology was a highlight at this year’s American Academy of Ophthalmology in San Francisco.

Find out more about Bladeless Cataract Surgery:

http://www.youtube.com/watch?v=HlK47qoC3CI

– http://www.youtube.com/watch?v=ciIFn-0HqTk

In talking to other stroke patients, one thing that was particularly remarkable to me was the very different reactions people had to a disability. I spoke to my occupational therapist about it, and he remarked that disability is never a purely physical condition, but is a combination of actual physical disability and the person’s psychological response to the disability.

For me, I lost almost all sensory-motor function on the left half of my body. It was so bad I had trouble just sitting up straight after my surgery, and standing up was out of the question.

To some extent, functions can recover as the brain recruits non-damaged areas to replace lost functions through a process called neuro-plasticity, but that process has its limits, and there are early indicators of the possible extent of recovery.

About 2 months after my stroke, the senior consultant in charge of my rehabilitation team at the community hospital held my left hand as he gave me the bad news.

“You have basically a 0% chance of recovering dexterity in your left hand,” he said, solemnly.

I didn’t know how to respond, so I just said, “Ok, loh.” [For those who aren’t local, “loh” and other words like “lah and “leh” are modal particles in Singaporean slang–meaningless words in themselves, but which flavour the spoken sentence and highlight the mood of the speaker. In this case, “loh” indicated resigned acceptance.]

“‘Ok, loh’?” he asked. “That’s all you have to say?”

“What do you expect me to do? Cry?”

In reality though, the truth only sank in slowly over the next few months as I came to accept that there were certain things I would never be able to do again, like my favourite pastime of riding my motorcycle.

In coping psychologically with the physical disability, I was fortunate to have inherited a “keep calm and carry on” attitude from my father, which meant I didn’t spend too much time agonizing over what I couldn’t do and the physical functions I had lost, and more time figuring out how I could do as much as I used to be able to do.

My physical disabilities

My actual physical physical disabilities (and current extent of recovery, one year later) are:

  • Loss of use of left leg (currently mostly community ambulatory, albeit with a walking stick).
  • Loss of use of left hand (currently able to perform gross movements using the shoulder and elbow, but no real useful functions because I am unable to open my fingers; only clench them).
  • Weakness in left trunk muscles (currently still slouching more than before, but otherwise able to maintain an upright posture).
  • Slack facial muscles on the left half (currently still unable to perform some facial expressions, although I’ve stopped dribbling when I eat–what a relief).
  • Extensive loss of sensation (touch, temperature), proprioception, and kinesthesia (often confused with proprioception, but is more accurately the sense of motion). I’m lucky not to have lost the sense that my left limbs are my own, but the sense of connection and ownership is definitely weaker than for the unaffected right side (currently, some (still very vague) sensation is starting to recover from proximal (closer to the body’s centre line) to distal (further away)).

Coping strategies

I’d like to list down a few coping strategies that were particularly helpful for me that might prove helpful to anyone else in a similar situation:

  • Accept that a terrible thing happened, whatever the cause. Speak to whoever you believe in and then accept that you have to move on. For me, I wrote in my second post “Why Bad Things Happen to Good People” that I was an atheist, so my coping strategy of accepting it as a case of a bad roll of universal dice might not be for everyone.
  • Nevertheless, don’t internalize other people’s perception of yourself. If other people look down on you as a result of your disability, it is a reflection of them, not you. When I was studying in the States, an American-born Chinese asked me about racism and if I would be offended if someone called me a “chink”. I told her no, because that just shows the person who uttered the phrase to be a racist asshole, and I would pity him rather than get angry. The same applies here. You’re going to run into some inconsiderate people, but you shouldn’t let that affect how you feel about yourself.
  • Be prepared to fight for every inch of recovery, but believe that things will get better. Dealing with disability is tough, and trying to recover whatever function you can is even tougher. Neuro-plasticity is helped by exercise. In the days after I was first discharged home, it took me half an hour to limp the hundred metres from one apartment block in my estate to the next, and being able to ever walk normally again seemed hopeless. I kept trying to walk and also practise climbing the stairs, and within the month I was climbing 25 floors’ of stairs up and then down again. Fortunately, having survived being in a Guards unit while in NS, I had a pretty high threshold for physical suffering. So while the exercise was exhausting, I kept telling myself that at least it wasn’t as bad as during NS.
  • Be nice to your caregivers and your therapists. A bit of politeness makes it easier for people to go that extra bit for you, and however bad it is for you, recognize that the people around you can suffer too.
  • Participate actively in your own therapy. Nobody knows what is most important to you like yourself. If your therapy isn’t targeting something that you want think is useful, speak up. Each person’s lifestyle is so different that it’s impossible for therapists to be able to design an effective therapy plan without your input. People tend to over-estimate how much others can read their minds. Make sure this isn’t a mistake you make. During my own therapy sessions, I usually give a running commentary on which movements I find difficult, how I’m feeling mentally and physically, and this has been very helpful to my therapists in helping me target the things I want to do.
  • If you’re lucky enough to still have a job, talk to your supervisors honestly about the changes to your workplace and workload that you need, but also be mindful that he/she has to be fair to other employees as well.
The above are the main coping strategies I can think of, but feel free to ask me (through the comments or email) specific questions if you have any.

