mowasat news · asmaa bastaki dietician obstetrics and gynecology: • a woman should always follow...
TRANSCRIPT
+965 182 6666 | newmowasat.com
MOWASAT NEWSA Publication of the New Mowasat Hospital | 2012
03 Customer Service Workshop
05New Mowasat Hosts
Professor Marc Giovannini07
New Mowasat Hospital honors employeesfor their efforts in obtaining the
ACI Qmentum Platinum Accreditation
Good healthcan add life to years…WORLD HEALTH DAY | APRIL 7
+965 182 6666 | newmowasat.com
C O N T E N T SOUR SERVICES& DEPARTMENTS
01 New Mowasat Celebrates
World Health Day
04 Kuwait Medical Students Association
Golden sponsor of the Exhibition
05NMH honors employees for obtaining the
ACI Qmentum Platinum Accreditation
11 MRI during pregnancy ??
YES you CAN !!!
14 What is
Addison’s Disease?
18Learn the art of shopping
Food Label
20 Welcome on Board Patient Testimonials
Salem Al-Mubarak StreetSalmiya, Kuwait
Hotline : +965 182 6666www.newmowasat.com
0305
07
Surgery Department
Internal Medicine Department
Orthopedic Center
Ophthalmology Center
Obstetrics and Gynecology Dept
Diabetes & Medical Center
Cosmetic Center
Reproductive Medicine Center
Pediatric & Neonatal Department
Dental Department
Rheumatology and physical medicine
Diagnostic Imaging
Emergency Services
Laboratory
Anesthesiology Department
Home Health Care Department
Pharmacy
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MOWASAT NEWS | News & Events
World Health Day
Dietary: • Determinehowmanycaloriesyourbodyneedstofunctioneachday(1000-2000)depending
uponyourmetabolismandhowphysicallyactiveyouare.
• Don’teatmorethanwhatyourbodyneeds.(Variousrecentstudiesshowedthatif youeatless,youlivelonger)
• Eatahealthy,followabalanceddietforlifeandavoidunhealthydiets.
Asmaa Bastaki Dietician
Obstetrics and Gynecology: • Awomanshouldalwaysfollowascreeningprogramforearlydetectionof breastorcervix
diseases.
• Lowriskgroupshouldhavebreastself examinationmonthlyandamammographyevery2-3years(inwomenabovetheageof 40)
• Highriskgroup(whohavefamilyhistoryof breastcancer;firstorseconddegreerelatives)shouldhaveannualmammography.
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Good health can add life to years…
April7thmarkstheWorldHealthDayeveryyear.However,AsLifeexpectancyisgoingupinmostcountriesnowadays;moreandmorepeoplelivelongerandenteranagewhentheymayneedhealthcare.Thus,thisyear’sthemeis“Ageingandhealth”withawarenessprogramsbeingorganizedaroundtheworldtoeducatepeopleaboutageinginahealthyway.
Herearesomeadviceswhichcanhelpyoukeepyourbodystrongandhealthyforabetterlife.
WORLD HEALTH DAY | APRIL 7
• Annualexamination(Papsmear)isveryimportantforallwomensincetheystarttobesexuallyactive.If Papsmearisnegativetilltheageof 35,theexaminationshouldbedoneevery2years;forlife.
• AmonghighriskgroupwhoareexposedtosexuallytransmitteddiseasesorhaveH/OpositivePapsmear,theexaminationshouldbedoneevery6months.
• Cervixcancervaccinationisavailablenowandadvisedtobegiveninayoungerage(Schoolstudents).
Dr. Nagwa LabibConsultantObstetricsandGynecology
Diabetes and Endocrinology:DiabeteshasbecomeanepidemicinKuwaitasitaffectsbothresidentsandnationalsof allclassesandagegroups.Apparently,onethirdof diabetespatientsignorethattheyarediabetic.Thediseaseisdiagnosedbychancethroughthebloodanalysisandbloodsugarleveltest.However,thisdiseaseispracticallypresentsincefiveyears.Researchesconductedintherecentyearsshowedthatthediseasecanbedelayedorevenpreventedinthepre-diabetesstage.Thisistheperiodinwhichthediseaseisinthepreparednessstageandinwhichinsulinmotivatingmedicinesshouldbegiventothepatientalongwiththehealthyfoodtopreventthedisease.Regularcheck-upsarerecommendedtobeconductedevery6monthsincaseof obesity,excessweightorhereditaryfactors.
Dr. Habib StetiehSpecialistDiabetesandEndocrinology
Dentistry:• Regularcheck-upsevery6monthswillkeepyourteethandgumsashealthyascanbe.
• Goodoralhygiene.
• Followhealthydietandavoidexcessivesugarintakes;particularlybeforebedtime.
• Caringfornonalignedormalpositionedteethandearlyreplacementof missingteethtoavoidfurthercollapseof functionandstatic.
• Introduceyourchildrentothedentistinanearlystagethroughregularcheck-upsforearlydetectionof anydentalproblems.
Dr. Danijal DzaficConsultantProsthodontistandClinicalDirectorof DentalDept.
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Dermatology:• Avoidsunexposurefrom10amto4pmtopreventyourskinfromsignsof “photoaging”e.g.Wrinkles,
pigmentationandalsoskincancer.
• Drinkalotof watertoavoidhydrationof skin.
• Stayawayfromexcessivemake-upwhichcancauseskinallergiesandpigmentation.
Dr. Hisham Al KhatibConsultantDermatologyandVenereology
Pediatrics:• Regularmonitoringof children’sweight,heightandlineargrowth(inyoungchildren)foranearly
detectionof anygrowthproblems.
1. Afterbirth:everymonth
2. After6months:every2-3months
• Feedingmonitoring:breastfedbabiesshouldhavevitaminsupplement.
• Babiesdeliveredbymomswhohaveironorvitamindeficiencymustbecheckedforthesameproblem.
Dr. Abdal Jabbar FarhanSpecialistPediatrics
Ophthalmology:• HaveregularCheck-upwithyourOphthalmologist(askyourdoctoraboutthefrequencyof yourcheck-
upsasitmightdifferfromonepersontoanother).
• WearsunglassestoprotectyoureyesfrommanydamagesthatcanresultfromexposingthemtoUV(wearinggogglescanalsoprotectyoureyesfrominjuries).
• Eathealthyfoodthatcontainsvitamins,mineralsandanti-oxidants.
• Sitatacomfortabledistancewhileusingthecomputer(generallythepreferredviewingdistanceis50and100cm)andtakeabreakaftereveronehour.
• Committotheinstructionsonyourcontactlenses.
• Uselesseyemake-upandchoosegoodreliablekindswhenyoudo.
• Visityourdoctorimmediatelyincasesof:anunclearvision–eyecolorchange-pain–doublevision–seeingflashesof light.
Dr. Mohamed Abd El NabyConsultantOphthalmology
Cardiology:Highbloodcholesterolmovesfatsfromlivertobloodwhilethelowbloodcholesterolincreasestheaverageof sedimentsinthecoronaryarterywall.Thisisduetomanyfactorsincludingeatingbigquantitiesof foodsrichwithsaturatedfatsandoils,alcoholicbeveragedrinking,lowsportsactivities,obesityandunhealthyfoodhabits.Thishighpercentageof bloodcholesterolmaydamageheartandbloodvessels.Therefore,bloodpressureregularcheck-upsmustbeconductedparticularlyif apatientfeelsheadache,vertigoandblurredeyes.Bloodcholesterolleveltestshouldbeconductedevery6monthsasof theageof 40.
Dr. Jamil Baydoun, SpecialistCardiology
Asanannualtradition,NewMowasatHospitalcelebratedMother’sdaywhichfallsinearlyspringof eachyearonMarch21bypresentingaflowerforeachmotherasagiftof appreciationandasabelief intheroleof mothersasthemainpillarsof thesociety.
