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MAY 2010 Life on the pharm Pharmaceuticals have revolutionized the way modern medicine is practised How clinical trials are pushing medicine forward The natural world When it comes to medical problems, pharmaceuticals aren’t the only option Testing times Testing times

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Page 1: Testing times - Imperial Health · 2014. 3. 17. · one in 200, causes pale skin patches that lack pigment and burn easily. Previously physicians have believed the condition to be

MAY 2010

Life on the pharmPharmaceuticals have revolutionized the way modern medicine is practised

How clinical trials are pushing medicine forward

The natural worldWhen it comes to medical problems,

pharmaceuticals aren’t the only option

Testing timesTesting times

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Page 3: Testing times - Imperial Health · 2014. 3. 17. · one in 200, causes pale skin patches that lack pigment and burn easily. Previously physicians have believed the condition to be

From the time we are born to the end of life, pharmaceuticals are an everyday part of life for many people. Throughout our life our exposure to medication can include immunizations, antibiotics, painkillers and antihistamines to more intense medication for serious diseases – be they mental or physical. Both prescribed and over-the-counter drugs can prevent, treat and cure illness and improve health.

In Life on the pharm (page 14) we look at the role pharmaceuticals have played in modern medicine and improving quality of life, while in Testing times (page 20) we look at the process involved in drug development and how safety and efficacy are of paramount importance in any effort to move from development to delivery.

The labeling of medication and the accompanying instructions are crucial to patient safety as we find out in Read the label (page 24) while in Part of the process (page 28) we learn about the role of chemical engineering in the production of the food we eat.

More people are turning to alternative medicine either as a complement to or instead of taking pharmaceutical drugs – as we hear in The natural world (page 32). Dubai Healthcare City offers a choice of 12 different forms of alternative medicine and we are seeing a growth in its popularity – especially as is offered within a regulated framework.

In our expert profile this month Diagnosing dubai (page 36), we hear from the chief executive of a diagnostics laboratory which delivers 4,000 of the 4,800 tests you can run on a person whilst in Fighting fit (page 38) we find out how rehab helped a patient return to fitness following a knee surgery. Finally – don’t miss our story on the role of science in improving sporting performance and managing injuries in Science friction (page 10).

Dr Ayesha Abdullah

Senior Vice President

Dubai Healthcare City

Please email letters and

feedback to the editor at:

[email protected]

INSIDE VIEW

PRODUCED BY DUBAI HEALTHCARE CITY

P. O. Box 66566, Dubai, UAE

Tel: +971 4 324 5555

Fax: +971 4 362 4775

Senior Vice President

Dr. Ayesha Abdullah

EDITORIAL

EDITOR-IN-CHIEF Rashmi Becker

EDITOR Vernon Baxter

ADVERTISING

SALES Haridas / Purvi Beri

Tel: +971 6 557 5967

email: [email protected]

[email protected]

DESIGN & PRODUCTION

IDEASCAPE MARKETING &

COMMUNICATIONS FZC

DIRECTOR Biju Sam

CREATIVE DIRECTOR Rad Kris

SR. GRAPHIC DESIGNER Prem Kumar

DISTRIBUTION

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Images courtesy: istockphoto.com

The publishers regret that they cannot accept liability for

error or omissions contained in this publication, however

caused. The opinions and views contained in this

publication are not necessarily those of the publishers.

Readers are advised to seek specialist advice before

acting on information contained in this publication which

is provided for general use and may not be appropriate for

the readers’ particular circumstances. The ownership of

trademarks is acknowledged. No part of this publication

or any part of the contents thereof may be reproduced,

stored in a retrieval system or transmitted in any form

without the permission of the publishers in writing. An

exemption is hereby granted for extracts used for the

purpose of fair review. © Dubai Healthcare City 2010

03 Inside viewA letter from the Senior Vice President

of Dubai Healthcare City

04 NewsFind out what’s happening in health

around the world and locally

10 Science frictionCutting edge research is changing the way

we think about sports injuries

14 Life on the pharmPharmaceuticals have revolutionized the

way modern medicine is practised

20 Testing timesPharmaceuticals are powerful products, but

their regulation is second to none

24 Read the labelOver the counter drugs can be of real

benefit, but pharmaceuticals are powerful

products and need to be treated with

respect

28 Part of the processChemical engineering has been a

controversial force in nutrition, but it can

do good as well as harm

32 The natural worldWhen it comes to medical problems,

pharmaceuticals aren’t the only option

36 Diagnosing DubaiDHCC’s new ‘super lab’ should transform the health

city’s diagnostic capabilities

38 Fighting fitHow post-op rehab helped one patient make it to boot

camp

41 Comfort foodFood can have a genuine impact on mood levels – here

are some of the top stress busting nutritional sources

42 Health directoryA guide to health professionals based at Dubai

Healthcare City

CONTENTS

10

MAY 2010

Life on the pharm

Pharmaceuticals have revolutionized

the way modern medicine is practised

How clinical trials are

pushing medicine forward

The natural world

When it comes to medical problems,

pharmaceuticals aren’t the only option

Testing

timesTesting

times

14

May 2010 • 3

28

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NEWS

4 • May 2010

NEWS

May 2010 • 5

New research has confirmed a substantial drop in the number of women dying each year from pregnancy and childbirth, which

experts are hailing as a major breakthrough.

New figures suggest 342,900 women worldwide were victims of maternal mortality in 2008, compared to 526,300 in 1980.

The new research was published in leading medical journal The Lancet and is being touted as proof that maternal mortality is

not an “intractable problem” for the global medical community.

“The overall message, for the first time in a generation, is one

of persistent and welcome progress,” wrote the journal’s editor,

Dr Richard Horton.