Source: http://hawyee.com/roadtorecovery/2012/07/15/dealing-with-disability/

Related post: List of Orthodontists in Singapore

What is Orthodontics?

Orthodontics is a specialised branch of dentistry. Orthodontic treatment corrects irregularities of the teeth or developing jaws and can improve the function and appearance of the mouth and face. Orthodontic appliances (braces) are used to straighten the teeth.

Why choose orthodontic treatment?

Any orthodontic problem may be classified as a malocclusion, or “bad bite.” The following problems may be helped or minimized with proper orthodontic treatment:

  • Misaligned, crooked, or crowed teeth
  • Missing teeth
  • Extra teeth
  • An overbite
  • An underbite
  • An openbite
  • Misaligned or incorrect jaw position
  • A disorder of the jaw joint

At what age do braces become appropriate?

Moving and correcting the alignment of the teeth follows the same biological and physical process no matter what the age. However, an adult mouth must overcome already positioned facial bones and jaw structure. Thus, overcoming most types of malocclusions may require more than one type of orthodontic treatment for adults. In most cases, the ideal age for braces and other orthodontic treatments is between 10 and 14 years of age, although people of any age can benefit from treatment.

What are the different types of braces available?

Braces, also called fixed orthodontic appliances, generally come in three varieties.  The cost of the braces depend on the brand and type recommended by your dentist.

  • Brackets, metal or plastic, clear or tooth-colored, that are bonded to teeth
  • Lingual-type brackets that attach to the back of teeth, hidden from view
  • Bands that cover most of the teeth with metal bands that wrap around the teeth

Related: Eye Specialists Clinics  . Lasik Surgery . Eye Clinics in Paragon Medical

Signs that point to cataracts:

  • Cloudy or blurry vision.
  • Colors seem faded.
  • Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights.
  • Poor night vision.
  • Double vision or multiple images in one eye. (This symptom may clear as the cataract gets larger.)
  • Frequent prescription changes in your eyeglasses or contact lenses.

Youtube video on Cataract Surgery Procedure

Cataract surgery is a procedure to remove the lens of your eye and, in most cases, replace it with an artificial lens. Cataract surgery is used to treat a cataract — the clouding of the normally clear lens of your eye. Cataract surgery is performed by an eye doctor / ophthalmologist on an outpatient basis, which means you don’t have to stay in the hospital after the surgery. Cataract surgery is very common and is generally a safe procedure.There are two types of cataract surgery. Your doctor can explain the differences and help determine which is better for you:

 

  1. Phacoemulsification, or phaco. A small incision is made on the side of the cornea, the clear, dome-shaped surface that covers the front of the eye. Your doctor inserts a tiny probe into the eye. This device emits ultrasound waves that soften and break up the lens so that it can be removed by suction. Most cataract surgery today is done by phacoemulsification, also called “small incision cataract surgery.”
  2. Extracapsular surgery. Your doctor makes a longer incision on the side of the cornea and removes the cloudy core of the lens in one piece. The rest of the lens is removed by suction.

 

After the natural lens has been removed, it often is replaced by an artificial lens, called an intraocular lens (IOL). An IOL is a clear, plastic lens that requires no care and becomes a permanent part of your eye. Light is focused clearly by the IOL onto the retina, improving your vision. You will not feel or see the new lens.Some people cannot have an IOL. They may have another eye disease or have problems during surgery. For these patients, a soft contact lens, or glasses that provide high magnification, may be suggested.

The following is a table of cataract surgery cost in Singapore hospitals.