Onthisoccasion,Mrs.MayRoumani,theMarketingandPRManagerinNewMowasat,statedthatthisspecialgestureof receivingeverymotherwhovisitsthehospitalonMother’sDaywithaflower;isatokenof appreciationandrecognitionfortheessentialrolethatmothersplayinourlives.Sheaddedthatthisinitiativecomesfromadeepunderstandingandappreciationof thegreatplaceinourheartsoccupiedbygreatmotherswhobuildacommunitybyraisingthefuturethrough“CaringforGenerations”.
Roumaniexplainedthatthehospitalcelebratesthisoccasionannuallytoemphasizethefundamentalroleof themotherastheproviderof loveandcaretoherchildren,alifepartnertoherhusbandandasabackboneof herfamily.Inconclusion,Roumanistressedthatthetraditionof celebratingthisoccasioninNewMowasatHospitalisconsideredasamobilizationof thePublicopiniontowardstheneedtoobserveandlookbackonmothers’rolesinconstructingabettercommunitywhichisincarnatedinpresentinghergiftsthatbearanemotionalmeaningratherthanamaterialisticvalue.
On Mother’s Day
“A flower to every mother”02
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MOWASAT NEWS | News & Events
98
Inlinewiththehospital’sgeneralstrategytoimprovethecustomerservicecareandtoexceedthetrustfulpatients’expectation,aninternalworkshoprelatedtocustomercareandcommunicationskillswasorganizedforfrontdeskandcustomerservicedepartmentinNewMowasatHospital.
Theworkshopstartedonthe19thof Februaryandisintendedtoberepeatedeverythreemonthsinordertocontinuouslyimprovethestaff ’scustomerserviceskills.
Thetrainingprogramwasorganizedbytheassistantmanagercustomerservices&frontdesk,YasserTarabay;withthemaintrainers;seniorsupervisorsIyadIsmailandHabibTarekseniorsupervisor.
Regardingthebenefitsof suchinvestment,Mr.YasserTarabaystatedthat“Itiscommonlyobservedandacceptedthatemployeesworkbetterwhenmanagementprovidestheirneeds.Employeetrainingisonesuchneed.Thoseworkersthatqualifyfortrainingprogramsbecomebetterequippedtodotheirjobsinamannerthatbenefitscustomers,andinturnthecompanyitself.
Byimplementinganadequatecustomerservicetrainingprogram,employeemoraleandconfidencegoesup,jobsatisfactionincreases,workerturnoversarereducedsignificantlyandingeneralbuildsaserviceorientedworkforcethatisresponsivetotheneedsof thecustomers.
Customer Service Workshop03We continuously enhance our customer service throughInternal customer care and communication skills workshops.
Kuwait Medical Students Association Golden sponsor of the Exhibition
February2012-NewMowasatparticipatedinthe“FirstAids”exhibitionorganizedbyKuwaitMedicalStudentsAssociation(KuMSA)withtheGoldensponsorship.TheexhibitiontookplaceonSunday19thandMonday21stintheRedCrescentAssociation.
Theeventwasbasicallyintendedtoeducateandtrainmedicalstudents-class2011/2012”-onfirstaidstechniquesincludingwounds’treatmentwiththemostminimalequipmentavailableandinthefastestpossiblemeans.Thetrainingwasperformedbyspecializedprofessionalsenablingthestudentstoholdacertificatethatentitlesthemtopracticevolunteerworkandtreatthewoundedinthefuture.
Onthisoccasion,Mrs.MayRomani,theMarketingandPRManagerinNewMowasathospital,saidthattheexhibitionhasaneffectiveroleindevelopingtheprofessionalskillsassociatedwiththeeducationof medicalstudents.Thus,thehospitalseizedtheopportunitytosupportsuchvaluableandeffectualeventcreatedtoimprovethepotentialtalentsof futurephysicians.
Ms.MayaddedthattheNewMowasathospitalhasalwaysbeenapioneerinhealthcareprovisionsince1965andithasbeenmarkedthroughouttheyearsforitsconstantsupportforyouthfulmindsbyfacilitatingeducational,entertaining,cultural,andsocialeventsandactivities.
Inconclusion,Romaniaddedthattheeffortsof theKuwaitMedicalStudentsAssociationfordevelopingamorereliablebaseof futuredoctors;isconsideredaparticipationinbuildingthemedicalfutureof theStateof Kuwait.
NewMowasathasalwaysbeenthesoleproviderof thehighestlevelsof excellenceinspecializedhealthcareservicesforwhatitoffersfromuniquespecialtiestoaprofessionalmedicalstaff.Thehospitalwasthusqualifiedforobtainingtheplatinumlevelof theAccreditationCanadaInternational(ACI)andtheJointCommissionInternational(JCI)forofferingqualityhealthservicestoitspatientstobetheoneandonlyhospitalintheStateof Kuwaitwhichholdsbothcertificatestogether.
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NMH Staff During the Exhibition
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MOWASAT NEWS | News & Events
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New Mowasat Hospital honors employees for their efforts in obtaining the ACI Qmentum Platinum Accreditation
21stof March2012,NewMowasatHospitalheldacertificatedistributionceremonyACIAccreditationCanadaQmentumPlatinuminwhichMr.NadeemNazir,HospitalDirector,Dr.EduardLotz,Directorof MedicalAffairsandMs.ShaheenaSheikh,QualitySystemsManager;distributedCertificatesof Acknowledgementtoallthosewhocontributedtothisoutstandingachievementof beingthefirsthospitalinKuwaitthatmaintainstwoof thehighestinternationalAccreditations;JCIand‘ACIAccreditationCanadaQmentumPlatinum’.
Onthisoccasion,Mr.NadeemNazirstatedthat“NewMowasatHospitalhasbeenassociatedwithAccreditationCanadaInternationalsince2008andworkingwiththisorganizationhastrulybeenanexceptionalandworthyexperience.Asanorganizationcommittedtoprovidingsafeandhighqualityhealthcaretoourpatients,anaccreditationprogramsuchas
QmentumInternationalgivesustheopportunitytosethigherpatientcaretargets,developedthroughbestpracticetechniques.”
“AcquiringtheQmentumInternational,whichisanexceptionalnovelprogramcreatedbyAccreditationCanadaInternational,hashelpedtheNewMowasatHospitalleadersandteamsinrecognizingtheirstrengthsandareasthatrequiredimprovements”,SaidNazir.“Italsoprovidedthehospitalwithasustainablewayof approachingqualityimprovement.Theprogramfacilitatedindevelopingcomprehensive,structured,transparentandpatient-centeredprocesses,thusensuringcontinuityincare,patientsafetyandongoingimprovement”,headded.
However,theprogramalsocoversessentialfundamentalsinareasof qualityimprovementandknowledgetransfers.Itisahighlyintelligentandwiderangingsystem,necessitatingtheinvolvementof hospitalstaff members,fromthemanagementtofrontlinepersonnel.Theintroductionof suchaprogrammadetheaccreditationprocessefficientandflexibleforNewMowasatHospital,especiallysincetheprogramhasbeentailoredtoAccreditationCanadaInternational’sinternationalclients.
Moreover,Ms.ShaheenaSheikhexplainedthatQmentumInternationalhashelpedinenhancingthequalityof careprovidedtoMowasat’sclients.“Theaccreditationjourneywaschallengingyetfruitfulprimarilydueto
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theendlesssupportgivenbyAccreditationCanadaInternational.Itsclientandemployeecenteredprogrammefacilitatedingreatlyenhancingourpatientcaremodel.InteractingwiththeteamwastrulyapleasantexperienceandtheaccreditationprocesshelpedinfurtherenhancingNewMowasatHospital’svisionandmission.”sheadded.