The marked improvement was believed to be attributable to

lower pregnancy rates in some countries; higher income, which

in turn facilitated better nutrition and access to healthcare;

more education for women; and the increasing availability

of people with medical training during childbirth. Moreover,

significant improvements in large countries like India and China

helped to drive down the overall death rates.

The research was conducted by the University of Washington

and the University of Queensland in Brisbane, Australia, and

was paid for by the Bill and Melinda Gates Foundation.

Global maternal deaths see significant decline

A new clinical trial of Baxter International’s

Gammagard treatment suggest patients

suffering from Alzheimer’s disease showed

better cognitive function and less brain

enlargement than those given a placebo,

according to the company.

Over the course of an 18-month trial,

patients with mild to moderate Alzheimer’s

disease who received the intravenous

medication performed, on average, noticeably

better than those patients who received a

placebo.

On a test designed to measure mental

abilities, patients treated with Gammagard

averaged 1.36 points higher than other

patients.

On a second test patients receiving the drug

appeared to have declined slower than the

other patients, falling by 9.15 fewer points than placebo patients.

Baxter drug reports encouraging Alzheimer’s results

Genes hold the key for chronic kidney disease

Acorn Research announces CAP tie-up

Scientists have a made a “revolutionary”

breakthrough in the battle to identify the

causes of kidney disease, researchers have

claimed.

The identification of some 20 genes

believed to hold the key to the condition

have the potential to radically change

physicians’ approach to the diagnosis and

treatment of kidney diseases, an affliction

that affects about one in 10 adults and

can require dialysis or even an organ

transplant.

Dr Jim Wilson, a geneticist at the UK’s

University of Edinburgh who worked

on the study, said: “This work could

revolutionise the treatment of kidney

disease in the future – but this will take

some time.

“It’s a very critical first step towards

a completely new understanding of the biology behind CKD [chronic kidney disease]. Transferring what we’ve found into

clinical benefits will take some years.”

Acorn Research, a resident of Dubai Healthcare City’s sister

company Dubiotech, this month inked an agreement with

the College of American Pathologists (CAP) to represent

them exclusively in the UAE, Saudi Arabia, Qatar, Oman and

Bahrain.

It is hoped the move will help to raise the quality of patient

care and laboratory standards across the region and the new

entity will work alongside facilities such as The City Hospital

in DHCC.

The College of American Pathologists is a medical society

serving more than 17,000 physician members and the

laboratory community throughout the world.

It is the world’s largest association composed exclusively of

pathologists and is widely considered the leader in laboratory

quality assurance.

A new study has linked a gene responsible for a rare hair loss disorder with the far more common male pattern baldness.

Researchers identified a genetic mutation involved in hypotrichosis simplex, an unusual hereditary hair loss disorder, that they

believe is also a key component of male pattern baldness.

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6 • May 2010

NEWS

May 2010 • 7

Individuals suffering from migraines should reach for the aspirin,

according to new research.

The common painkiller should be tried as the first line of defence,

new research has found, after a study of more than 4,000 sufferers

found that taking three tablets of aspirin within two hours of

symptoms developing was effective.

A review of studies published by the Cochrane Library found

significant numbers benefit from aspirin.

Sheena Derry, from the John Radcliffe Hospital, in Oxford, and

one of the researchers of the review, said: “My advice for sufferers

would be to try aspirin or other over-the-counter medicines as a first

choice and then go onto more migraine specific drugs if these do not

work.”

NEWS

Study reveals virus mortality rate Researchers in the UK

have revealed that a virus

that causes wheezing

and pneumonia could

be responsible for

claiming the lives of

up to 200,000 children

worldwide each year.

A study at the

University of Edinburgh

found that about 3.4

million children were

hospitalised after

contracting respiratory

syncytial virus.

Cases linked to the

potentially fatal

E. coli 0157 strain

dropped significantly

in the US in 2009,

according to figures

from the Centers for

Disease Control and

Prevention.Aspirin ‘effective against migraine’

Individuals suffering from the skin disease vitiligo may

actually benefit from a natural protection against skin cancer,

a new study suggests.

The condition, which is still relatively rare, affecting just

one in 200, causes pale skin patches that lack pigment and

burn easily.

Previously physicians have believed the condition to be

linked to a greater risk of skin cancer, but researchers at the

University of London looked at 4,300 people and identified

a common gene mutation that both increases the chance of

vitiligo and cuts cancer risk.

The findings are reported in the New England Journal of

Medicine.

Yet, study author Professor Dot Bennett, also said:

“Although this may provide some consolation for people

with vitiligo, they should still be careful in the sun. As they

know, they sunburn quickly, and a lower risk of cancer

doesn’t mean zero.”

US health experts have backed a call for the ban of trans-fats from all foods in the UK, after an editorial in the British

Medical Journal said 7,000 deaths a year could be prevented by a 1% reduction in consumption

Cholesterol-lowering statin drugs may

also help to slow the progression of

multiple sclerosis, according to a new study. Source: American Academy of Neurology

Skin condition could provide cancer shield

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8 • May 2010

NEWS

May 2010 • 9

Mediterranean diet could ward off Alzheimer’sMaintaining a diet that is high in fruits and vegetables, as well as omega-3 fatty

acids, could reduce the risk of developing Alzheimer’s disease on top of being good

for your heart.

A new study of more than

2,000 dementia-free adults

65-years-old and older found

that individuals who consumed

a Mediterranean-type diet

were 38% less likely to develop

Alzheimer’s disease, according

to Dr Nikolaos Scarmeas of

Columbia University in New York.

The findings were published online in the journal Archives of Neurology.