  • Day Surgery (Private Patients with no subsidy)

    Hospital Volume  Average Length Of Stay (days)  50th Percentile Bill Size ($) 90th Percentile Bill Size ($)
    Changi General Hospital 174 1.0 2,942 3,545
    Gleneagles Hospital 1,911 1.0 4,891 6,634
    Khoo Teck Puat Hospital 175 1.0 3,093 4,293
    Mount Alvernia Hospital 1,111 1.0 3,512 4,428
    Mount Elizabeth Hospital 1,311 1.0 4,868 7,224
    National University Hospital 601 1.0 3,765 5,266
    Parkway East Hospital 332 1.0 3,898 5,037
    Raffles Hospital 102 1.0 4,541 6,047
    Singapore National Eye Centre 3,793 1.0 3,093 3,968
    Tan Tock Seng Hospital 1,645 1.0 2,860 3,895

Related: Lasik clinics – Paragon

SINGAPORE: Some 100 people – mostly Singaporeans – have gone for a new laser-based treatment for presbyopia (or “lao hua yan”), since it was launched here six months ago.

Presbyopia is a common eye condition that affects people above 40.

57-year-old Hedy Lim, who had been suffering from presbyopia, never got used to wearing reading glasses, even though she had been doing so for the past 15 years.

“My hobbies are actually cooking and also flower arrangement…And especially the cooking recipes right, so it will slow down your process if you need to put on your glasses. Sometimes you cannot find your glasses, that’s where I find that it hinders my life,” she said.

Six months ago, she found a solution to ditch her reading glasses, by going for a laser-based treatment for her presbyopia.

The procedure, called IntraCor, is currently only offered in Europe and Asia, as it is not FDA-approved for the US.

It joins a series of treatments for presbyopia already available here. Other options include lens implants, which involves inserting a tiny polymer material inside the cornea.

For patients like Hedy, the draw of IntraCor is that it is minimally invasive.

Dr Lee Hung Ming, a Medical Director and Ophthalmologist with Parkway Eye Centre and Gleneagles Hospital, said: “IntraCor is a new option to treat presbyopia. It is a femtosecond (one quadrillionth of a second) technology that delivers multiple quick and precise laser to the centre part of the cornea, without cutting any cornea epithelium. This will change the surface and the curvature of the cornea so that the presbyopia is corrected.”

IntraCor is also different from another laser-based treatment, LASIK.

“Unlike LASIK, IntraCor is mainly used to treat presbyopia, whereas LASIK is used to treat myopia. LASIK involves the cutting of the cornea flap – then we lift up the flap, we do the laser to flatten the cornea. Whereas IntraCor does not involve cutting of the flap, nor any external wound.”

“The entire procedure takes only five minutes, and the laser itself takes only 20 seconds to complete. Therefore, the recovery is very fast. Many of my patients could even go jogging, exercise or swimming on the following day.”

Even though IntraCor is minimally invasive, there are still some side effects.

“Some patients would experience seeing haloes and glare at night. Fortunately, most of these symptoms would disappear six months after the surgery. Some patients would complain that the far vision may be a bit affected because IntraCor may induce about 50 to 75 degrees of myopia. But in general, most patients could tolerate this difference,” said Dr Lee.

Dr Lee added that not everyone is suitable to undergo IntraCor. This includes patients with cataract, glaucoma, or overly thin cornea. Those who have undergone LASIK before are also not eligible.

Dr Lee also said the procedure is relatively new. As such there is no data to prove it can permanently correct presbyopia, especially since presbyopia is an ongoing condition.

-CNA/ac

Source: channelnewsasia.com/stories/singaporelocalnews/view/1108816/1/.html

On this list we are trying to list all the organisations that are involved in caring for the elderly and aged sick.  That includes health care, respite care, nursing homes, shelters, day activity centres and rehabilitation centres.  If you find something that is not listed here, please let us know.

