Jan/Feb 2013ExtEnding thE hEaling ministry oF christ – proFEssionally wE sErvE, pErsonally wE carE

targeting lung cancer

First da vinci si hd in hong Kong

twah lithothropsy center opening

ceremonyhKah surgical

services’ new look

2012 JANUARY FEBRUARYMARCH

APRIL MAY JUNE

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‘Health Union’ Campaign organized with Tsuen Wan District Council Department Head Retreat

TWAH Charity Walkathon

HKAH

TWAH

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our milestones in 2012

Patient Experience Model workshops conducted by consultants, Mr Mack Rucker and Ms Kathy Perno, from Florida Adventist Hospitals

Progress of New Hospital Building: foundation work has begun and completion is set for

April 2013

Rolled out Ewell’s Mobile Clinical Solution which helps reducing human error and enhancing patient safety

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2012 JANUARY FEBRUARYMARCH

APRIL MAY JUNE

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NEWSTART program organized in Thailand Easter Week of Revival

FIRST IN HONG KONG to become a member of the World Health Organization’s Health Promoting Hospitals (HPH) Network

‘World Health’ Campaign organized with Wan Chai District Council

A strategic alliance with Chiho Medical Centre in Shenzhen, China.

Yan Chai Heart Charity

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Participated in “Green Monday” to encourage people making healthy lifestyle changes by eating only vegetarian meals on Mondays

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FIRST PRIVATE HOSPITAL in Hong Kong to conduct the most advanced mitra clip procedure

Charity Gala Premiere Newly renovated Rehabilitation Center

Newly refurbished out-patient clinics on 7th floor

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Annual Physician Banquet

JULY AUGUST SEPTEMBER OCTOBER NOVEMBERDECEMBER

Adventist’s service quality was recognized again through its continued accreditation by the Australian Council on Healthcare Standards (ACHS)

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New one-stop Oncology Center offers the very latest therapies and tumour screening technologies including CyberKnife, new TomoTherapy, new PET / CT, and new SPECT / CT

New Balance 10K Adventist Health Charity Run for Healthy Heart

New Service - Bariatric Surgery Charity Golf Classic

HKAHF Charity WalkathonNew Lithotripsy Center

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JULY AUGUST SEPTEMBER OCTOBER NOVEMBERDECEMBER

Annual Spiritual Retreat

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Newly installed da Vinci system

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cEomessage

A picture is worth a thousand words.

It is incredible that so much could be achieved in a year. As you see from the pictures in the timeline, we have had a busy year. We have fitted our hospitals with enhanced equipment, and further developed the quality service our patients have come to expect of us. Patients under your care can be assured of the best outcome at both Hong Kong and Tsuen Wan Adventist Hospitals.

As we gain momentum through our recent improvements, expanded programmes and delivery of quality health care services, we look to reach more people internally and externally.

I wish you all a fruitful and prosperous New Year.

Yours truly,

Dr. Frank YeungPresident/CEO | Hong Kong and Tsuen Wan Adventist Hospitals

1 our milestones in 2012

4 cEomessage Content 5 medicalnews ah | Targeting Lung Cancer6 hKah | Rise of the Robot7-8 hKah | Prevention of Transmission of

Acute Infectious Respiratory Diseases in Healthcare

9 twah | Bronchoplastic Operation for Lung Tumour

10 physician’scorner Profile of Our New Doctors at HKAH

and TWAH

12 lifestyle management center Salt of the Earth

13 hospitalnews ah | Admission Right updated

| Stepping Up eHealth | All’s Well14-18 hKah | New appointment at HKAH | Healthy Living in Hong Kong | Surgical Services’ New Look | First da Vinci Si HD in Hong Kong | New Ultrasound Equipment in Urology | EUS is Us | Meet this Year’s Management Trainees

| Clinical Laboratories Take Part in Regional Tests Program

| Ground Floor Renovation | Going Up!19 twah | Protect Against Kidney Stones | Lithotripsy Center Opening Ceremony

20 Eventhighlights hKahF | Charity Walkathon hKah | New Operating Room Dedication Ceremony20-21 hKah | CME Highlights twah | CME Highlights ah | Patient Experience Model Workshop

ForthcomingEvents ah | Patient Experience Model Workshop ah | Upcoming CMEs

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medicalnews

targeting lung cancer

Lung cancer is the most common cancer and the leading cause of cancer-related death in the

world and in Hong Kong. According to the latest statistics from the Hong Kong Cancer Registry, lung cancer accounted for one in six of all new cancer cases and more than one in four of all cancer deaths in 2010.

Lung cancer commonly occurs in the elderly and is typically silent in the initial stage, hence late presentation is the rule. However, even when diagnosed early, many patients are poor candidates for surgery – the most well-established method of treatment - due to multiple co-existing medical conditions like heart disease, diabetes and chronic obstructive lung disease.

Early Stage TreatmentRadiotherapy is a long-established alternative treatment for early stage lung cancer patients who cannot receive surgery due to various medical problems or their own preference. The aim of radiotherapy is to deliver an adequate radiation dose to the tumour while sparing the adjacent normal tissues as much as possible.