Parkinson’s disease could be diagnosed earlier

by measuring changes in the sound of the voice,

according to researchersSource: Journal of Speech, Language and Hearing Research

Rural men at greater risk, says studyMen living in rural areas are at a greater risk from conditions such

as diabetes, some cancers, and poisoning than those living in urban

environments.

New research conducted in Australia found that rural men are

more likely to experience chronic health problems, partly because

those studied were more likely to smoke and drink.

Report author Sally Bullock said: “Also, in Australia’s more

rural and remote areas, there’s a larger amount of areas that are

socioeconomically disadvantaged.

“By that, I mean you’ll sometimes find lower education levels,

lower income and higher rates of unemployment, for example.”

Eating too much white bread and pasta could double the chances of heart disease, according to a new study.

The research looked at the diets of almost 50,000 people and calculated their average glycemic index score, which provides an

indicator of how quickly a food raises blood sugar levels.

The study found that women whose diets had

the highest GI score were 2.24 times more likely to

develop heart disease than those with the lowest,

although men appeared to be less at risk.

The research was conducted by the National Cancer

Institute in Milan, and the scientists admitted it was

unclear why the ‘high GI’ diet did not increase the

risks for men.

However, the authors suggest that other factors

could be more important in how men develop heart

disease.

“We tentatively suggest that the adverse effects of

a high glycemic diet in women are mediated by sex-

related differences … but further prospective studies

are required to verify a lack of association of a high

dietary glycemic load with (heart) disease in men,” the

authors concluded in the journal Archives of Internal

Medicine.

DHCC welcomes Royal Ayuverda ClinicDubai Healthcare City has announced the launch of the Royal

Ayurveda Clinic, the first facility in the region to provide a full

range of Ayurvedic medical services.

Ayurveda or the ‘science of life’ aims at treating the sick

as well as the healthy and the new clinic will focus on clinical

excellence and patient safety in disease management, positive

health promotion, as well as relaxation and vitalizing therapy.

Dr Ayesha Abdullah, senior vice-president, Dubai Healthcare

City, said: “We welcome Royal Ayurveda, the first of its kind

in the region, to Dubai Healthcare City. Royal Ayurveda joins a

strong list of complementary and alternative medicine providers

(CAM) at DHCC.

“Dubai Healthcare City is pleased to be a pioneer in further

developing its base of CAM services as a response to global

trends that reflects the growing popularity of alternative

medicine and traditional practices.”

Bread and pasta diet could increase heart risk

NEWS

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10 • May 2010 May 2010 • 11

Cutting edge research is changing the way we think about sports injuries

FITNESS

Science friction

For sportsmen and women everywhere, the worse part of physical activity surely has to be getting injured. Not only is the process itself often acutely painful, but the subsequent time spent on the sidelines, or in rehab can be hugely depressing. But science has been able to shed new light when it comes to our approach to physical training – especially when it comes to recovering from serious sporting injuries.

“There have been major advances in the scientific approach to training to enhance performance and to prevent and manage sports injuries,” says Jennifer Crabbe, who is the head of rehabilitation at Dubai Healthcare City’s The City Hospital. “Training is no longer only in the hands of the coach and the athlete but is rather a multidisciplinary team approach where each team member needs to keep abreast of scientific evidence and validate his or her approach to training and rehabilitation.”

Indeed, advances in the scientific community are beginning to make a huge

To stretch, or not to stretch?

FITNESS

How you prepare for exercise can

often be as important as how you

conduct the exercise itself. For

instance, there is a unanimous

consensus that ‘warming up’ is an

essential part of preparing the body

for exercise. “The warm-up needs to

include general exercises such as

jogging and very specific exercises

particular to your sport,” says

Crabbe. “The effect of your

warm-up program lasts only 30

minutes so it is important to time

the warm-up – a structured

warm-up program can reduce injury

risks by 50%.

Where there is less of a

consensus, however, is over the role

of stretching – for so long a staple

routine in a typical warm-up. “There

has been some very interesting

recent research done in Australia on

military personnel that has shown

that there is no injury reducing

benefit in stretching,” says Crabbe.

“This research indicates that

stretching may be a waste of time

and may actually decreases

performance. Numerous studies

have demonstrated that traditional

static stretching decreases the

athlete’s performance in activities

that require strength, speed, and

power. The results of the long and

vertical height jump performance

test that is considered as a good

indicator for power output has been

shown to be significantly reduced

after static stretching.”

Indeed, scientific literature

collectively appears to indicate that

static stretching within an hour

before practice or competition does

not improve the athlete’s

performance, nor does it appear to

reduce the risk of injury. However,

that is not to say people can give up

on stretching all together. “Poor

muscle strength and limited joint

range of motion does reduce

performance so athletic trainers

should prescribe static-stretching

routines for some athletes rather in

the evenings, but not before sport

practice sessions and competitive

events.”

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12 • May 2010

FITNESS

difference to the way we think about our bodies and how best to protect them and repair them, says Crabbe. One of the most crucial advances, she says, has been in the field of biomechanics – the application of mechanical principles to living organisms. “It is now essential that there is an understanding of the biomechanics of different sports,” she says. “Recent scientific research has shown abnormal biomechanics as the major potential cause for non traumatic injuries – be they anatomical or functional.”

An anatomical biomechanical abnormality is an abnormality in body structure and is something that one cannot change but can minimise the effects of – for example, leg length discrepancy, which can lead to a runner being an excessive pronator. Functional biomechanical abnormalities, however, are either a result of poor technique or past injuries. “An example of this would be a faulty backhand stroke in the tennis player and this would cause an extensor tendinopathy at the elbow commonly called ‘tennis elbow’,” says Crabbe. “Past injuries not correctly rehabilitated are a very reliable indicator for poor performance and injury.”