NewMowasatHospital,whileoneof theoldestprivatehospitalsinthecountry;continuestoworktowardsprovidingthemostefficienthealthcaretopatientsinKuwait.ItscorevaluesincludeQuality,CustomerService,Commitment,InnovationandTeamwork.Thehospital’sconstanteffortindeliveringthehighestqualitystandardsof healthcaretopatientsstemsfromitsvisioninbeingdistinguishedasaleaderindeliveringthehighestqualitystandardsof healthcareinKuwaitandisendorsedbyitswillingnesstoputitself throughrigorousassessmentseverythreeyears.Therefore,achievingQmentumInternationalAccreditationfurtherenhancedthereputationNewMowasathospitalasapioneerindeliveringhealthcarewiththehigheststandardsof qualityandpatientcare.
Acquiring the Qmentum International, has helped the New Mowasat Hospital leaders and teams in recognizing their strengths and areas that required improvements.
Nadeem Nazir, Hospital Director
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MOWASAT NEWS | News & Events
1312
Withinthehospital’sInternationalPhysiciansProgram,NewMowasatHospitalhostsProfessorMarcGiovannini,ConsultantGastroenterologist,chief of endoscopyunitatthePaoli-CalmettesInstituteinMarseille-FranceandthecurrentPresidentof theEuro-EUS.ProfessorGiovanniniisoneof themostprominentconsultantsinthefieldof digestivediseasesandapioneerexpertindigestiveendoscopyandhasmorethan200researchesinthatarea.
ProfessorGiovannini’sthreedaysvisitwilltakeplaceintheperiodfrom10thto12thof March,inassociationwithDr.MahmoudOmar,ConsultantandClinicalDirectorof theInternalMedicineDepartmentinNewMowasat.
Dr.OmarstatedthatProfessorGiovannini’svisitcomeswithinMowasat’sInternationalPhysiciansprogram,explainingthatthehospital’smanagementconstantlyaimtoreachthebestmedicalskillstoofferpatientsallthatisnewinthetechniquesof diagnosisandtreatmentinsteadof travelingabroadtoseekmedicalexpertise.
Furthermore,Dr.OmarstatedthatProfessorGiovanninispecializesinthediagnosisandtreatmentof bowelobstructionsandthatheisthefirsttotreatcloggedbileductsthroughthestomachwiththemostadvancedtechniqueusingendoscopicultrasound.Prof.Giovanninialsooffersuniqueandoutstandingservicesduringthisvisitincludingthefollow-upandtreatmentof thepancreaticdiseases,biliarysystemtumors,liver
All the way from France to Kuwait
New Mowasat Hosts hair transplant expert Addingtoitsdistinctiveservices,NewMowasathospitalhostedProfessorFredericMenu,naturalhairtransplantexpert,withinitsInternationalPhysicianProgram.
Thevisittookplacefrom18thto20thof Marchundertheclinicalsponsorshipof Dr.PeterHirsch,ConsultantPlasticSurgeryandClinicalDirectorof the“Dermatology,CosmeticandPlasticSurgeryCenter”inNewMowasat;duringwhichheperformednaturalhairtransplantandeyebrowrestorationsurgeries.
ProfessorFredericisthevicepresidentof theLiberalSyndicateof QualifiedSurgeonstoPracticeHairTransplantSurgery.Heisalsoamemberof theInternationalSocietyforHairTransplantSurgery,andseveralNationalSyndicatessuchas;theUnionof SurgeonsinFranceandtheFrenchUnionof MaxillofacialSurgeons.ProfessorMenuisalsoAdministratorof theTeachingandtrainingSurgeonsProgramforEuropeanCertificateof HairTransplantation.
However,inhisqualityof facialplasticsurgeonandholderof adiplomainmicrosurgery,hehasbeeninchargeof thecoursesof theinter-universitiesEuropeanDiplomaforBaldnesstreatment(Lyon,Paris,Dijon,Bordeaux(France),Torino(Italy),Vienna(Austria).
Onthisoccasion,Dr.PeterHirschstatedthat“thevisitwasmainlyorganizedforthebasicpurposeof Mowasat’sInternationalPhysiciansProgramtogivepatientsaccesstothebesthealthcareservicesinKuwaitbybriningphysiciansfromexemplaryhospitalsandmedicalinstitutionsaroundtheworldtoKuwait.”
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Professor Frederic Menu from the French Medical Center
Professor Marc Giovannini, Consultant Digestive Diseases and Endoscopy, from France with Dr. Mahmoud Omar of NMH
Professor Giovannini is one of the physicians who contributed to the design of the ultrasound endoscope which assist in the diagnosis of the pancreas and the bile diseases and the early detection of digestive tract tumors and diseased lymph nodes.
Dr. Mahmoud Omar
tumors,intestinalandcolondiseasessuchasulcerativediseaseandCrohn’sandrectaloranalbleeding.
Inaddition,Dr.OmarexplainedthatpatientswithlongstandingesophagealrefluxwillstronglybenefitfromProfessorGiovannini’svisitashewillprovideadvancedtreatmentforcaseswithBarrett’sesophagusthroughtheremovalof thechangedpartof theinnermembraneof theesophagusthroughtheendoscope.
Dr.OmarmentionedthatProfessorGiovanniniisoneof thephysicianswhocontributedtothedesignof theultrasoundendoscopewhichassistinthediagnosisof thepancreasandthebilediseasesandtheearlydetectionof digestivetracttumorsanddiseasedlymphnodes.“Thisendoscopeisthelatestandmostadvancedinthefieldof diagnosisandtreatmentof digestivesystemdiseasesforwhatitincludesof high-qualityendoscopeandattachedtoanultrasoundmachine.”Dr.Omarstated.
Headdedthatthepastdecadehaswitnessedgreatdevelopmentintheuseof thisendoscopicultrasound,whichnowhasanimportantrole;notonlyindiagnosisbutalsointreatment.“Itisonlythroughitthatthedifferentlayersof thewallof thedigestivesystemcanbestudiedandsamplescanbecollectedinordertodetectsmallsizedtumorsandtoeasilyexaminelung,thyroid,liverandspleentumors.”Dr.Omarexplained.
New Mowasat Hosts
Professor Marc Giovannini07
“This on-going program is continuously improved and altered to meet the needs of the community by providing physicians of different sub-specialties who operate at international standards.”
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MOWASAT NEWS | News & Events
1514
ExpertandInternationallecturerof FootandAnkleSurgery,Dr.MartinKlinke,visitedNewMowasatfromMarch31sttoApril2ndinassociationwithDr.TarekAbelTawabandDr.AliAlMukaeimi–OrthopedicsConsultantsinMowasat’sOrthopedicCenter.Duringthevisit,themedicalteamexaminedpatientsandperformedsurgerieslikecomplexfracturesandinjuries,footandanklearthroscopy,jointsreplacement,sportsinjuriesaswellasdisruptionof tendon,anklesprains,andfrequentcomplicationsof partialparalysisof footandankle.
ItisalsoworthmentioningthatDr.KlinkegraduatedfrommedicalschoolinFrankfurtandreceivedamaster’sdegreeinSportsMedicinefromtheUniversityof Nice.
French Plastic Surgeon, Dr. Eric Plot, Visits to performThe latest French techniques for
Face reshaping ... by injection !!Underthesupervisionof Dr.PeterHirsch,ConsultantPlasticSurgeryandClinicalDirectorof theDermatology,CosmeticandPlasticSurgeryCenterinNewMowasat;thehospitalhostedFrenchPlasticSurgeon-Dr.EricPlot–from3rdto5thof March.Duringthevisit,Dr.EricperformedthelatestFrenchtechniquesforfacereshapinganddarkcirclesremovalbyinjection;withoutsurgery.HealsoprovideduniqueCosmeticandreconstructivesurgeryservicesincludingthefacelift,liposculpture,breastlift,reductionandaugmentation,tummytuck,thighandarmreshaping,nose,earandeyelidsreshaping.