However, the action of breathing makes the lung a moving organ which means any tumour will also move. To combat this, the old radiotherapy technique included a wide safety margin of adjacent normal lung tissues in the treatment field in order not to miss the tumour during irradiation. The resulting large radiation field meant a greater volume of normal lung would be damaged. This partly defeats the purpose of radiotherapy as these patients usually already have suboptimal

The advantages of Stereostatic Ablative Body Radiotherapy in treating lung cancer

By Dr Law Chun Key, Stephen | Specialist in Clinical Oncology

lung function which prevented them from otherwise having curative surgery.

Guided TherapyModern radiotherapy utilizes image-guided systems so the radiation dose can be more focused on the tumour with a narrower margin of adjacent normal tissues, notably the lungs for lung cancer. A much higher than conventional dose per fraction can be delivered more precisely to the tumour over a shorter duration while sparing the normal tissue as much as possible.

A shorter treatment time is also potentially advantageous as tumours can re-grow during a protracted treatment course. It also reduces the number of journeys the patient has to make to attend for radiotherapy, bringing physical as well as social benefits for the patient and their family members.

For early stage lung cancer, the typical treatment period can be shortened to three to 10 fractions over two weeks.

Step by stepStereostatic Ablative Body Radiotherapy (SABRT) is a multi-step process, the essence of which is explained as follows:

• Confirmation at early stage of the disease. PET-CT scan is essential at this step.

• After deciding on radiotherapy, the patient is immobilized in a comfortable treatment position and undergoes another CT scan for radiotherapy planning purposes to delineate the exact position and volume of the tumour and all normal organs nearby. Radio-opaque

markers may be implanted adjacent to the tumour to help real-time tracking of the moving tumour during radiation delivery.

• At each treatment session, the patient lies on the machine treatment table while imaging of the treatment region is performed. Immediate fine adjustments are made to correct day-to-day variations in the position of the tumour and critical normal structures before iffadiation. This guarantees the precision of the procedure.

Proven SuccessStudies have shown SABRT to be safe and capable of producing excellent results in early stage lung cancer, with reported local control rate up to 90 per cent within two years, comparable to that of curative surgery.

The same technique can also be used to target cancers in other areas of the body, especially when there is a need to irradiate a well-defined volume but to avoid adjacent normal critical organs, such as with spinal tumours adjacent to the spinal cord, or adrenal and liver tumours.

With courtesy of Accuray Incorporated, University of Pittsburgh Medical Center, North Florida Regional Medical Center, CyberKnife Centers of San Diego

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rise of the robot

Prostate cancer is now the most common non-skin cancer among men in the United States, while

cases have also risen consistently in Hong Kong, making it the third most common cancer among men today, with up to 1,500 newly diagnosed cases per year.

Cancer diagnosisWhile experts have long debated whether a screening program is of use, the availability of a relatively simple blood test for Prostate Specific Antigen (PSA) does offer a tool for early detection (of elevated blood level), the diagnosis may then be confirmed by a biopsy of prostate tissue.

Overall, the worldwide trend (Hong Kong included) is seeing more cancers being diagnosed at an earlier rather than later stage.

In recent years, much enthusiasm has been directed at the treatment options for early cancer, especially in relation to the widely available robotic assisted surgery system.

Enter the robotThis treatment option involves surgery conducted through tiny incisions using a robotic interface with the surgeon sitting in the console, rather than making a major lower abdominal incision as in conventional surgery.

This form of robotic surgery was first developed for military applications including remote site surgery. It was later transferred to civilian use, where it was initially developed with minimally invasive cardiac surgery in mind.

It was not until this technology was applied to the otherwise extremely difficult

Recent technological advances have created new robotic tools to assist surgeons carrying out keyhole procedures for prostate cancer

By Dr Yip Kam Hung, Sidney | Specialist in Urology

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laparoscopic prostatectomy that the full potential of robotic surgery was recognized.

To date, the number of robotic assisted prostate cancer operations have surpassed conventional open surgery in the US, with the advantages of reduced blood loss, enhanced recovery and a “promise” of a better functional outcome.

The technology has also been adopted by numerous disciplines including general surgery (such as colorectal surgery and endoscopic thyroid surgery), gynaecology, ENT surgery (transoral surgery), and many others.

Robotic featuresThe key features of the robotic system are the dual endoscope-computer reconstructed 3-D image and Endowrist technology.

To rewind back a few years, one may recall the impact that Avatar 3D had on our cinematic experience. Likewise, the dual endoscope computer image reconstruction provides a superior 3-D perspective superior to conventional keyhole surgery.

The reconstructed images feature practical magnification of up to 10 times, is even comparable to surgical microscopes.

The second key feature, the Endowrist technology, addresses the limitation of the conventional rigid laparoscopic instrument by providing wrist-like flexibility at the tips of the surgical instruments. This makes the robotic system particularly good for otherwise challenging reconstructive surgery, such as cancer surgery of the prostate.

Early treatment options

There are numerous treatment options for early cancer of the prostate. These include different forms of radiation treatment and even ‘active surveillance’ in highly selected cases.

In contrast, robotic -assisted surgery involves complete removal of the diseased organ, with available data on this option demonstrating good long term control of cancer. Functional recovery, including urinary control and sexual function, does take time. However, generally speaking, satisfactory recovery can be expected in most instances, especially in the case of early stage, organ-confined disease.