How we address these problems is now mostly informed by the research of the scientific community, says Crabbe. “Neuromuscular retraining after injury plays

a very important role in the rehabilitation process,” she explains. “Nerve impulses originating in joints, muscles and tendons are processed in the central nervous system and provide information about joint position, vibration, movement and pressure.”

When these pathways are damaged

during injury, they result in impaired balance and decreased coordination as well as diminished joint position sense. “Diminished joint sense and poor coordination is very common with lower limb injuries and it is essential that this training takes place in the early stages of rehabilitation to prevent reoccurrence of the injury,” adds Crabbe.

“Nerve impulses originating in joints, muscles and tendons are processed

in the central nervous system and provide information about joint position,

vibration, movement and pressure”

Contact:

The City Hospital

Bldg. no. 37, Tel: 04 435 9999

www.thecityhospital.com

“Training is no longer only in the hands of

the coach and the athlete but is rather a

multidisciplinary team approach”

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14 • May 2010 May 2010 • 15

PHARMACEUTICALS

Pharmaceuticals have revolutionized the way modern medicine is practised

Life onthe pharm

Pharmaceuticals are not exactly new. Evidence suggests that even Ancient Babylonian medicine, out of vogue for the past 3,000 years or so, featured the use of prescriptions. But it was not until the inter-war years of the twentieth century that modern pharmaceuticals, as we know them today, began to feature prominently in healthcare – with aspirin, codeine, and morphine prescribed for pain; digitalis, nitroglycerin, and quinine for heart disorders, and insulin for diabetes.

Even then, though, pharmaceuticals represented something of a brave new world for physicians. Today, though, they are indispensable, says Dr Tony Zbeidy, general manager of pharmaceutical firm Orphan Europe’s Middle East division, which is based in Dubai Healthcare City. “As long as gene therapy is not a properly established alternative, the modern world cannot survive without pharmaceuticals.”

Orphan Europe develops and provides pharmaceuticals for metabolic disorders that have been created by genetic alterations. Without these pharmaceuticals, argues Zbeidy, the lives of affected individuals would be unreognizable. “The signs and symptoms could range from mild mental retardation to heavy physical deformations, seizures, coma and sometimes death,” says Zbeidy.

The basic function of medicine is to improve the quality of life, and, more than ever, pharmaceuticals play a vital role in how this is achieved. Whether the medicine prescribed is a reactive or a preventive measure, chemically produced drugs are used

PHARMACEUTICALS

to affect how our bodies behave. The pharmaceutical industry is now one of the most powerful forces in healthcare – and industry at large – but Zbeidy says its role in supporting physicians has been of huge benefit.

“The availability of pharmaceuticals at hand in current practice tremendously helps modern medicine meeting its objectives: improving quality of life of patients and prolonging life expectancy,” he says. And the exciting thing about the industry, he adds, is that it is continually evolving. “The pioneer

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16 • May 2010 May 2010 • 17

“The medical treatment of patients with depressive and other psychic

disorders as well as of patients with epilepsy has been tremendously

improved by the new generation of modern drugs”

breakthrough in pharmaceuticals was the discovery of the first antibiotics,” he says. “However today, I guess that biotechnology products and enzyme/substrate replacement therapies are the major contributors to modern medicine awaiting for the next era of gene therapy, which in my opinion, is not there yet.”

Pharmaceuticals have had a varying

PHARMACEUTICALS PHARMACEUTICALS

impact on medicine, depending on the respective specialty. Few have benefited more than neurology and psychiatry, argues Dr Hartmut Herbert Kollikowski. As a senior consultant at the German Center for Neurology & Psychiatry, Kollikowski deals regularly with powerful drugs. “Pharmaceuticals are very important to modern medicine… they have highly

improved the treatment options,” he says. In the field of neurology and psychiatry

there have been major developments during the last 10 years, points out Kollikowski. “There was an enormous progress in the development of new and very potent pharmaceutical substances,” he says. “In particular, the medical treatment of patients with depressive and other psychic disorders

Pharma factsTime to develop and market a new drug : 10-15 years

Average Cost to develop a new drug (2006) : $1.318 billion

Total R&D spending on drugs in 2007 : $58.8 billion

Generic share of market in 2007 : 67%

Percent of marketed drugs that cover R&D costs : Only 20%

Total number of drugs approved in 2007 : 23

R&D as a percent of U.S. sales : 18.7%

Average effective patent life for major drugs : 11 years

Medicines currently in development : 2,700 compounds

For every 5,000-10,000 compounds tested,

the number that make it to clinical trials : 5

For every 5 compounds that make it to clinical trials,

the number that get FDA approval : 1

Probability that a compound tested eventually

gets FDA approval : .01% (1/100th of

1%) to .02% (1/50th of 1%)

Source: Pharmaceutical Industry Profile 2008

as well as of patients with epilepsy has been tremendously improved by the new generation of modern drugs.”

The use of pharmaceuticals to treat psychiatric conditions has a chequered history, with many campaigners still mistrustful of their powerful influence on the mental state of vulnerable patients. Kollikowski says the last decade has seen vast step forwards in this regard. “The treatment of out-patients with the modern antidepressant and antiepileptic drugs has become more safe,” he says. “Most of the new chemical substances have only very little side-effects… therefore the majority of treated patients quite often can continue their daily life-routine and mostly stay in the working process.”