Dr.EricPlotisrecognizedandqualifiedbytheOrderof FrenchDoctorsandtheHighAuthorityof Health.Heisalsomemberof theFrenchSocietyof ReconstructiveandAestheticSurgery(SOFCPRE),of theSOFCEP,thesyndicateandcollegeof plasticsurgeons.Since1995,hehasbeenpracticingaestheticandreconstructivesurgeryexclusively.Heisalsomemberof theinternational«experttoexpert»associationin
theUK,whichsharesknowledgeamongmedicalandaestheticsurgerydoctors,byorganizingcongressandpost-graduatetrainingcourses.Hence,thisassociationintroducesandassessesthelatestdevelopmentsbeforeproposingthemtopatients.
Moreover,Dr.Plotisamemberof thescientificcommitteeof theInternationalCongressinAestheticandAnti-AgingMedicine(ICAAM),andasscientificdirector,hehasbeenorganizingsince2years,theinternationalCongressof Dubai(ICAAMME)andactivelyparticipatesintheWorldCongressof Monaco(AMWC2010).
HisinterventionsintheCongressesandhisscientificpublicationsearnedhimtheappreciationandrespectof hispeers.Heisregularlyinvitedtogiveconferences,teachingcourses,surgicalexamplesonBreastImplant,facialrejuvenationtechniquesandweightlossconsequencestreatmenttechniques.
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Dr. Eric PlotConsultant, Plastic Surgery
Dr. Martin KlinkeExpert and International Lecturerof Foot and Ankle Surgery
Consultant Foot and Ankle Surgery
Dr.Klinke’s visit to New Mowasat09
Heisalsoanexpertrecognizedforhisworkandinterventionininternationalcongressesonlaserlipolysis.
HisParisianclinic,whereheisworkingwithdermatologistsspecializedinlasertreatmentandnutritionists,allowshimtooffercomprehensiveandpersonalizedtreatmentthatmeetstheexpectationsof everypatient.
Treatment of complex fractures, injuries and complications of partial paralysis of foot and ankle.
Hecompletedhispost-graduateorthopedictraininginGermanyandattwomajoruniversityteachinghospitalsinParisbeforeundertakingaspecializedfootandanklefellowshipattheRoyalNationalOrthopedicHospital.Heisalsoamemberof theEnglish,American,SwissandGermanFootandAnkleSocietyand,currently,theleadfootsurgeonatLondonBridgeHospital.
Onthisoccasion,Dr.TarekAbdelTawab,ConsultantandClinicalDirectorof MowasatOrthopedicCenter,statedthatthevisitcomeswithintheIPP(InternationalPhysiciansProgram)whichiscontinuouslydevelopedandimproved.
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MOWASAT NEWS | News & Events
1716 4
Professor Choudri performs
Spinal Fixation Surgeriesthrough Advanced and Innovative Technology
February10thmarkedadistinguishedanduniquevisitforProf.HarounChoudri,Headof SpinalSurgeryUnitintheUniversityof GeorgiainUSAandmemberof theAmericanAssociationforNeuroandSpinalSurgery,toNewMowasat.
Throughoutthevisitwhichlastedforthirteendays,professorChoudripresentedinnovativetechniquesforfixationandfusionof spinaldecompression.Healsoperformedendoscopicsurgeryforprolapseddiscandperipheralnervessurgery,togetherwithaplannedmanagementforspinaldeformities.
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Prof. Haroun ChaudriHead of Spinal SurgeryUniversity of Georgia
Dr. Hassan KhajahConsultant NeurosurgeonNew Mowasat Hospital
ThevisitwasorganizedinassociationwithDr.HassanKhajah,ConsultantNeurosurgeoninNewMowasat,whostatedthatProf.Choudri’svisitattractedveryinterestingcaseswhichencouragedthedepartmenttoplanarepetitionforhisvisitinordertogiveachanceforthelargestnumberof casestobenefitfromhisexperience.
“NewMowasatiscontinuouslybenefitingfromInternationalexperiencesandspecialtiesthatarenotavailableinKuwaitasapartof theInternationalPhysiciansProgramwhichisbeingdevelopedsince2000toprovidepatientswithabiggeropportunitytoconsulticonicmedicalpersonalities.”Dr.Hassanexplained.
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MOWASAT NEWS | News & Events
1918
MRI during pregnancy ??
YES you CAN !!!Dr. Samer Abdullah
The GoutTheuseof diagnosticimagingisoftenrequiredinpregnantpatients.Thus,itisnotsurprisingthatthequestionof whetherornotapatientshouldundergoanMRexaminationduringpregnancywilloftenarise.
MRimagingisrecognizedasabeneficialdiagnostictoolandisutilizedtoassessawiderangeof diseasesandconditionsthataffectthepregnantpatientaswellasthefetus.
Pregnantpatientsshouldbeinformedthat,todate,therehasbeennoindicationthattheuseof clinicalMRimagingduringpregnancyhasproduceddeleteriouseffects.”
ThispolicyhasbeenadoptedbytheAmericanCollegeof Radiologyandisconsideredtobethe“standardof care”withrespecttotheuseof MRproceduresinpregnantpatients.
Theintrinsicsafetyof MRIanditsabilitytoaccuratelyshowabdominalandpelvicdisease
inpregnantwomenmakeithighlyusefulintheevaluationof thefollowingdiseases:appendicitis,
appendicealabscess,pancreatitis,bilateraladrenalhemorrhage,pyelonephritis,hydronephrosis,intra-
abdominalandrectusmuscleabscess,intussusception,uterinefibroiddegeneration,torsionof asubmucosaluterine
fibroid,simpleovariancysts,andovariantorsionaswellasforthepatientswithactivebrainorspinesignsandsymptomsrequiringimaging.
AmorecautiousapproachshouldbetakenwhenMRIisrequiredduringthefirsttrimester,andyoushoulddiscussindividualcaseswithyourlocalradiologistanyhazardappearsnegligibleandisoutweighedbythepotentialdiagnosticbenefit.
ThebottomlineMRimagingascanprovidevaluableinformationthatcoulddiagnoseacuteabdominalandpelvicconditionsaffectingthepregnantmotherwithnoknownrisktothefetus.
TheMRIsectionintheNewMowasatHospitalisreadytoanswerallyourquestionsregardingtheMRIexamination.
11 12What is Gout?• Goutisadiseasethatcausedsudden,severeepisodes
of pains,tenderness,redness,warmth,andswelling(inflammation)insomejoints.
• Itusuallyaffectsonejointattime-oftenthelargejointof bigtoe.
• Italsocanaffectotherjoints,suchastheknee,ankle,foot,wristandelbow.
• Goutaffecteveryonedifferently.Somepeoplehaveoneepisodesandneverhaveanyotherproblems.Othershaveseveralepisodesalongwithlastingjointpainanddamage.
• Canbecontrolledquitewellwithmedications.Propertreatmentcanhelpyouentirelyavoidepisodesandlongtermjointdamage.
What happens in Gout?Acute episodes• Usuallydevelopveryquickly.Thefirstepisodeoften
occursatnight.
• Duringtheepisodesyoumaynotice:sudden,severs,jointpain,jointswelling,shinyredorpurpleskinaroundthejoint,extremetendernessinthejointarea.
• Atfirst,episodesusuallyarefewandfarbetween.Theylastonlyaweekorso,andthendisappearcompletely.
• If thediseaseisnotcontrolledbemedication,episodesoccurmoreoftenandmaylastlonger.
• Repeatedepisodescandamagetheaffectedjoints.
What cause Gout?• Almostallpeoplewithgouthavetoomuchuricacid
intheirblood,aconditioncalledhyperuricemia.
• Whentheleaveof uricacidinthebloodisveryhightheuricacidcrystalsaredepositedinthejointandothertissues,causinginflammationof thejointlining(thesynovium).
• Hyperuricemiaiscausedbyoneof thefollowing:
• Thekidneycan’tgetridof uricacidfastenough.