The optimal treatment for an individual patient is ideally a joint decision made by the affected person, his family and specialist(s) involved after all factors have been carefully considered.

What next?Recent technological developments have produced an even more advanced version of an integrated surgical robotic system.

The new design features a dual console design that allows an extra assistant to work in a second console to assist the main surgeon while utilizing the same 3-D image. Diagnostic images can also be displayed adjacent to endoscopic images for easy reference or even transposed on to the endoscopic images for better delineation of lesions or blood supply.

This new system can also accommodate single port robotic assisted surgery features. Such use is being actively evaluated and may soon open up many more possibilities for keyhole surgery via one single small incision, thus taking minimally invasive surgery to a new frontier.

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prevention of transmission of acute infectious respiratory diseases in healthcare

The World Health Organization has updated its guideline on “Epidemic and Pandemic Prone Acute Respiratory Disease in Healthcare”, which

will soon be published on its website. Many of the changes are already widely practiced and now are also formal WHO recommendations. Here we summarize the 10 recommendations.

One: Use clinical triage for early identification of patients with Acute Respiratory Infections (ARIs) to prevent the

The latest WHO guideline for acute respiratory infections with 10 recommendations based on thorough systematic reviews.By Dr Seto Wing Hong | Specialist in Clinical Microbiology

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transmission of ARI pathogens to health care workers (HCWs) and other patients.

Two: Respiratory hygiene (i.e. covering the mouth and nose during coughing or sneezing with a medical mask, tissue, or a sleeve or flexed elbow followed by hand hygiene) should be used by persons with ARIs to reduce the dispersal of respiratory secretions containing potentially infectious particles.

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Comment: Also known as cough etiquette and is part of standard precautions.

Three: Spatial separation (distance of at least one meter) between beds should be maintained to reduce the transmission of ARI pathogens from one patient to another. Spatial separation (distance of at least one meter) between the patient and the HCW without the use of personal protective equipment (PPE) should be maintained to reduce the transmission of ARI pathogens to the HCW.

Comment: The one meter rule is supported by various other independent studies.

Four: Cohorting or grouping patients infected or colonized with the same pathogens in the same designated unit, zone or ward (with or without the same staff), or taking special measures to group patients with the same suspected diagnosis (similar epidemiological and clinical information) in the same designated unit, zone or ward (with or without the same staff) within a health care setting. These isolation precautions for patients with ARIs reduce transmission of ARI pathogens to HCWs and other patients.

Comment: Cohorting may be based on just epidemiological and clinical information.

Five: Depending on the risk assessment, and procedure and suspected pathogen, PPE may be needed when providing care to patients with ARI syndromes and may include an appropriate combination of the following: medical mask (surgical or procedure mask), gloves, long-sleeved gowns, and eye protection (goggles or face shields).

Comment: Generally surgical masks and not N95 respirators are used.

Six: Personal protective equipment including the use of gloves, long-sleeved gowns, eye protection (goggles or face shields) and facial mask (surgical/procedure mask or particulate respirators) should be used by HCWs during aerosol generating procedures that have been consistently associated with an increased risk of transmission of ARI pathogens. The available evidence suggests performing or being exposed to endotracheal intubation either by itself or combined with other procedures (e.g. cardiopulmonary resuscitation, bronchoscopy) was consistently associated with increased risk of transmission.

lifestylemanagementcenter

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when there is “aerosol generation” - primarily procedures involving endotracheal intubation.

Seven: Adequately ventilated single rooms should be used when performing aerosol generating procedures that have been consistently associated with increased risk of ARI transmission.

Comment: WHO pandemic guideline lists this as 6-12 ACH for mechanical ventilation.

Eight: Vaccination for influenza should be used for HCWs caring for patients at higher risk of severe or complicated illness from influenza to reduce influenza illness and mortality among these patients.

Comment: Already policy in Hong Kong hospitals.

Nine: Considerations for ultraviolet germicidal irradiation (UVGI) recommendation: no recommendation possible.

Comment: UVGI is widely practiced in some countries but not in Hong Kong. Evidence for this is lacking and thus no recommendation is possible.

Ten: Additional infection control precautions in health care settings for patients with ARIs should be based on the duration of symptomatic illness (according to the pathogen and patient information) to reduce the transmission of ARI pathogens to HCWs and other patients. Note that standard precautions should always be used. There is no evidence to support the routine application of laboratory tests for the determination of duration of infection control precautions.

Comment: Viruses may be found in small amount before symptomatic illness but systematic review does not show evidence that there is definite transmission in asymptomatic patients.

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Anastomosis for bronchus or trachea is not normally used in major lung resection for cancer. Firstly, the worry of blood supply to the cartilaginous material

increases the risk of dehiscence. Secondly, the concern for clear resection margin is always a deterrent factor. Last but not least, for surgeons without extensive experience in tertiary center, the technique is difficult to learn, let alone master.