Nevertheless, Kollikowski is clear that such drugs should not be treated lightly – especially if they are being used by individuals involved using machinery, or driving a car. “The patients have to be well informed about the prescribed medications, especially possible side-effects,” he says. A more worrying scenario, however, is the abuse of such medicines. That is why, he says, there is such an emphasis on drug monitoring. “In the field of psychiatry nearly most of all the drugs are controlled and have to be regularly monitored by the specialist,” he says. “Because of possible unexpected reactions and events all the patients have to be well informed not to perform any self-medications with ‘over-the-counter drugs’. And if their health conditions change the patients always have to be instructed to see a specialist for their medical problems as soon as possible.”

One of the more dramatic ways in which

“As long as gene therapy is not a properly established alternative, the

modern world cannot survive without pharmaceuticals”

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18 • May 2010

PHARMACEUTICALS

we are tied to the pharmaceutical industry is through the role of vaccines and immunizations. In the past, the announcement of the outbreak of a major disease was equivalent to announcing suffering and death. However today, patients affected with major diseases, if diagnosed early enough, have a better prognosis of quality of life and life expectancy. “Some conditions we treat, like the NAGS deficiency, considered fatal in the past, can nowadays pass unnoticed under oral treatment, on conditions of early diagnosis and treatment,” says Zbeidy.

But there is also a risk that physicians can be too quick to reach for the prescription pad. In general, though, physicians have to weigh the pros and cons of any treatment. And faced with a life impairing/threatening disorder, says Zbeidy, physicians will take the risk of a minor reaction. “Anyway, since different people have different levels of reaction, one cannot always anticipate the exact reaction of every single patient,” he says. “However, it is of utmost importance to prioritize the use of reliable pharmaceuticals, notably those registered with reliable international bodies, like EMEA or FDA.”

Indeed, for many years the Gulf has had a dubious reputation when it comes to poor quality drugs. “We’ve noted the use of chemicals in some hospitals of the region in order to save on cost despite the existence of EMEA and/or FDA registered pharmaceuticals,” says Zbeidy. “Unfortunately, the health hazards, mutagenic and carcinogenic risk of long term use of these chemicals are unknown and do not justify the savings.”

There is a reason, says Zbeidy, why it is so difficult for drugs to be approved. Only companies that have the resources and the protocols in place to thoroughly test a drug could (and should) be allowed to release a drug into the marketplace. “To make a long story short, in the context of registering an Orphan Europe product in a specific indication, a protocol of a clinical trial is

Contacts:

German Center for Neurology &

Psychiatry

Bldg. no. 64, Block A, 2nd floor

Tel: 04 429 8578

www.gnp-dubai.com

Orphan Europe

Bldg. A/P25, Unit 102

Tel: 04 363 5454

www.orphan-europe.com

drafted and sent to EMEA or FDA for review and approval,” explains Zbeidy. “In their review, EMEA and FDA would take into consideration all available scientific information available up to date –whether provided by us (like laboratory studies) or published by internationally reknowned medical journals. Based on this as well as on all ethically approved situations and applicable laws, study protocols are adjusted and approved.”

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20 • May 2010 May 2010 • 21

CLINICAL TRIALS

“It takes around 10 years to develop a new

medicine and it often costs more than one billion

dollars… that is nearly the same as the cost of

building Burj Khalifa”

CLINICAL TRIALS

Pharmaceuticals are powerful products, but their regulation is second to none

Testing times

Trial and error may well be the key to great science, but when it comes to healthcare you can’t afford to make a mistake. Indeed, bringing a drug to market is one of the most highly regulated and difficult procedures in the whole of industry – not to mention one of the most expensive. “It takes around 10 years to develop a new medicine and it often costs more than one billion dollars,” says Henrik Bendix Dahl, who as general manager for the Gulf region of pharmaceutical firm Novo Nordisk is based in Dubai Healthcare City. “That is nearly the same as the cost of building Burj Khalifa.”

It is easy to see why the barriers of entry for new drugs should be a high as the world’s tallest building. After all, for most of us, taking medicine is akin to an act of faith – it is virtually impossible for those without medical training to comprehend in detail how pharmaceuticals might affect our body. That is why the testing is so laborious, says Dahl. “Medicines are evaluated in laboratories, in animal studies, and in a number of clinical studies in human beings,” he says. “Every medicine has to be tested in thousands of patients before it is made available in pharmacies,” he says. “Medicine has to show good efficacy and be very safe before authorities will approve them. Only one in 10 medicines that are tested in human beings will actually be approved.”

Considering how much money is ploughed into pharmaceuticals, it is staggering that 90% of drugs are abandoned at this stage. But there is compelling evidence that if there is the slightest chance of harming humans, then drug authorities will take no chances – even at this early stage. “The development of medicine is strongly regulated by authorities,” adds Dahl. “The aim is to protect all patients that participate in clinical studies – patients have to accept to be part of a clinical study, and study protocols have to be approved by

ethical committees and authorities before the study can start.”

It may sound risky to expose individuals to substances with unknown side-effects, but without this sort of trial, medicine would never move forward. And yet, just because a drug is safe does not mean it is worth prescribing, says Dr Vinod Gauba, from DHCC’s Imperial Health Institute. “Safety and efficacy are two quite different entities and both have various statistical measures to quantify them,” he says. “Drug companies go through very elaborate processes to evaluate both individually before any drug ever reaches the public.”

Even then, it is up to each doctor to make sure they understand whatever development

has happened in their field. “Detailed analysis of the results of such trials is the responsibility of doctors who are prescribing these medications,” says Gauba. “This is the hallmark of evidence-based medicine and being able to appraise evidence is now an integral part of modern medical practice. In addition to this, being aware of how to appreciate and evaluate such trials should be the grounds on which each clinician makes their own decision on what is most suitable for their patients. There is no ‘eyes wide shut’ approach to prescribing medication and it should be done with the utmost responsibility, experience and background knowledge.”