Community Hospitals

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Homes for the Elderly

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Activity Centres for Seniors / Elderly

Asian Women’s Welfare Association (AWWA) Senior Acitivity Centre
Blk 123 Ang Mo Kio Ave 6 #01-4011 Singapore 560123 http://www.awwa.org.sg/
Bedok Radiance Seniors Activity Centre
Blk 12 Bedok South Ave 2 #01-610 Singapore 460012   http://bedoksac.sg/
Care Corner Seniors Activity Centre (Toa Payoh)
Blk 5 Lor 7 Toa Payoh #01-131 Singapore 310005   http://www.carecorner.org.sg/services_elderly.html
Chong Hua Tong Seniors Activity Centre
Blk 47 Owen Rd #01-251 Singapore 210047
Henderson Seniors Activity Centre
Blk 117 Bukit Merah View #01-205 Singapore 151117    http://www.ntuceldercare.org.sg/eldercare/live/home.html
King George’s Seniors Activity Centre
Blk 811 French Road #01-112 Singapore 200811
Kreta Ayer Seniors Activity Centre (Banda)
Blk 5 Banda Street #03-68 Singapore 050005   http://kasac.org.sg/
Kreta Ayer Seniors Activity Centre (Chin Swee)
Blk 51/52 Chin Swee Road #04-83 Singaopore 160051   http://kasac.org.sg/
Kreta Ayer Seniors Activity Centre (Jalan Kukoh)
Blk 8 Jalan Kukoh #04-35 Singapore 162008   http://kasac.org.sg/
Indus-Moral Care
Blk 79 Indus Road #01-451 Singapore 161079   http://www.thkms.org.sg/
Moral Seniors Activity Centre (Kaki Bukit)
Blk 544 Bedok North Steet 3 #01-1340 Singapore 460544   http://www.thkms.org.sg/contacts.html
THK Seniors Activity Centre @ MacPherson
Blk 90 Pipit Road #01-103 Singapore 370090   http://www.thkms.org.sg/senioractivity.html
Redhill Moral Seniors Activity Centre
Blk 89/90 Redhill Close #01-448 Singapore 150089   http://www.chkmps.org.sg/redhillmsac.html
THK Seniors Activity Centre @ Toa Payoh
Blk 31 Toa Payoh Lor 5 #01-663 Singapore 310031   http://www.thkms.org.sg/senioractivity.html
Presbyterian Community Services Sarah Seniors Activity Centre
Blk 105/106 Jln Bt Merah #02-1912 Singapore 160105   http://www.pcs.org.sg/sac.html
Toa Payoh East Silver Centre
Blk 15 Toa Payoh Lorong 7 #01-579 Singapore 310015
Thong Kheng Seniors Activity Centre (Tanglin-Cairnhill)
Blk 123 Bukit Merah View #01-282 Singapore 151123   http://www.thongkheng.org.sg/sac.php
Thong Kheng Seniors Activity Centre, Queenstown
Blk 3 Jalan Bukit Merah #01-5070 Singapore 150003   http://www.thongkheng.org.sg/sac.php
TOUCH Seniors Activity Centre
Blk 61/62 Geylang Bahru #01-3293 Singapore 330061   http://www.tcs.org.sg/service/st_elderly/02.php?item=4
CARElderly Seniors Activity Centre
Blk 35 Circuit Road #01-432 Singapore 370035   http://www.carecom.org.sg/programmes.html
Community Care Network Seniors Activity Centre@ Teck Ghee 420
Blk 420 Ang Mo Kio Ave 10 #01-1143 Singapore 560420
Fei Yue Seniors Activity Centre (Teck Whye)
Blk 9 Teck Whye Lane #01-268 Singapore 680009   http://www.fycs.org/index.cfm?GPID=36
COMNET@Sin Ming Seniors Activity Centre
Blk 26 Sin Ming Industrial Estate Sector A #01-158 Singapore 570026