• Thebodymakestoomuchuricacid.
• Althoughdietandexcessivedrinkingdohavesomethingtodowithgout,theyarenotthemaincauseof thedisorder.
Who gets gout?• Itcanoccuratanyage,but
typicallyaffectsmanbetween40and50.
• Couldbetriggeredinpeopleexposedto:
1. Drinkingtoomuchalcohol.
2. Eatingtoomuchcertainfood.
3. Surgery.
4. Sudden,severeillness.
5. Crashdiets.
6. Jointsurgery.
7. Chemotherapy.
How it is diagnosed?• Yourdoctormaytakeabloodtesttomeasurethe
amountof uricacidinyourblood.
• Yourdoctormaycheckforothertypesof arthritis,suchaspseudogoutandinfectiousarthritis,theseconditionsresemblegoutbutarenotcausedbyuricacidCrystals.
• Todeterminewhichtypeof arthritisyouhave,yourdoctormayremovedfluidfromanaffectedjointandexamineCrystals.
What is the Treatment?• Thetreatmentmayconsistof taking
medicationsandwatchingyourdiet.
• Thegoalsaretorelievepain,shortenthedurationof inflammationduringanacuteepisode,preventfutureepisodesandpreventjointdamage.
Dr.Tarek DarwishConsultant Diagnostic Imaging
Dr. Samer AbdullahConsultant
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MOWASAT NEWS | Articles
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Daily care for
Healthy SkinWhat is Your Skin Type?You’llfirstneedtoseewhatskintypeyoufallinto,soyouaresureyouareusingtherightproductsforyourskin.Readthecommoncharacteristicsof eachskintypetoseewhereyoufall.
Characteristics of Dry SkinIf youhavedryskin,youmaynoticeyourskinisusuallytightandpossiblyevenflakey.Yourporesarealmostunnoticeable.Afteryouwashyourskin,youcanfeelitbeggingformoisture.Peoplewithdryskinoftendealwithmoresurfacewrinklesandfinelinesthenthosewithcombinationtooilyskinduetodehydration.Notonlyshouldyoubewashing,toningandmoisturizinginthemorning,youshouldalsomakesuretodothesameatnight.Whenlookingforatoner,makesureyouarenotbuyinganastringentwhichismadespecificallyforoilyskinasthiswillleaveyourskinevendrier.You’llseespecificnighttimemoisturizersonthemarket,butif you’vegotagreatdaytimemoisturizer,thereisnoneedtosplurgeonaseparatenighttimeproduct
Characteristics of Normal SkinWhatdoesnormalmeananyway?Skintypeschangeovertimeandwithchangesinseason.If youdon’thaveaproblemwithoilorbreakouts,andyoudon’tfeelthatyourskinisdryandtight,youprobablyfallinthenormalskintyperange.Mostpeoplewithnormalskinhavesmallpores,littletonobreakoutsandcangetbywithlittlefoundation.Tokeepyourskinbeautiful,youneedtofindagoodskincareregimeandstickwithit.Washing,toningandcleansingyourskinmorningandnight,aswellasprotectingyourskinfromthesunwillhelpkeepyourskininthatnormalrange.
Characteristics of Combination SkinCombinationskincouldbeconsideredthetoughestskintypetoconquerbecauseyoucouldbedealingwithtwooppositeendsof theskincarespectrum.Themajorityof peoplewithcombinationskinhaveaT-zonethatisoily,andcheeksthataredry.Manypeopledealwithoccasionalbreakoutsandlargerthannormalpores,especiallyonthenose.Combinationskinrequiresgentleoilcontrolincertainareasaswellasmoisturetoensureevenhealthyskin.
If youfindthatcertainareasof yourskinaredry,yetothersareontheoilyside,youprobablyfallintothecombinationskintype.You’llneedagentleskincareregimetotakecareof yourcombinationskin.
Characteristics of Oily SkinIf youhaveoilyskin,chancesaregoodyouknowfullwellthatyoufallintothiscategory.Peoplewithoilyskinusuallyhavethefollowingcharacteristics:
•Largevisiblepores
•Blackheadsandwhiteheads)
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Dr. Mariyana KostadinovaRegistrar Dermatology and Venereology
•Visibleshine,especiallymid-day
•Frequentacneonotherareassuchasyourbackandchest
Peoplewithoilyskintendtonottakecareof theirskinastheyshouldbecauseof theissuestheydealwith.Acnecausesthemajorityof peopleto“pick”attheirskin,whichonlybringsmorebacteriatotheface.If acneisaproblem,youshouldn’tpick,poporuseharshproductsonyourface.Youshouldseeadermatologistfirsttoprescribeforyouappropriatetreatment:asagelcleanser,moisturizerandmedication.Anotherproductthatmanypeoplewithacneproneskinforgetissunscreenbecausemanyproductscausepeoplewithacneproneskintobreakoutfurther.Findonethatisspecifically“Foroilyskin”
Justknowthatinthemajorityof cases,oilyskinisapassingphasethatyouhavetogetthrough.Therearemanyproductsandmedicationtohelpyoudealwiththeacne.Visitadermatologisttohelpdecidewhat’sbestforyou.
Daily Skin CareNowthatyouknowwhatskintypeyouhave,it’stimetotalkaboutaskincareregime.Askincareregimeconsistsof theitemsyouuseonyourskinonadailybasis.Irecommendacleanser,toner,moisturizerandsunprotection.Therearemanyoptionsforyoutochoosefromwhenitcomestochoosingaproductline,andrestassured,pricedoesn’talwaysmeanquality.Itisbetterseeadermatologistandreceivesappropriateadvice.
Sun SafetyOneof thebiggestwaystokeepyouryouthfulskinaslongasyoupossiblycanisbysteeringclearof thetanningbooth,andusingsunscreendaily.UVrayscause90%of prematureaging,sostarthealthysunhabitsnowwillbenoticedwhenyou’reinyour20’s.
Extra Skin Care StepsIf you’rein20’syouarenotyetatapointwherealiftingorwrinklecreamisnecessary.Simplyuseagentleproductline,andrejoiceinthefactthatyourskincareregimeisbasicallyfuss-free.
Somethingthatisrecommendedtoaddinnomatteryourageisaweeklyexfoliator.Youneedtoridyourskinof thedeadskincellsthataresittingatthesurface.Thebestwaytodothisiswithafacialexfoliator.Used1-2timesaweek,dependingonyourskintypeandsensitivity,willgetridof thedulldeadskincellsandencouragehealthynewskintoshinethrough.Anddon’tforgetyourbody-usingabodyscrubwillleaveyouwithsmoothhealthyskinaswell.Aweeklymaskwillalsodeepcleanyourpores,leavingyouwithdiminishedoilandreducedporesize.
If youtakegoodcareof yourskininyour20’s,youcanbesuretohavehealthyskininyour30’s.Stayontopof yourskintype,andknowthatitcanchangedependingontheseasonsorhormones.Youmayhaveoilyorcombinationskininthesummer,butnormaltodryskininthewinter.If youfindyourskincareregimeisleavingyourskintightorontheoppositeend,withmanybreakouts,it’stimetoswitchitforatemporarybasis.
Adermatologistisalwaysagoodplacetovisitif youhaveskinconcerns.Theywilltakeagoodlookatyourskinandgiveyoupersonaladviceandproductrecommendationsthatyouwouldnototherwiseget.
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MOWASAT NEWS | Articles
2322
Androgenabusewithathletes:Destroyinghealthtogetbulgingmuscles
Androgenabusebeganinthe1950swithathletes.Witha“winatallcosts”mentalityandthehighregardoursocietyhasforsuccessfulathletes,itspreadtothehighschoollevels.
ItispolicedbytheWorldAnti-DopingAgency(WADA),whichisshownbytheverylowrateof positivetests(<2%of about170000testsin2004)attheOlympicGames.