Still, there needs to be a lot of cooperation

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CLINICAL TRIALS CLINICAL TRIALS

between the medical and pharmaceutical professions. Christina Landgren, senior corporate affairs manager for the Gulf at AstraZeneca says it is a constant challenge to keep people up to speed with developments. “We work with regulators to develop prescribing information that provides healthcare professionals with the benefit/risk information they need to make appropriate prescribing decisions,” she says. “This information includes indications for use, dosing recommendations, warnings and contra-indications, and what side effects might be experienced. We also make information available directly to patients, as

Phase to phase

Trials and tribulations

Christina Landgren takes us through

a typical trial process for a new drug:

“All potential new medicines must

undergo Phase I – III tests before they

are submitted to regulatory

authorities for an approval to market.

After a medicine is launched, we

may then run Phase IV trials to get

more information on a specific

aspect of the product’s

performance.”

Phase I trials

“A new compound is tested in

humans for the first time. These are

small-scale trials, typically involving

less than 100 people. During this

stage we look at what the new drug

does to the body

(pharmacodynamics) and what the

body does to the drug

(pharmacokinetics). We also assess a

range of doses primarily for safety or

side effects, but we also in some

instances obtain important efficacy

When Dr Vinod Gauba was completing his Masters degree in clinical health

research at the University of Oxford and Leeds, he was involved in setting up a

multicentre trial looking at a particular drug at the phase 3 level. “Through the

trials unit, suitable individuals or ‘subjects’ were identified and a randomization

process was performed to allocate some individuals to the actual treatment and

others to a placebo or sham treatment,” he recalls. “This may initially seem unfair

to deprive the placebo subjects from the medication, however you must

remember that the treatment is still under investigation and that several strict

ethical and clinical criteria govern the whole process,” he says. The clinical trial

process can take many years to complete and even longer to analyze, adds

Gauba, but it is the key to accuracy and safety in medicine. “It was overall a very

rewarding experience but also a very time consuming and diligent process,” he

says. “It has however brought about a new appreciation of how extensively

medication is studied before it is released on the market for sale.”

information. Participants are mainly

healthy volunteers, who are paid for

taking part, or patients.

Phase II trials

“The new compound moves to

larger-scale trials involving patients.

During this stage, we get more

detailed information on the efficacy

and safety of various doses in more

people and over longer periods of

time. We assess whether the

compound is effective at treating the

target disease and continue to

monitor its safety and potential side

effects.”

Phase III trials

“Testing is extended to a larger

group of patients. In these studies

we may also compare the

effectiveness of the new medicine

against currently available treatments

in order to understand the potential

benefits of the new therapy over

“There is no ‘eyes wide shut’ approach to prescribing medication and it

should be done with the utmost responsibility, experience and background

knowledge”

appropriate, about our medicines and how they should be taken.”

Indeed, you can understand why pharma companies take such a proactive approach to drug safety. Alarming headlines, or sceptical clinical reports, can lead to the end of multimillion dollar products – not to mention the harm they could do. “We take very seriously our responsibility towards the people taking part in our studies and we have global standards that apply wherever a trial takes place,” says Landgren. “Our top priority is to make sure that those taking part in our studies are not exposed to any unnecessary risks and that, before they give their consent, they understand fully what taking part in a trial means.”

Contacts:

Astra Zeneca

Bldg. no. 27, Block D

Tel: 04 362 4888

Imperial Healthcare Institute

Bldg. no. 27, Block A, 1st floor

Tel: 04 439 3737

www.imperialhealth.org

Novo Nordisk

Bldg. no. 27, Block C

Tel: 04 362 4707

“Our top priority is to

make sure that that

those taking part in our

studies are not exposed

to any unnecessary

risks”

older therapies, and we continue to

assess safety issues and potential side

effects. New medicines often

undergo several Phase III trials, in

different countries, and may involve

several thousand patients.”

Phase IV trials

“Once a medicine has been

approved by regulatory authorities

we may conduct further trials to get

additional information in the

approved indication – for example,

to enable us to gather longer-term

safety information in a real life

setting. In addition, after launch we

may test the efficacy and safety of

the drug in new patient populations

or in treating different diseases. We

may also study new dosage strengths

or new formulations. Because these

studies are outside the already

approved use, they are formally

managed as phase II or III studies.”

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Over the counter drugs can be of real benefit, but pharmaceuticals are powerful products and need to be treated with respect

DRUG SAFETY

Read the labelDRUG SAFETY

“Many patients fear upsetting their doctor if they have not followed their

instructions… it is more important that they have accurate information in

which to diagnose you”

It is easy to take medicine for granted. Current generations are so used to the role of pharmaceuticals in the treatment of health, that you can sometimes forget how much public resistance there was to advances such as vaccinations. Before a scientific grounding became a basic requirement for education, medicines were often viewed with much suspicion and distrust by a public intimidated by the sight of needles, or an innocuous looking white pill.

Now, however, the opposite could be said to be true. For every ache and pain, most of us will try and find a pharmaceutical solution – whether it be in the form of an over the counter pill or lotion, or through a prescription from our family doctor, or, increasingly, a specialist. It is rare these days that any condition is simply left to run its course. Modern medical advances have allowed for treatments for almost any form of complaint, so that is what the modern public demands.

This is all well and good, but it does raise a number of potential risks, says Jared Alden, a psychotherapist from Dubai Healthcare City’s German Center for Neurology & Psychiatry. When used correctly, pharmaceuticals can be a hugely powerful force for good in medicine. But if administered carelessly, they can have severe (sometimes fatal) consequences.