It is, however, a useful technique for occasional patients who need to undergo lung sparing procedure for example, those with lung tumours occurring in the proximal bronchus, notably the origin of R upper lobe bronchus. The close proximity to the main bronchus requires resection of the distal part of R main bronchus. Surgeons are then forced to sacrifice the lower lobe and middle lobe. By carefully re-sectioning the base of the R upper lobe bronchus and a certain amount of proximal bronchus intermedius, a T-shaped resection of the R upper lobe bronchus base, the lower lobe and middle lobe can be preserved. By rejoining the bronchus intermedius to the R main bronchus stump, a substantial lower part of the R lung can be saved. This is bronchoplastic operation or sleeve resection of the upper right lobe.

Anastomosis of the bronchus is best achieved with interrupted delayed absorbable sutures such as vicryl (polyester) or PDS (polydioxanone), with the knots tied on the outside. Occasionally, part of the bronchus can be continuously sutured. The more exposed part can be sutured with interrupted sutures to match the small discrepancy of the two opposing sizes of the bronchus.

Usually the pulmonary artery is flexible enough to accommodate the slight crowding or buckling up with the lung being pulled proximally. Resection of part of the pulmonary artery and reanastomosis will not be necessary unless a small part of the pulmonary artery is directly invaded by the tumour.

Another example is a localised tumor in the L main bronchus for example leiomyoma or adenocystic tumour. Resection of L main bronchus segment with end-to-end anastomosis is

Modifying Traditional Surgical Technique for Better Post - Operative Function and Outcome

By Dr Chung Shiu Shek, Andrew | Specialist in Cardiothoracic Surgery

bronchoplastic operation for lung tumour

an attractive option. However, the presence of lung lobes means resection of the L main bronchus alone is difficult. One alternative is sleeve resection of the left upper lobe to preserve the lower lobe alone. For benign, non re-current tumours, for example leiomyoma, a bronchotomy and wedge resection of the bronchus is more easily performed without complications.

Centers such as Harvard University produce excellent long-term results for lung cancer. In the local center, sleeve resection is also commonly performed as needed. In Hong Kong, sleeve resection is performed mainly for patients with border-line lung function. One reason is because if there is anastomosis, completing the pneumonectomy will be of considerable risk. However, if the surgeon is capable of good anastomosis, the risk is small and the patient can have a better quality of life. Recently, I performed such an operation in a private setting for a patient receiving pre-operative chemoradiation. I employed double intercostal muscle flap to protect the anastomosis. The patient had excellent recovery and withstood post-operative radiation well.

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References:(1) D’Abreu AL. Mac HS: Bronchial “adenoma” treated by local resection and reconstruction of the left main bronchus Br J Surg. 39:355-7, 1952(2) Bueno R, Wan JC, Wright CD, et al: Bronchoplasty in the mangement of low-grade airway neoplasms and benign bronchial stenoses Ann Thorac

Surg 62:824-8 828-9 , 1996

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plEasE ExtEnd a warm wElcomE to thE Following doctors

NAME: LAW Chun-key, Stephen

SPECIALIST: CLINICAL ONCOLOGY

SCOPE OF SERVICE: Full spectrum of clinical oncology from diagnosis, radiotherapy and drug therapy to palliative care

STRENGTHS: Patient-centered care

CREDENTIALS: MBBS (HK) FRCR FHKCR FHKAM (Radiology)

HOBBIES AND Photography, reading, and studying Chinese history and INTERESTS: culture.

WHAT WOULD YOU LIKE My commitment is (1) to offer quality health care to patients, TO SHARE WITH US? (2) to show respect and trust to colleagues, and (3) to

ensure professionalism, safety, and efficiency within the field of oncology.

CLINIC HOURS: HKAH Monday to Thursday 9:30am - 6:00pm Friday 9:30am - 5:30pm

TWAH Wednesday and Sunday 2:00pm - 4:00pm

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NAME: MIAO Yin King, May

SPECIALIST: PSYCHIATRY

SCOPE OF SERVICE: General Adult Psychiatry, Perinatal Psychiatry, Child and Adolescent Psychiatry, Mental Capacity Assessment, Forensic Reports, Psychotherapy

STRENGTHS: Openness, keeping abreast of new developments and treatments, adopting multi-modal approaches in treatment.

CREDENTIALS: MBBS (HK) MRCPsych FHKCPsych FHKAM (Psychiatry)

HOBBIES AND Yoga, meditation, reading, writing, arts and crafts INTERESTS:

WHAT WOULD YOU LIKE When we reach beyond ourselves to care for others, we TO SHARE WITH US? are often led past our own fears and limitations.

CLINIC HOURS: Friday 11:00am - 1:00pm

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physician’scorner

NAME: YIP Churk Lun, Raymond

SPECIALIST: ORTHOPAEDICS & TRAUMATOLOGY

SCOPE OF SERVICE: Spine surgery General orthopaedic conditions Trauma

STRENGTHS: Spinal conditions Minimally invasive spine surgery

CREDENTIALS: MBBS (Lond) FRCSEd (Orth) FHKCOS FHKAM (Orthopaedic Surgery)

HOBBIES AND Travel, movies, music, astronomy and classic car INTERESTS: restoration.