Healthproblemsassociatedwithandrogenabuse
1- Dermatologic effects:Theyareearlysignsbecausethefacehasahighdegreeof androgenreceptorsthatincreasesebumproduction,leadingtoacne.Steroidacnepresentswithsmallskinbumps.Unlikeacnevulgaris,thelesionsarethesamesize.Bothacneconglobataandacnefulminanscanoccur.
2- Bone growth:Inteenagersprematurefusionof epiphysealplatesandstuntgrowth.
3- Psychological problems:Alterationof mood,readinessforaggressivebehaviorduringpubertyandadulthood.Althoughitisconsideredasapsychicaddiction,thewithdrawaleffectsindicateanelementof physicaladdiction.Withdrawalsymptomsincludedepression,fatigue,paranoia,andsuicidalthoughtsandfeelings.Theyaresimilartothatwithcocaine,alcohol,orheroinabuse.
What is
Addison’s Disease?
Androgen abuse with athletes
Destroying health to get bulging muscles
Addison’sDiseaseisthenamegiventoarareconditionthataffectstheadrenalgland.Itisasevereortotaldeficiencyof thehormonesmadeintheadrenalcortex(outerpartof thegland).Bothadrenalglandsarepositionedjustabovethekidneysatthetopof theabdomenneartheback.Eachadrenalglandisaboutthesizeof awalnut.
Thecortexof theadrenalglandproducesthreetypesof hormones:
• Aldosterone:Keepsthebody’ssaltlevelsandhelpstomaintainbloodpressure
• Cortisol:Thisisatypeof steroidessentialformetabolismespeciallyattimesof stressorduringillness
• Androgen:Thisisatypeof malehormone
Inthe1850’saphysiciancalledThomasAddisondescribedthiscondition.Causesof Addison’sDiseaseinclude:
• Auto-Immunedisease
• InfectionlikeTB(tuberculosis)
• Tumours
• Bleedingintotheadrenalglands
NB:Similardeficiencyof thehormonecanresultduetopituitaryglanddysfunctionandiscalledsecondaryadrenalfailure.
Symptoms of Addison’s Disease are:• TirednessandFatigue
• Muscleweakness
• Lossof appetite
• Weightloss
• Pigmentation
• Abdominalpain,nausea,vomitinganddiarrhea
• Lowbloodpressureandfainting
• Irritabilityanddepression
Diagnosis of Addison’s DiseaseToconfirmdiagnosisyouneedbloodtests;includingmeasuringCortisollevelsandperformingaspecialstimulatingtestcalledSynacthenTest.
Treatmentof Addison’sDisease
Thegoalof treatmentistoreplacethosehormoneswithsimilarsteroidslikehydrocortisoneandfludrocortisones.
Warnings• ApatientwithAddison’sDiseaseshouldcarrysome
formof IDtoinformmedicalteamsthatheorsheisonregularsteroidreplacement.
• Duringillnessesyoushoulddoublethedoseof steroidtabletsforthefirstfewdaysandseekmedicaladviceassoonaspossible.
• Incaseof nausea,vomitinganddiarrheayoumayneedaninjectionof steroid.If youdonothaveanyathomeyoucanvisitERoryourdoctortoreceivethis.
• Itisadvisabletohavestockof emergencysteroidkits
• Keepregularphysicianvisitsandavoiddehydration
14 15The hormonal disorder affects about 1 in 100,000 people.
4- Cardiovascular effects:Increasedheartrate,increasedbloodpressure,andchangesinlipidmetabolism,includingloweredhigh-densitylipoprotein(HDL)andincreasedlow-densitylipoprotein(LDL)leadingtoatherogenicandcardiaceffects(lowerleftventricleejectionfractionandventriculararrhythmias).Hematologiceffectsincludesuppressionof clottingfactorscouldcausebleeding.
5-Hepatic effects:Hormonalsupplementsarelivertoxins.Somegetpeliosishepatitis,whichshowsblood-filledcysts,whichmayruptureandbleedprofusely.Severalyoung,healthyathletesdiedfrommalignantlivercarcinoma.
6- Urologic effects:Theprostategrowsinsize,causingbladderandsecondaryrenaldamage.
7- Endocrine effects:
A-Spermformationinhibitedleadingtosterility.
B-Alteredfastingbloodsugarlevelsanddecreaseglucosetolerance,.
C-Thyroxine-bindingglobulin(TBG)mayalsobelowered.
D-Growthof tender,estrogen-sensitivetissuecauseslargemalenippleof breast.
Dr. Peshraw MohamadConsultant Endocrinologist
MOWASAT NEWS | Articles
Dr. Ibrahim Al SayadConsultant Dermatology& Venereology
With all these effects, should any sound mind think of taking these poisons which are marketed as protein powder?
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ConsultantObstetrics/GynecologyandIVFandHeadof ReproductiveMedicineCenterinNewMowasatHospital,Dr.NahedHammadieh,emphasizedthattheIVFUnitatNMHtreatsinfertilitycasesfromaverysophisticatedperspective
incollaborationwiththeCenterforIVFattheUniversityof BirminghamintheUnitedKingdom,wheretheUnitperformsIVF,
ICSIandartificialinseminationoperationsaswellasthefreezingof embryos,eggsandsperm.
NahedHammadiehhasextensivefieldexperienceduetohisworkandstudyintheUK,wherehespent18yearsinresearchandclinicalworkinthefieldof reproduction,obstetricsandgynecology,andlatelyobtainednumerousseniorpositionsacrosstheUnitedKingdomasaconsultantof obstetricsandgynecologyandaspecialistininfertilityanditssurgery,inadditiontobeingapioneerinthePre-transplantGeneticDiagnosis,throughhisworkatoneof thelargestcentersspecializinginIVFinEurope“CARES”.Hesaidthattheincidenceof pregnancyaftertreatmentintheIVFUnitatNewMowasatHospitalisoneof thehighestratiosintheworldwithapregnancyresultisabout60%of womenundertheageof 37.
HeexplainedthattheUnitactivatesovulationthroughsophisticatedprotocolsthatcommensuratewiththeconditionsof eachpatientintermsof herhealthstatusandageandthateachpatientisfollowedupbyonedoctorinordertobemoreawareof herconditionandprogress.
Dr.NahedsaidthattheUnitIVFattheNewMowasatHospitalhasextensiveexperienceinthetreatmentof infertilityinmen,atitperformsspermwithdrawalsfromthetesticletobeusedinICSIcases.
Our IVF Success rate
One of the highest in the WORLD! 16In Mowasat, we exclusively perform operations to open blocked tubes radiation without surgery.
Dr. Nahed Hammadieh
We treat infertility from a sophisticated perspective in collaboration with the Center for IVF at the University of Birmingham.
Dr. Nahed Hammadieh
Onthemostsignificantcharacteristicof theUnit,Dr.NahedsaidthattheUnitprovidesPre-transplantGeneticDiagnosis(PGD)incollaborationwiththeGeneticLaboratoryof IstanbulinTurkey,addingthatthegeneticdiagnosisisveryimportantincaseswhereoneof thecouplehasgeneticbackground,suchasMediterraneanfever,frequentbloodandgeneticmutediseases.
HeaddedthattheUnitisspecializedinlaparoscopicsurgery,particularlythewithdrawalof miniaturefibersfromtheuterusbyasmalltelescopewithouttheneedforsurgicalintervention.
Dr.NahedrevealedthattheIVFUnitof theNewMowasatHospitalexclusivelyperformsoperationstoopenblockedtubesradiationwithoutsurgery,whichgivespregnancychancesof upto35%afterthetubeisunblocked.
Hesaidthattherewasacaseof awomanwhosufferedfromrecurrentmiscarriagefor7times,andaftershewastreatedwithanticoagulantsandimmunosuppressivedrugsintheIVFUnitatNewMowasatHospitalshegavebirthtoachildafewmonthsago.