The key, according to Alden, is to avoid taking multiple pills or treatments without having at least a rough idea how they all relate to each other. It is also crucial to let pharmacists and medical professionals aware of any adverse reactions. After all, not every drug is safe for every patient, avoiding

you’re taking can benefit you even when it is not an emergency. “Your doctor may ask you if any other blood relatives share your symptoms,” says Alden. “But we often don’t tell our families if we start a new medication. The result is your aunt may have been treated for depression and she may have taken the same medication that has just been prescribed to you. This is one of the best ways to see how you may react to medication.”

Nevertheless, over the counter drugs – if used in the right way – can be of great benefit, says Life Pharmacy’s Krishna Kishore. Especially in the UAE, which has such a high incidence of individuals with diabetes. “Supplements can help particularly with blood sugar control and supporting the liver’s ability to deal with fats,” he says. “Fibre supplements can give additional benefits to

negative reactions and complications can be trickier than you might think. “Write down all the medications you take, prescription and over the counter, and put this piece of paper in your wallet or bag,” advises Alden. “It is a good idea to write down what vitamins you take as well. Many of these new vitamins have much more than vitamins in them. Don’t keep what medications you take a secret.”

When a serious medical complication does occur, knowing what medications and supplements an individual takes can often be the difference between life and death. So while it is important to review that list with your doctor and perhaps your pharmacist, it is a good idea to make sure that your family, close friends and work colleagues have access to the information in an emergency. Indeed, letting your family know what treatments

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26 • May 2010 May 2010 • 27

relieve pain include propoxyphene

(Darvon); hydromorphone

(Dilaudid); and meperidine

(Demerol), which is used less often

because of its side effects.

CNS Depressants

CNS depressants, otherwise known

as tranquilizers or sedatives, can be

divided into three groups, based on

their chemistry and pharmacology:

Barbiturates, such as mephobarbital

(Mebaral) and sodium pentobarbital

(Nembutal), are used as

preanesthetics, promoting sleep.

Benzodiazepines, such as diazepam

(Valium), alprazolam (Xanax), and

estazolam (ProSom), can be

prescribed to treat anxiety, acute

stress reactions, panic attacks,

convulsions, and sleep disorders.

Newer sleep medications, such as

zolpidem (Ambien), zaleplon

Addiction to prescription medication

is huge problem across the globe,

but how do you know which drugs

to look out for? Although many

different types of pills can lead to an

addiction, the classes most abused

tend to be opiods, depressants and

stimulants. Here are a few to treat

with caution:

Opiods:

Opiods are usually a type of

painkiller and compounds that fall

within this class include

hydrocodone (e.g., Vicodin),

oxycodone (e.g., OxyContin—an

oral, controlled-release form of the

drug), morphine, fentanyl, codeine,

and related medications. Morphine

and fentanyl are often used to

alleviate severe pain, while codeine

is used for milder pain. Other

examples of opioids prescribed to

Common prescription drug abuse – know the dangers

Contacts:

Life Pharmacy

Ibn Sina Building No. 27

Tel: 04 362 4802

www.lifehomehealthcare.com

German Center for Neurology &

Psychiatry

Bldg. no. 64, Block A, 2nd floor

Tel: 04 429 8578

www.gnp-dubai.com

not live, in the same way, without them. “It was not that long ago when infant mortality was much higher,” says Alden. “So, it could be said that many of us would not have made it to adulthood without modern medicine as it stands now. My father was born in 1933 before antibiotics and getting an infection back then was life threatening. We forget how far we have come in such a short amount of time.”

approaches to weight loss, such as changes in diet and exercise,” he says. Indeed, he admits, that there is a danger attached to these sort of compounds – especially as the individuals who require them are often low on confidence and can be vulnerable to exploitation. “Regarding the future use of dietary supplements for weight loss, standardized quality products and increased regulation of the dietary supplement industry are necessary if any of these products are to be recommended as part of a responsible weight-loss program.”

But for all their dangers, it is important to remember that modern medicine would not exists as we know it without the pharmaceuticals we use. We literally could

have found the acai berry antioxidants that may protect cells from damage caused by harmful molecules in the body called “free radicals,” and may possibly help against diseases such as heart disease and cancer. The Acai berry promotes weight loss by many different methods, reducing fat through a multi-pronged attack. Acai berry is also a great appetite suppressant.”

Nevertheless, it is vital to realize that treating any condition – obesity included – will not be done successfully by relying on over the counter conditions. “Patients who use weight-loss supplements may be highly motivated to lose weight, and we at Life Pharmacy try to harness this motivation to encourage more proactive and established

“In a way when you take a new medication you

are in a lab-like experiment… do your part in

controlling any possible variables”

the fruit, vegetables and cereals found in the healthy diet.”

To help identify customers using these supplements,Kishore typically asks his

pharmacists to ask overweight and obese patients questions in a non-judgemental manner questions – along the line of ‘have you tried, or considered trying, special diets,

(Sonata), and eszopiclone (Lunesta),

are now more commonly prescribed

to treat sleep disorders. These

medications are

nonbenzodiazepines that act at a

subset of the benzodiazepine

receptors and appear to have a

lower risk for abuse and addiction.

Stimulants

Stimulants increase alertness,

attention, and energy. They also

increase blood pressure and heart

rate, constrict blood vessels,

increase blood glucose, and open

up the pathways of the respiratory

system. They include amphetamines

such as Adderall or Dexedrine and

methylphenidate, such as Concerta,

Ritalin.

Source: National Institute on Drug

Abuse (US)

exercise programs, diet pills, herbs, or vitamins for weight loss?’. Often, he says, people are unaware of the benefits such treatments can contain.