Goodlife!
Blk 15 Marine Terrace #01-18 Singapore 440015
Care Corner Seniors Activity Centre (TP170)
Blk 170 Lorong 1 Toa Payoh #01-1102 Singapore 310170   http://www.carecorner.org.sg/services_elderly.html
Wesley Seniors Activity Centre
Blk 25 Jalan Berseh #01-142 Singapore 200025   http://www.wesleymc.org/!main/content/view/576/198/
Care Corner Senior Activity Centre (TP62B)
Blk 62B Lorong 4 Toa Payoh #02-121 Singapore 312062   http://www.carecorner.org.sg/services_elderly.html
Fei Yue Seniors Activity Centre (Holland Close)
Blk 1 Holland Close #02-115 Singapore 271001   http://www.fycs.org/index.cfm?GPID=36
Lions Befrienders (Ang Mo Kio 318) Seniors Activity Centre
Blk 318 Ang Mo Kio Ave 1 #01-1453 Singapore 560318   http://www.lionsbefrienders.org.sg/
Lions Befrienders (Bendemeer) Seniors Activity Centre
Blk 32 Bendemeer Road #01-799 Singapore 330032 http://www.lionsbefrienders.org.sg/
Lions Befrienders (Mei Ling) Seniors Activity Centre
Blk 150 Mei Ling Street #01-53 Singapore 141150 http://www.lionsbefrienders.org.sg/
PEACE-Connect Seniors Activity Centre
Blk 8 North Bridge Road #01-4102 Singapore 190008   http://www.pcnl.org/index.html
Sunlove Seniors Activity Centre (Marsiling)
Blk 3 Marsiling Road #01-5137 Singapore 730003
Sunlove Seniors Activity Centre – Chai Chee
Blk 31 Chai Chee Avenue #01-150 Singapore 461031   http://www.sunlovehome.org.sg/ChaiChee.php
Tembusu Seniors Activity Centre
Blk 31A Eunos Crescent #06-01 Singapore 401031   http://www.4s.org.sg/contactus.html
Thye Hua Kwan Seniors Activity Centre @ Boon Lay
Blk 209 Boon Lay Place #01-239 Singapore 640209   http://www.thkmc.org.sg/thk-seniors-activity-centre-boon-lay/
Thye Hua Kwan Seniors Activity Centre (Bukit Merah View)
Blk 118 Bukit Merah View #02-101 Singapore 150118 http://www.thkmc.org.sg/thk-seniors-activity-centre-bukit-merah-view/
Thye Hua Kwan Seniors Activity Centre (Telok Blangah Crescent)
Blk 3 Telok Blangah Crescent #01-504 Singapore 090003/ Blk 4 Telok Blangah Crescent #01-460 Singapore 090004   http://www.thkmc.org.sg/thk-seniors-activity-centre-telok-blangah-crescent/
Kembangan-Chai Chee Seniors Activity Centre
Blk 22 Chai Chee Road #01-508 Singapore 461022
Harmony Activity Centre
Blk 98 Aljunied Crescent #01-411 Singapore 380098   http://www.geha.org.sg/english/index_services.html#blk98
Silver ACE @ Redhill
Blk 71 Redhill Road #01-29 Singapore 150071   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Senior-Activity-Centres.html
Silver ACE @ Telok Blangah
Blk 41 Telok Blangah Rise #01-373 Singapore 090041   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Senior-Activity-Centres.html
Care Corner Seniors Activity Centre (TP149)
Blk 149 Lorong 1 Toa Payoh #01-963 Singapore 310149   http://www.carecorner.org.sg/services_elderly.html
Lions Befrienders (Ghim Moh) Seniors Activity Centre
Blk 18 Ghim Moh Road #01-115 Singapore 270018   http://www.lionsbefrienders.org.sg/