Ontheresponsibilityof antibodiesforthefailureof pregnancyusingtheassistingfertilitydevices,orfortheincidenceof recurrentmiscarriageandfetaldeathinuteroandthedesignationof drugsthatcanreducetheeffectof theseantibodiesandappropriatedosage,Dr.Hammadiehpointedthatallwomenfinddifficultyinpregnancyshouldundergoteststodetectthepresenceof antibodies,andalsowomenthathadabortionstowaitaperiodof uptoaboutsixweeksaftertheabortionandthenundergoteststodetectantibodies.Becausetheseobjectsincreasethelikelihoodof fetaldeathinsidetheuterusaswellcausingabortions,latepregnancyandthefailureof pregnancyusingartificialmeansof fertilization.Aboutthetreatmentof antibodies,Dr.Nahednotedinhisspeechthattherearesomemedicationssuchasaspirinandanticoagulantsthatcanreducetheeffectof antibodies,if takenforthreemonthsandinsomecasesuntiltheendof pregnancyduration.
Dr.Hammadiehstressedthattakingdrugstoreducetheimpactof antibodiesneedsdecentfollow-uptoensureaccuratedosage,asthewomantakingadailydosethatusuallydoesn’texceed40mg.
MOWASAT NEWS | Articles
2726
BANGLADESH
An Unforgettable Experience !
Sinceitfirstopenedin1965,theNewMowasatHospitalhasalwaystakenaproactiveapproachtowardspracticingcorporatesocialresponsibilityandofferingmedicalandadministrativeassistancewhereverpossible,thuscontributingtotheoveralldevelopmentandwelfareof thelocalandglobalcommunities.
Followingthehospital’sexample,thephysiciansandstaff atNewMowasatHospitalhavefrequentlydevotedtheirtimeandresourcestoassistentirecommunitiesindevelopingcountries,withthecommongoalof providingunderdevelopedcommunitieswithaccesstoadequatemedicalcare.Inthearticlebelow,Dr.WaelAl-Afghani,NewMowasat’sCosmeticDentistandImplantSurgeon,writesabouthistimeinBangladesh,whereheprovidedfreedentalservicestoover150people.
AsmyplanelandedinBangladeshinternationalairportonthe14thof August2009,Ifeltasighof relief asIhadfinallyfulfilledanoldpromisewhichImadeabout15yearsagotoaverycloseschoolfriendof mine,AliKaies,toonedaycomeandvisithiminhishomecountry.Ihadarrivedmainlyforthepurposeof continuingmyaimof tryingtododentalcharityworkinthemostneededpartsof theworldeveryfewyears,anditwasgreattoknowthatonthistripareunionwithanoldfriendwasonthecards,too.IwasmetattheairportbytheProjectmanager,Enam-ul-Haque,of Friendship(http://friendship-bd.org),aremarkablelocalnon-governmentalorganizationthatworkswiththeriverbasedandcoastalpopulationof Bangladesh,andmyolddearschoolfriend,AliKaies,whotogethertookmestraighttotheFriendshipEmiratesHospital,afloatinghospitalship,thatwasdockedonariverclosetoDhaka,thecapital.ThatiswhereIwouldspendmyfirstweekinBangladesh;onboardthisfloatinghospitalwhereIwouldbothworkandlive.
Uponarrival,Iveryquicklyrealizedthatthiswouldbenoholiday,asIwasalmostimmediatelyaskedtoseesomeof thestaff whoworkedontheshipwhohaddentalissues,astheyhadbeenwaitingformyarrivalanxiouslytoseeif Icouldhelptreatthem.Whatthenfollowedwasaverybusyscheduleof workfortherestof theweekfrom9amtillabout6pmdailycontinuoustreatments,withonlyanhourforlunch.Whatsurprisedmewastheamountof patientsthatwouldstartqueuingoutsidetheshipfrom5aminthemorning,inorderforthemtobeseenbymefortreatment.Iwouldseeonaverage30-40patientsperdayandwiththe
17helpof mynursewhodidallthetranslatingforme,wemanagedtogetthroughthetoughfirstweek.Mydentalclinicconsistedof averyoldandbasicdentalchairandequipment-butatleastitallworkedandwasgoodenoughtocarryoutmytreatments!Theshipwascomfortablebutverybasic,thesleepingquarterswerecleanandthefoodwasfreshlycookedeverydayandservedtousatthecaptain’stablewherehewouldjoinusformeals(CaptainQudus).Thepatientswereverypooranduneducatedpeoplefromtheslumsof thecity,oftencomingtomebarefootandwithnobasicidea’sof whatisneededtokeepyourmouthhealthy-e.g.dailybrushingandnoteatinglotsof sugaryfood(basicknowledgethatwetakeforgrantedintheWest).
DuringmyfirstweekIhadafewafternoonswhereIwasescortedbythestaff thatworkedontheshipandallowedtowanderaroundthestreetsandslumsneartheship.ThesewerequitedangerousareasandhenceIwasnotallowedtowalkalonehere,anddefinitelynotafterdark!
Manyof thelocalslookedatmeandstaredheavilyasIstuckoutlikeasorethumbwithmyWesternstyleclothesandlooks.Theinnercityslumswereverydirtyandpollutedwithnocleandrinkingwatersuppliesorproperhygienicsewagedisposal.Itwasovercrowdedandsmellywith
oftenanentirefamilylivinginnomorethanoneroomof space.IwasluckytoseethemanygarmentfactoriesthatlinedtheriverfrontasBangladeshisoneof theworld’smostfamousgarmentproducers,manufacturingclothesforthelikesof multinationalcompaniessuchasNext,GapandZara.Dhakawasastrangemixof eitherextremelyrichpeoplewithlavishlifestylesandimmensewealthorthecompleteoppositewithpovertywaybelowtheredline-peoplewholiterallyhadnothingandwerepreparedtostealandloottofeedthemselvesandtheirfamilies.Iwouldsaythesplitwasabout98%verypoorandonly2%veryrich.
Eventhoughmyworkschedulewasexhaustingwithnoorminimalbreaks,deepinsideIfeltafeelingof prideandachievementthatIcouldhelpbringasmiletothefacesof thesepeopleandgetthemoutof painandtreatthem.Onboardtheship,thereweremanytimeswherethebackupgeneratorfailedandwascutoff,hencenofanswouldworkandnowaterwaspumpedthroughthepipesmakingitveryhotanduncomfortable,butthiswasallpartof theexperience!
MysecondweekwasplannedsothatIcouldtravelwiththeorganization’sstaff andwithotherdoctorsfromtheUSAtocontinuemycharityworkdeepintheruralregionsespeciallyintheRiverineislands(orcharsastheycallthem)andtheriverbanksof northernBangladesh.Bangladeshisthelargestdeltaicplainwithhundredsof riversveiningthroughit.Itsuffersfromannualfloodingduringmonsoonseasonmanyareasareonlyaccessiblebyboats.Wedroveovernightforabout9hoursupnorthonasmallminibusalongwithothermedicalcolleaguesandstaff fromthecharity,toanareaupnorthcalledGaibandha.
Asmysecondweekof hardworkfinished,Ihadadaptedtomynewsurroundingsandenvironmentanditwasasif Ihadneverlivedinthewest.AndasIfinallyleftBangladeshIhadahugesmileonmyfaceandafeelingthatthiswon’tbemylastvisittoBangladesh.Ihadfalleninlovewiththecultureandpeopleof thismagicalland,anabsoluteadventureandanexperienceof alifetime!
Dr. Wael Al-AfghaniConsultant ProsthodontistCosmetic Dentistry and Implant Surgery
I could help bring a smile to the faces of these people and get them out of pain
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MOWASAT NEWS | Articles
2928
Food Label
Afoodlabelcanbeconfusingevenforexperiencedshoppers.Does‘trans-fat-free’meanfreeof diseasesandgoodforhealth?Areorganicproductshealthier?Notalways.Belowaresometermsthatyoushouldknowinordertomastertheartof choosingwhatisbetterforyourhealtheverytime.