WHAT WOULD YOU LIKE Back and neck pain are very common conditions. TO SHARE WITH US? Diagnoses of spinal problems are mainly mechanical

in nature and can be divided into structural instability and neurological symptoms. Pathology is usually due to minute disruptions (in millimeters) and therefore with current advances in technology, minimally invasive surgery can be used to treat the vast majority of spinal conditions, with wound sizes around one to two cm. Disruption is minimized with fast rehabilitation and a return to function and work in a few days to weeks.

CLINIC HOURS: Tuesday and Thursday 9:00am - 11:00am

NAME: CHUNG Shiu Shek, AndrewSPECIALIST: CARDIOTHORACIC SURGERY

SCOPE OF SERVICE: Open heart surgery, minimally invasive cardiac and vascular surgery, airway stenting, pectus correction, VATS, minimally invasive thoracoscopic surgery, hybrid coronary surgery.

STRENGTHS: Developer in field of VATS and MICS (minimally invasive cardiac surgery), expertise in mitral valve anterior leaflet repair, radiofrequency AF ablation, hybrid coronary surgery, VATS in mediastinum surgery, pectus excavatum repair, renowned expert in airway stenting surgery.

CREDENTIALS: Locally trained in general and cardiothoracic surgery. Overseas experience in prestigious centers including, Mayo Clinic, Rochester; Stanford University; University of Michigan; and University of Alabama. Pioneer in transplant surgery in Hong Kong for liver and heart transplants. Introduced VATS and MICS in Hong Kong and hosted international symposium workshop in live thoracic surgery at Queen Elizabeth Hospital in 2003.

HOBBIES AND DIY computer assembly, chess and card games, bridge. INTERESTS:

WHAT WOULD YOU LIKE The art of medicine lies in being honest and honorable TO SHARE WITH US? to our patients. A great surgeon should be confident but

humble. Our skills are granted through the generosity of patients who put their lives in our hands.

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NAME: KWOK Hon Chu, KennethSPECIALIST: GENERAL PRACTICE

SCOPE OF SERVICE: Out-patient and in-patient services

STRENGTHS: Caring of elderly patients

CREDENTIALS: MBBS (Sydney) DCH (Sydney) DPD (Cardiff) DipClinDerm (Lond) DipGerMed RCPS (Glasg) DipMed (CUHK) DFM (CUHK) MFM (CUHK) FHKCFP FRACGP

HOBBIES AND Photography INTERESTS:

WHAT WOULD YOU LIKE As a Christian, I am very happy to be able to work in a TO SHARE WITH US? Christian hospital.

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At a physiological level, salt (sodium chloride) regulates blood pressure, body fluids, normal transmission of nerve impulses, passage of

various nutrients into cells, heart activity and metabolic functions. In addition, salt has been used throughout the ages for the preservation of food due to its antibacterial properties that dehydrate food, hence inhibiting the growth of bacteria that spoils food. Upon contact with a bacterium, salt starts absorbing the bacterium’s moisture through its cell walls, which results in the death of the bacteria.

Salt is also a flavor enhancer used in many cuisines across various cultures. It selectively filters flavors, suppressing unpleasant tastes (bitterness and acidity) in favor of more palatable ones (such as sweetness).

FOR ENQUIRIES [hKah] (852) 2835 0555 FOR ENQUIRIES [twah] (852) 3616 6821

More than just common table salt, sodium chloride is essential for life

salt of the Earth

Finally, salt is a great natural cleaner with a multitude of uses, causing little to no harm to the environment when used in moderate amounts.

Salt in moderation promotes health but most of the time, people forget to keep an eye on high-sodium condiments and consume much more than recommended. The amount of dietary salt consumed is an important determinant of blood pressure levels, hypertension, and overall cardiovascular risk. The World Health Organization recommends less than five grams of salt per day to prevent cardiovascular diseases.

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In November 2012, Hong Kong and Tsuen Wan Adventist Hospitals signed a cooperation agreement with the Hong Kong Government’s eHealth Record Office to participate in the Government’s eHR sharing platform. The partnership integrates the applications designed by the eHR Office into Adventist’s clinical management system. Adventist’s Information Technology Department is currently rewriting its existing clinical management system so that the eHR Office applications may be introduced in phases. The hospital is scheduled to install the first application (Structured Alert) in the first quarter of 2013. The second application (Discharge Summary) will be available on the In-patient Department’s online platform in the second quarter. Three more applications will be introduced at a later stage.

stepping Up ehealth

all’s well

admission right updated (From November 2012 to January 2013)

Name

Name

Specialty

Specialty

hong Kong adventist hospital

Anaesthesiology Dr Lee Tsun WoonCardiology Dr Wong Wing HoClinical Oncology Dr Law Chun KeyGeneral Surgery Dr Ng Wing Chiu, LawrenceGeriatric Medicine Dr Tam Cheuk KwanObstetrics & Gynaecology Dr Wong Ying, GracePlastic Surgery Dr Lam Lai KunPsychiatry Dr Chang Chi LokPsychiatry Dr Lai Tai Sum, TonyRadiology Dr Ng Seung MingRheumatology Dr Chan Shuk Yi, Lucia

tsuen wan adventist hospital

Adventist Hospitals partner with local vocational school to launch wellness programmes

Hong Kong and Tsuen Wan Adventist Hospitals and Vocational Training Council (VTC) Wellness Center, Hong Kong Institute of Vocational Education (Chai Wan) have become strategic partners and are launching wellness programs for VTC staff, students, and the general community. A Memorandum of Understanding was signed at the opening ceremony of the VTC Wellness Center on 30 November, 2012.