 

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Day Care for Seniors / Elderly

Bo Tien Day Activity Centre for the Elderly
Blk 125 Pending Road #01-16 Singapore 670125   http://www.botien.org.sg/daycare.htm
Care Corner Social Day Care Centre for the Elderly
Blk 235 Lorong 8 Toa Payoh #01-100 Singapore 310235   http://www.carecorner.org.sg/services_elderly.html
St Luke’s Eldercare – Golden Years Centre
Blk 831 Hougang Central #01-502 Singapore 530831   http://slec.org.sg/?page_id=23#map_top
Hong Kah North Day Care Centre for the Elderly
Blk 337 Bukit Batok St 34 #01-06 Singapore 650337   http://www.sasco.org.sg/HKNDCC_AdmissionCriteria.php
St Luke’s Eldercare – Jurong East Centre
Blk 327 Jurong East St 31 #01-174 Singapore 600327   http://slec.org.sg/?page_id=23#map_top
Marine Parade – Foo Hai Elderly Lodge
Blk 4 Marine Terrace #01-318 Singapore 440004   http://www.foohai.org/page4i.htm
May Wong Social Day Care Centre for the Elderly
Blk 117 Bukit Merah View #01-205 Singapore 151117
Silver Circle (Marsiling)
NTUC ElderCare Co-operative Ltd Blk 172 Woodlands St 13 #01-303 Singapore 730172   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
PCF Tampines East 3-in-1 Family Centre (Aged Care)
Blk 209 Tampines St 21 #01-1325 Singapore 520209   http://www.pcf.org.sg/viewcentrelocation.aspx?wfc=AGEDCARELOCATION
St Luke’s Eldercare – Hougang Centre
Blk 126 Hougang Ave 1 #01-1506 Singapore 530126   http://slec.org.sg/?page_id=23#map_top
St Luke’s Eldercare – Tampines Centre
Blk 101 Tampines St 11 #01-13 Singapore 521101   http://slec.org.sg/?page_id=23#map_top
St Luke’s Eldercare – Yishun Centre
Blk 740 Yishun Ave 5 #01-490 Singapore 760740   http://slec.org.sg/?age_id=23#map_top
St Luke’s Eldercare – Clementi Centre
Blk 602 Clementi West St 1 #01-25 Singapore 120602   http://slec.org.sg/?page_id=23#map_top
St Luke’s Eldercare – Whampoa Centre
Blk 97 Whampoa Drive #01-222 Singapore 320097   http://slec.org.sg/?page_id=23#map_top
Silver Circle (Taman Jurong)
NTUC ElderCare Co-operative Ltd Blk 349 Corporation Drive #01-502 Singapore 610349   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
Silver Circle (Jurong Central)
NTUC ElderCare Co-operative Ltd Blk 402 Jurong West St 42 #01-525 Singapore 640402   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
St Luke’s Eldercare – Bukit Timah Centre
Blk 310 Clementi Ave 4 #01-263 Singapore 120310   http://slec.org.sg/?page_id=23#map_top
Silver Circle (Pasir Ris)
NTUC ElderCare Co-operative Ltd Blk 112 Pasir Ris St 11 #01-657 Singapore 510112   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
Silver Circle (Punggol South)
NTUC ElderCare Co-operative Ltd Blk 571 Hougang St 51 #01-119 Singapore 530571   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
Silver Circle (Dakota Crescent)
NTUC ElderCare Co-operative Ltd Blk 62 #01-315 Dakota Crescent Singapore 390062   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
St Luke’s Eldercare – Serangoon Centre
Blk 217 Serangoon Ave 4 Singapore 550217   http://slec.org.sg/?page_id=23#map_top
Silver Circle (Fengshan)
NTUC ElderCare Co-operative Ltd Blk 90 Bedok North Street 4 #01-1527 Singapore 460090   http://www.ntuceldercare.org.sg/eldercare/live/Contact-Us/Contact-Us/Daycare-Silver-Circle-.html
St Luke’s Eldercare – Ayer Rajah Centre
150A Pandan Gardens Singapore 609342   http://slec.org.sg/?age_id=23#map_top


Fever In Children

One of the most common parental experiences is that of dealing with our children when they are fighting a high fever.  Should we bring them to a GP?  Or to the hospital?  Will my child develop a fit?  Will it cause brain damage?

The human body has a thermostat which helps us to regulate our body temperature. The normal body temperature is between 36.5°C and 37.5°C. With infection or other illnesses, various chemicals are released in our body. This re-adjusts the thermostat, resulting in fever.  Fever is the body’s way to fight infection. However, it is not just caused by infections alone.  Viral infections often cause fevers that lasts for about a week.

  • How high a fever is does not indicate the severity of the illness that is causing the fever.
  • Over-wrapping and a generally hot environment can cause the body temperature of a child to be slightly above normal.

Medicine

  • Symptomatic treatment with paracetamol and other anti-fever medicines may only temporarily suppress the fever.
  • Antibiotics are of no use in viral fevers.
  • Aspirin should not be given to children.

Things Parents can do

  1. TEPID SPONGING may help if the temperature is more than 39.5°C. Use tap or lukewarm water to sponge.
    • Remove clothings, cover the child with towel sponge and dry his face.
    • Apply the cool compress to forehead, nape of neck, armpits and groin.
    • Proceed to sponge body starting with the front then to the back.
    • Generally you should not sponge a child for more than 30 minutes at a stretch. Stop sponging when shivering occurs, or when the child turns blue or is mottled. When your child shivers, cover him up and wait a while before resuming sponging.
  2. Encourage your child to take plenty of fluids
  3. Dress your child in light clothings to allow heat exchange.

Keep the room environment cool and well-ventilated to allow the ambient temperature to help bring the fever down.

Read more at KK Hospital’s Child Health pages kkh.com.sg/HealthPedia/Pages/ChildhoodIllnessesFever.aspx  Pediatricians – Child Specialist Doctors

 

Knee Replacement Surgery

Knee replacement is surgery for people with severe knee damage. Knee replacement can relieve pain and allow you to be more active. Your doctor may recommend it if you have knee pain and medicine and other treatments are not helping you anymore.