First: Serving SizeTheservingsizeisnotasmallpackageof cookiesoracanof soup.Theservingsizeiswhatiswrittenonthefoodlabel.Basedonthisaccompanyinginformation,thecalculationsneededtodeterminetheamountof fatandcaloriescontainedinthepackagearemade.Forexample,thenewchocolate,Timeout,(lightblue)contains85caloriesperonefingeraccordingtotheservingsizespecifiedonthelabel.Hence,if youeatitall,youwillbeactuallytakingupatotalof 170calories.Manyof usmakethemistakeof eatingwholepackagesthinkingtheycontaintheamountof ingredientsmentioned[meantforoneunitorso],thuseatinginexcessandthismayexceedtheamountsrecommendedbytheAmericanHeartAssociationsornutritionalrules.
Second: Sugar-freeThisexpressiondoesnotmeanthattheproductisfreeof sugarassomemaysobelieve.Sugarmaynothavebeenaddedduringprocessing,buttheitemcancontainnaturalsugarswhichhavethesamenumberof calories.Tofindoutthesourceof sweeteners,youmustreadtheingredientlistcarefullyandlookforwordssuchascornsyrup,sorghum,oranythingendingin“ose”(suchasfructose).
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Asmaa BastakiDietician
Third: Fat-freeAnyproductcancontain0.5gramsof fatperservingsizeandstillhavethelabel“fat-free”.Thus,eatinganamountof thisfoodonthebasisthatitisfreeof fatwillnotexemptyoufromobtainingseveralextragramsof fatoverload.Manypeoplebelievethattheword“free”isassociatedwithzerocalories,butthisisnottrue.Forexample,asinglepieceof ka’ak(acertaintypeof cookie)canbefat-freebutatthesametimecontains600caloriesandbeloadedwithsugar.Thelabel“fat-free”attractstheweakandmakesthemeatmore.
Learn the Art of Shopping at Cooperative Societies
Fourth: Zero Grams of Trans-fatAsitisthecasewith“fat-free”food,factoriescanputthelabel“ZeroTrans-Fat”onanyproductthatcontainslessthanhalf agramof trans-fatperservingsize.Theproof isthecomponentsmentionedinthefoodlabel.Afactorymayreducetheamountof nutritionalration,thusreducingthegramsof fat,fortheproducttobelabeled“ZeroTrans-Fat”.If theproductcontainshydrogenatedorpartiallyhydrogenatedfats,thismeansthattherearetrans-fatsinyourfood.
Fifth: LightThesefoodscontainlessthanhalf thecalories,fat,orsodiumcomparedtothetypewhichisnot‘light’.However,itcanalsomeanalighterconsistencyorcolorsuchasthatof lightbrownsugarorlightoliveoil.Lightoliveoilislighterinflavor,color,andconsistency,butithasthesamenutritionalvalueof ordinaryoliveoil.Youwillnotsavecaloriesbychoosingthelighterversionof oil.
Sixth: OrganicThepresenceof theword“organic”maycreateagoodfeelingsinceorganicfoods,asdefinedbygovernmentagencies,areproductsinwhoseproductionnopesticides,industrialfertilizers,orgeneticmodificationwereused.However,manyinorganicproducts,suchasbreadandbutterblendedwithpistachioorwalnuts,orwholegrainsmaybehealthyandof moderateprice.Organicchipsandcookies,ontheotherhand,mightbeloadedwithfat,sodium,sugarandmaybeexpensive.Whenpurchasinganyorganicproduct,donotletthelabelfoolyou.
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MOWASAT NEWS | Articles
3130
MOWASAT NEWS | Staff Interviews
Meet our Staff
Tahany Helmy Ahmed Visitor Guidance and Information Desk
Whatdoyoudo?
Iamcustomerservicestaff.Ihelppatientsandvisitorswiththeirinquiries.
Whatdoyoulikeaboutyourjob?
Dealingwithpatientsonacloserrangeandbeingabletoassistthemwhentheyarenotsurewhatexactlytodoorwheretheyneedtogo.
Whatisyourfavouritebook?
Nothingspecific.Iliketoreadscientificbooksingeneral.
Whatisyourfavouritemovie?
“Mr.andMrs.Smith”
Whatisyourhobby/hobbies?
Exercising,swimming,surfingthewebandwalking.
Hari Raj Staff Nurse / Casting technician
Whatdoyoudo?
ImakecastsfortheOrthopedicsCenterpatients.
Whatdoyoulikeaboutyourjob?
ThemostthingIlikeaboutmyjobisthecreativity.Igettheopportunitytocreateartfulcastsinregardsof shapes,colorsandmaterials.
Whatisyourfavouritebook?
“HarryPotter”.
Whatisyourfavouritemovie?
Thatwouldbe“HarryPotter”too
Whatisyourhobby/hobbies?
Iliketokeepmyself uptodatesomybiggestinterestissurfingtheinternettoeducatemyself withwhat’snew.
Yasser Alaa Mohamed Patients Insurance Assistant
Whatdoyoudo?
Idealwiththeinsurancerejectionwork.
Whatdoyoulikeaboutyourjob?
IlikethechallengingpartwhereIhavetoprovethattheinsurancecompanyisindebted.
Whatisyourfavouritebook?
TheHolyQura’n.
Whatisyourfavouritemovie?
“TheOutlaw”;EgyptianMovie.
Whatisyourhobby/hobbies?
Swimming.
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3332
MOWASAT NEWS | New Joining Doctors
Welcome on BoardInternal Medicine
Rheumatology and Physical Medicine
Dr. Emad El-Din BaioumiSpecialist Digestive Diseases and EndoscopyPh.D.TropicalMedicineandHygiene–Cairo,Egypt.
AssociateProfessorof GastroenterologyandHepatology-Cairo,Egypt.
Fellowships/Memberships:
Fellowof theEgyptianSocietyfortheStudyof Gutandliverdiseases.
Ext.:2226|[email protected]
Dr. Aziz Al FeeliSpecialist Physical Medicine
FellowshipinPhysicalMedicineandRehabilitation(Canada).
CertificateinchronicPain/MedicalAcupuncture–ManualMedicine.
Fellowships/Memberships:
CanadianandAmericanAcademyof PhysicalMedicineAndRehabilitation.
Ext.:1740|[email protected]
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Patient TestimonialsDr.WaelAl-Afghani,Thankyousomuchforthedreamyoumadecometrueforme…Ireallylovemysmile,thenewone;andcannotthankyouenough…youhavemagichands!GodBlessyou…
Nada AhmedWiththenewlook
Dr.Ashraf IsmailYousif,Iampleasedtoextendmyappreciationandgratitudetowhatyouhavegivenusof yoursincereefforts,greatservicesandoutstandingperformanceinthecareof mymotherwhichhadagoodimpactinoursouls.MayGodenableyouformoregooddeeds.
Nasser Al-Azmi32
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MOWASAT NEWS | Academic Calendar
Academic Calendar
January | 24th
March | 28th
March | 26th
April | 9th
March | 14th
April | 2nd
March | 26th
April | 18th
April | 23rd
21Renal Colic with PregnancyDr. Yasser Farrag Surgery Department
Tonsillitis & Complications of SurgeryDr. Hassan El Mahriki Surgery Department
CroupDr. Mahrouse Bathallah Pediatrics Department
Chickenpox VaccineGSK Ireland Pediatrics Department
Acute CholecystitisDr. Ahmed Abdul Hady Surgery Department
Allergy TestingDr. Abduljabbar Farhan Pediatrics Department
Cleanser in NeonatesDr. Mahrouse Bathallah Pediatrics Department
Professional Skills Development: Communicating difficult news or complex information to children and familiesDr. Rose Logan Medical
Klippel-Trenaunay SyndromePediatrics Department