The cooperation aims to enhance holistic wellness concepts

and promote healthy, fulfilling, and quality lifestyles among students, staff and the community. In the last quarter of 2012, Adventist held four health lectures and organized four health promotion days at IVE (Haking Wong), IVE (Tsing Yi), Hong Kong Design Institute, IVE (Lee Wai Lee), and IVE (Chai Wan). In total, Adventist performed 200 health screenings and consultations.

Adventist Hospitals integrate the Government’s new eHealth Record (eHR) system into its clinical management system

Anaesthesiology Dr Tong Kam ChiuCardiology Dr Leung Wai Fung, AndersCardiology Dr Wong Ming HoCardiology Dr Yip Wai Cheong, ThomasGastroenterology & Hepatology Dr Ng HoGeneral Practice Dr Chan Kay, StephenieGeneral Practice Dr Yeung Ngai Man, JohnGeneral Surgery Dr Cheng Wing Kay, AnthonyGeneral Surgery Dr Lai Kai Cheong, AlbertGeneral Surgery Dr Ng Wing Chiu, LawrenceGeneral Surgery Dr Tse Chun Yiu, SamsonGeneral Surgery Dr Yau Kwok KayHaematology &

Dr Ma Shing Yan, LawrenceHaematological Oncology Neurosurgery Dr Kwok Ching Kwong, JohnObstetrics & Gynaecology Dr Cheung Mei LingObstetrics & Gynaecology Dr Tam Man Kit, EdwinObstetrics & Gynaecology Dr Wong Ying, GraceOphthalmology Dr Chan Chia Chieh, OrlandoOphthalmology Dr Wu Kai Wah, PatrickOtorhinolaryngology Dr Yu Hip ChoPaediatrics Dr So Kit WingPaediatrics Dr Tsui KitPsychiatry Dr Lai Tai Sum, TonyRheumatology Dr Chau Shuk Yi, Lucia

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healthy living in hong Kong

new appointment at hKah

FOR APPOINTMENTS OR ENQUIRIES: 3651-8622 or 3651-8779 (MS JUDY LAM)

Adventist Opens Out-Patient Lifestyle Medicine Clinic in Hong Kong

Reach for a second serving of meat or opt for the steamed vegetables, stay to the left on an escalator, or climb stairs or stand? Faced with daily lifestyle questions across an array of topics including nutrition, exercise and stress management, everyone’s path to wellness takes a different course.

To help patients make informed lifestyle decisions, Hong Kong Adventist Hospital opened an Out-Patient Lifestyle Medicine Clinic in October 2012.

Clinic sessions are held every Thursday from 11:00am to 1:00pm and are conducted by Dr Albert Tsai, MD (University of Chicago) and Mr Alan Siu, Registered Dietitian (USA), MBA.

The American College of Lifestyle Medicine defines lifestyle medicine as utilizing evidence-based lifestyle intervention such as nutrition, exercise, stress management and other lifestyle modalities in the prevention, management and treatment of diseases and health-related problems.

Lifestyle medicine is suitable for anyone interested in maintaining a healthy lifestyle and in particular those seeking to prevent and/or manage:. weight control. metabolic disorders such as diabetes mellitus and

elevated cholesterol. cardiovascular disorders such as hypertension and heart diseases. menopause. stress. cancer

Referrals by physicians and other healthcare professionals are welcome, and patients may also register themselves.

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We are also happy to announce the appointment of Dr Law Chun-key, Stephen as Clinical Director of Hong Kong Adventist Oncology Center, effective December 2012.

Dr Law joins Adventist Health from the Hospital Authority where he held

the positions of Chief of Service in Clinical Oncology of Queen Elizabeth Hospital from 2003 to 2012 and Director of Hong Kong Cancer Registry from 2004 to 2012. He has been the President of the Hong Kong College of Radiologists since 2008. He is also a past President of Hong Kong Head and Neck Society, and ex-Vice President of Hong Kong Nasopharyngeal Carcinoma Study Group and Hong Kong Lung Cancer Study Group.

Dr Law is an all-round clinical oncologist with special interests in stereostatic radiotherapy and TomoTherapy.

Please join us in welcoming Dr Law and Dr Yip, and we look forward to their valuable contributions.

We are pleased to announce two new appointments.

Dr Yip Kam Hung, Sidney has been appointed Clinical Director of Robotic Surgery (Urology) for Hong Kong Adventist Hospital, effective January 2013.

Dr Yip obtained his early training in Hong Kong, and subsequently practiced as a specialist in Singapore. He was appointed Head and Professor of the Division of Urology at the Chinese University of Hong Kong (2007 - 2011), after which he commenced his private practice.

His specialty areas include prostate and renal cancers, laparoscopic and robotic surgery, as well as transplantation. He is passionate about clinical research and training programs for laparoscopy and robotic surgery, both in Hong Kong and regionally.

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surgical services’ new lookHKAH’s new Operating Rooms (ORs) and Endoscopy Unit (Endo) – equipped with the latest technology – have commenced services in January 2013.