When you have a total knee replacement, the surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with a man-made surface of metal and plastic. In a partial knee replacement, the surgeon only replaces one part of your knee joint. The surgery can cause scarring, blood clots and, rarely, infections. After a knee replacement, you will no longer be able to do certain activities, such as jogging and high-impact sports.

The knee is the largest joint in the body and having healthy knees is required to perform most everyday activities.The knee is made up of the lower end of the thighbone (femur), the upper end of the shinbone (tibia), and the kneecap (patella). The ends of these three bones where they touch are covered with articular cartilage, a smooth substance that protects the bones and enables them to move easily.The menisci are located between the femur and tibia. These C-shaped wedges act as “shock absorbers” that cushion the joint.
Large ligaments hold the femur and tibia together and provide stability. The long thigh muscles give the knee strength.All remaining surfaces of the knee are covered by a thin lining called the synovial membrane. This membrane releases a fluid that lubricates the cartilage, reducing friction to nearly zero in a healthy knee.Normally, all of these components work in harmony. But disease or injury can disrupt this harmony, resulting in pain, muscle weakness, and reduced function.

A knee replacement (also called knee arthroplasty) might be more accurately termed a knee “resurfacing” because only the surface of the bones are actually replaced.

There are four basic steps to a knee replacement procedure.

  • Prepare the bone. The damaged cartilage surfaces at the ends of the femur and tibia are removed along with a small amount of underlying bone.
  • Position the metal implants. The removed cartilage and bone is replaced with metal components that recreate the surface of the joint. These metal parts may be cemented or “press-fit” into the bone.
  • Resurface the patella. The undersurface of the patella (kneecap) is cut and resurfaced with a plastic button. Some surgeons do not resurface the patella, depending upon the case.

Insert a spacer. A medical-grade plastic spacer is inserted between the metal components to create a smooth gliding surface.

Youtube video of knee surgery animation: Video 1  Video 2

Related: www.doctors.com.sg/orthopedic-bone-specialist.html

 

Mount Elizabeth Hospital and Gleneagles Hospital costs for knee replacement surgery are listed below.  Please check with your hospital if the knee replacement surgery cost include hospital charges.

Hospital

Volume

Average Length Of Stay (days)

50th Percentile Cost ($)

90th Percentile Cost ($)

Gleneagles Hospital

57

5.1

22,355

31,843

Mount Elizabeth Hospital

47

5.2

27,102

41,011


Symptoms of a stroke may include:

  • Sudden loss of coordination or problems with balance
  • Paralysis of a leg, arm or one side of the face
  • Trouble speaking or understanding speech
  • Numbness, weakness or dizziness
  • Eye or vision problems, such as blurred or double vision
  • Severe, sudden headache without apparent cause

There are two main types of strokes:

  • Ischemic Stroke — This type of stroke accounts for the majority of stroke cases. When the blood supply to a part of the brain becomes blocked, it prevents oxygen and nutrients from reaching brain cells. Within a few minutes, these cells may begin to die. The underlying cause for this type of obstruction is usually atherosclerosis, a condition in which plaque or fatty deposits within the wall of the arteries in the brain and neck can lead to obstruction or narrowing. These fatty deposits can cause cerebral thrombosis or cerebral embolism. With a cerebral thrombosis, a blood clot forms within the blood vessel. Cerebral embolisms are clots that can form at another location in the circulatory system, break loose from an artery wall or from the inside lining of the heart, travel through the brain’s blood vessels and can lodge in an artery in the brain.
  • Hermorrhagic Stroke — With hemorrhagic stroke a blood vessel within the brain leaks or ruptures and bleeds into the surrounding brain tissue.  The blood can accumulate and exert pressure on the surrounding tissue. High blood pressure is a common cause of intracerebral hemorrhage. In a subarachnoid hemorrhage, blood leaks under the lining of the brain. This is often caused by a small bubble on an artery known as an aneurysm.

If you are experiencing any symptoms of stroke, it is best go to a doctor or hospital immediately by dialing 995 for emergency ambulance.  Time is of the essence and sift medical attention may make a difference to the treatment.

How to deal with a medical emergency:
http://www.doctors.com.sg/medical-singapore.html

http://www.doctors.com.sg/24-hour-clinics.html