The four new ORs are located on the eighth floor, with one OR fitted with the latest da Vinci robotic surgical system. Adjacent to OR is Endo with two endoscopy rooms. Endo has been expanded to allow for the installation of new equipment, providing physicians with the capability of visually examining the entire length of the digestive tract. In addition, the new Endoscopic Ultrasonography System (EUS) is available now.

Short Stay Unit (SSU) has opened as well and is also located on the eighth floor. SSU has four private rooms and four standard beds. Doctors can make only one phone call to our booking representatives on 2835 0510 (during office hour) for arranging all the bookings, such as beds, the procedures required for patients.

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Hong Kong Adventist Hospital installed the most advanced technology in surgical care – the da Vinci Si HD. It is the latest model available and the first in Hong Kong.

In addition to providing surgeons with higher quality control, precision, dexterity and visualization than that of traditional surgical techniques, the Si HD model offers enhanced, high-definition 3D vision for superior clarity. It is designed to expand the surgeon’s capabilities and provides patients with a minimally invasive option for many complex procedures. It also offers surgeons and their operating room teams the advantages of fast setup, rapid instrument exchange, multi-quadrant access and multi-image display capabilities.

With the Single-Site Instrumentation, single port da Vinci procedures will be available soon.

First da vinci si hd in hong Kong

FOR ENQUIRIES : (852) 3651 8621

New and advanced, the ultrasound equipment installed in Urology combines simultaneous biplane and endfire prostate imaging in one transducer. Buttons on the handle of the Triplane allow for easy switching between planes, in addition to freezing, saving or printing the image. Images are easily reconstructed on screen, data sets may be browsed, and information can be shared with colleagues.

new Ultrasound Equipment in Urology

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EUs is Us

FOR APPOINTMENTS OR ENQUIRIES: : (852) 3651 8620

Endoscopic ultrasonography (EUS) examinations now available at Hong Kong Adventist Hospital

In November 2012, Hong Kong Adventist Hospital started offering EUS examinations and special promotion packages for the procedure

EUS is a procedure that assists doctors in reaching accurate diagnoses through combined endoscopic and ultrasound examination of the internal organs, where tissue diagnosis may also be obtained using ultrasound guidance.

EUS examinations may be recommended to patients suffering from esophagus, stomach, bile duct, gallbladder, pancreas or lung ailments, such as unexplained upper abdominal pain and weight loss, suspected biliary obstruction, upper digestive tract cancer, lung cancer, gastrointestinal submucosal lump found during a prior examination, shadow on the pancreas, pancreatic cancer, acute or chronic pancreatitis, abnormal lymph nodes inside the body that require tissue diagnosis, etc.

Referrals by physicians and other healthcare professionals are welcome, and patients may also contact us directly.

meet this year’s management trainees

Tony ChanA forensic accountant by training, 22 year-old Tony graduated from Queensland University of Technology, Australia and returned to Hong Kong to work in a local accounting firm as an auditor. Not fulfilled, he decided on a career change and turned to supporting clinical professionals and serving patients. “It is much more meaningful for me,” says the new management trainee at HKAH. “After visiting several departments, I now understand why systematic cooperation is very important for every department.”

Gabriella ZhangGabby spent four years in Beijing earning her bachelor’s degree in English studies, and came to Hong Kong to undertake a master’s degree in translation and bilingual communication. Instead of pursuing a career in translation, Gabby worked for two years as a marketing executive at an electronic manufacturing firm before joining HKAH as a management trainee. “Life is a process of ceaseless learning and improving,” she says. “Since I am new, there is a lot to learn and I am looking forward to growing and developing alongside the hospital.”.

Jolly TangJolly joins HKAH from a law firm where she spent two years mainly handling Chinese notary cases, including commercial, authorizing and heritage documents. She studied Chinese culture, politics and economics at university and lists classical music, singing and tea art as her interests. “I am happy to be part of this quality team. The smiles and kindness of all my colleagues across the hospital have deeply impressed me,” she says. She looks forward to working with various teams at HKAH, and hopes her enthusiasm is a good fit for the hospital.

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Hong Kong Adventist Hospital ushers in the New Year with two new treatment bays in the urgent care unit and half a new entrance. The rest of the entrance will be completed during phase II of the ground floor renovation work which began in January and work on the In-Patient Admission Office and a new prayer room will also begin.

Shuffles during phase II renovations include Out-Patient business manager’s office moving to La Rue 6A, and one of the consultation rooms temporarily relocating to the seventh floor. We will also have an interim In-Patient Admission Office set up in the entrance lobby.

ground Floor renovation

going up!

clinical laboratories take part in regional tests program

An “out of order” sign may at times dredge up frustration but at Hong Kong Adventist Hospital it appears to be a rallying cry motivating teamwork across departments.

Two lifts were suspended due to unexpected water damage, leaving only one lift operational and no access to the Basement and Lower Basement levels. Despite that we continued to provide ambulance services to deliver and pick up patients from these two levels. The lifts were fully operational within two weeks.

As hospital staff remained focused on finding solutions in the short term, strong team spirit was shown by everyone who cooperated with the new arrangements. In particular, we would like to thank all our doctors for their patience and understanding.

Clinical Laboratories at Adventist Health has been invited by the Royal College of Pathologists of Australasia (RCPA) to participate in a program to set up target values for a list of chemical tests.

In accordance with the Hong Kong Laboratory Accreditation Scheme, Adventist Health has been part of the external quality assurance program organized by the RCPA for a number of years. Only laboratories with instruments appropriate for the assays and a track record of good performance in the RCPA Quality Assurance Programs are invited to set up target values.

The results we provide will be adopted as a standard in external quality control programs among other laboratories, and used for peer group comparison of analytical performance to ensure greater accuracy and precision.

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The Lithotripsy Center at Tsuen Wan Adventist Hospital opened in November 2012, providing treatment for urinary stones

In line with our hospitals’ “Total Health” concept, dedicated registered dietitians provide dietary advice to patients to help prevent future recurrences.

Ms Helena Yu, registered dietitian at TWAH, notes a common misconception is that people who have had kidney stones should avoid calcium. She says, “It has been shown that moderate dairy products could reduce the risk of stones. Moreover, fiber could help to bind excess oxalate, calcium found in the digestive gut, preventing it from entering the kidneys.”

Dietitians analyze a patient’s diet and provide tailor-made dietary advice to fit the patient’s lifestyle. Working towards lifelong habits in the prevention of kidney stones, focus is placed on good hydration and a well-balanced diet consisting of high fiber and avoiding processed high-salt, high-fat foods.

FOR ENQUIRIES : (852) 2276 7338

protect against Kidney stones

twah lithotripsy center opening ceremony

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F hKahF sets the pace in charity walkathonHong Kong Adventist Hospital Foundation (HKAHF) organized its second Charity Walkathon at the Peak in November. Despite the slightly cooler and drizzly weather, 360 vibrant and enthusiastic participants joined the Footprints at the Peak walk.

The event was officiated by (from second left to right): Dr Maurice Leung, Chairman of Adventist Paediatric Heart Fund; Ms Ella Koon; beneficiary; Mr Eric Chong, CEO of Siemens; Ms Jo Soo, Chairman of HKAHF; Dr Eddie Cheung, Assistant Medical Director of Adventist Paediatric Heart Fund.

Ms Ella Koon, HKAHF’s ambassador, with Adventist Paediatric Heart Fund beneficiary.

Dr Leung presented souvenir to Mr Chong, CEO of Siemens, Title Sponsor of the event.

Food allErgy - myths or sciEncE?SPEAKER Dr Ho Hok Kung, Marco SPECIALIST IN PAEDIATRICS

DATE 1 November, 2012

tropical disEasE in soUth East asiaSPEAKER Dr Simon John Wingate SPECIALIST IN INTERNAL MEDICINE

FUngal lUng inFEctionsSPEAKER Dr Tsang Wah Tak, Kenneth SPECIALIST IN RESPIRATORY MEDICINE

DATE 4 December, 2012

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new operating room dedication ceremony

trEatmEnt oF birthmarK by lasErSPEAKER Dr Luk Chi Kong, David Specialist in PAEDIATRICS

DATE 10 January, 2013

thE cUrrEnt statUs oF robotic prostatEctomySPEAKER Dr Ng Chi Fai Specialist in UROLOGY

DATE 30 November, 2012

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tsuen wan adventist hospitalADDRESS 199 Tsuen King Circuit, Tsuen Wan, N.T., Hong Kong

PHONE (852) 2276 7676

FAx (852) 2415 6767

EMAIL info@twah.org.hk

WWW.TWAH.ORG.HK

hong Kong adventist hospitalADDRESS 40 Stubbs Road, Hong Kong

PHONE (852) 3651 8888

FAx (852) 3651 8800

EMAIL hkahinfo@hkah.org.hk

WWW.HKAH.ORG.HK

ForthcomingEvents

hKah cmEcochlEar implant coUrsE 2013DATE 7-8 March, 2013 TIME 8:30am - 4:00pmVENUE 1B/4A, La Rue Building, Hong Kong Adventist Hospital, 40 Stubbs Road, Hong KongHOTLINE 2835 0581

tEmporal bonE dissEction coUrsE 2013 - an intEractivE mUtUal ExchangEDATE 10 March, 2013 TIME 8:30am - 6:00pmVENUE 4A, La Rue Building, Hong Kong Adventist Hospital, 40 Stubbs Road, Hong KongHOTLINE 2835 0581

twah cmEthE UsE oF cybErKniFE and tomothErapy in cancErSPEAKER Dr Law Chun Key, Stephen Specialist in CLINICAL ONCOLOGY

DATE 22 February, 2013 TIME 1:00pm - 3:00pmVENUE Room 4, 11/F, L’Hotel Nina et Convention Centre, Tsuen WanHOTLINE 3616 6809

patient Experience model workshop

Mr Mack Rucker (fifth left), our consultant from the US, and our senior administration team.

Group discussion Presentation from TWAH ‘Service Recovery’ team

Patient Experience Model Workshop in October 2012

Mr Sam Tsien (right), Director and Head of Customer Service Delivery, Hong Kong of American Express International, Inc. shared with us the AE customer service philosophy.