One of the more effective treatments Kishore recommends is Hoodia – a herbal supplement that is used as a natural appetite suppressant. “In the last few years, hoodia has been heavily marketed for weight loss and has become immensely popular,” he says. “The active ingredient in Hoodia, P57, acts on the brain in a manner similar to glucose and sends the message that you are full even when you have not eaten, thus decreasing your desire to eat.”

Another relatively safe option for those looking for over the counter solutions is to consider acai berries, says Kishore, which is making a reputation for itself as one of the healthiest foods on the planet. “They’re supposed to be good for weight loss, anti-aging, and more,” he says. “Researchers

DRUG SAFETY DRUG SAFETY

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28 • May 2010 May 2010 • 29

Part of the process

NUTRITION NUTRITION

For many people, science’s role in the production of food is questionable at best. The rise of genetically modified crops, alongside the development of ever more scientific farming methods has meant that, over the past two decades, many foods have become much more durable, widely available and affordable. They have also become a lot more controversial, too.

Indeed, the overwhelming presence of chemicals in our daily foodstuffs has in turn

modern existence. After all, even those individuals who attempt to take an active role in only eating the most natural of food products have a good chance of coming into contact with the realities of modern farming methods.

Which perhaps helps explain the phenomenal rise of the ‘nutraceuticals’; those firms that have combined the techniques and scientific know-how of the scientific world and blended it with the tenets of good

nutrition. As a process it has been yielding impressive results for organisations such Natrol, which operates out of Dubai Healthcare City’s sister company, Dubiotech, the world’s first zone dedicated to biotechnology.

The company operates on the premise that even those of us who want to eat healthily could do with a little help from time to time. “Generally our eating patterns are based on tradition, trends and geographically easily available food,” explains Natrol’s M. Imran. “We all remember since our childhood popular phrase that ‘an apple a day will keep the doctor away’… but we need more than that.”

Imran argues that due to fast-paced modern lifestyles, not enough thought is given to nutrition. “Everybody seems in a race, which puts us under tremendous physical and mental stress,” he says. “We tend to care for everything but our health – most of us find it difficult to spare time for preparing and eating food during our busy schedule.” Moreover, he argues, the concept

Vendor qualification: By enforcing

strict vendor qualification programs,

such as an audit questionnaire or a

facility inspection companies like

Imran’s weed out the bad apples.

“As a result, Natrol has close

working relationships with a group

of trusted vendors,” Imran says.

Ingredient testing: “All

ingredients are carefully inspected

upon receipt, sampled, and held

under quarantine until analytical

testing is completed to confirm that

they meet all specifications for

purity, activity, and physical

characteristics,” says Imran. “Any

material that does not meet all

specifications is rejected.”

In-process testing: During the

manufacturing process, testing is

also conducted to assure that each

product conforms to exact

specifications, according to Imran.

Finished product testing: Once

products have finished the

manufacturing process, they

undergo final analytical testing to

ensure their safety, purity, and

activity levels. “Final testing includes

physical and chemical analyses and

microbiological testing,” adds

Imran. “Sensitive analytical testing

is also performed to ensure that our

products are below the legal limit

for heavy metals such as lead,

cadmium, arsenic, and mercury).”

Document control: “All aspects of

the quality program and test results

are thoroughly documented,” he

says. “Traceability of every

ingredient used in each of our

products is an absolute requirement

of our system.”

Record retention: All nutraceutical

companies keep their production

and testing records intact for

several years, in case any

complications develop over a long

period of time.

Regular quality audits: “Natrol

undergoes regular quality audits by

its licensing and certifying

agencies,” says Imran. “We also

conduct internal audits of our

procedures and processes to ensure

compliance within our

organization.”

Checklist: how manufacturers ensure ‘nutraceuticals’ are safe

Chemical engineering has been a controversial force in nutrition, but it can do good as well as harm

sparked something of a counterculture, with many individuals deciding to eat exclusively organic crops, believing, rightly or wrongly, that the involvement of pharmaceutical companies is having a detrimental affect on our health and the environment. But the story is far from straightforward.

In fact, while science can be applied to food production to maximize productivity, and ultimately profit, it can also be used to counter some of the difficulties of our

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30 • May 2010 May 2010 • 31

of what constitutes a healthy diet has been obscured by modern lifestyles. “Many of us attempt to eat a healthy and well balanced diet but even then our storage, cooking patterns and food growing and preserving methods may put us at a disadvantage,” he says. “There are various controversial techniques, which grow food faster ignoring sufficient nutritional value of the products. Many studies have shown that a diet that was once considered sufficient is not the same any more.”

The net result, he argues, is that we eat to fuel our activity, not to nourish our bodies. And it is here he believes that science has a

Nutrition Center. After all, there is a real risk people come to rely on supplements. “I don’t think a chemically engineered product can truly outperform nature when it comes to nutritional needs… in an ideal world, everyone would be eating a healthy and balanced diet and will be getting all the nutrients they need from food,” she says. “There are many more nutrients found in food then can ever be chemically engineered, and when you get the nutrients from the food they have a synergistic effect so that they actually provide the best effect.”

However, Kanaan agrees that most people do not get all of nutrients they need from nature and so supplements can fill the gap. “For example a person who smokes and does not eat any fruits is unlikely to be getting the

Contacts:

Advanced Nutrition Center

Bldg. no. 39, 1st floor

Tel: 04 362 2982

Natrol

Dubiotech, Bldg. no. 3, DIAC

Tel: 050 9801864, www.natrol.com

“Studies have shown that a diet that was once considered sufficient is not

the same any more”

food for an individual,” he says. “Various scientific techniques are used by experts to find out how the body type matches the food and if an individual is allergic or less tolerant to a particular food or food group.”

The idea is that if you can match the individual to their foods, then you make nutrition a more efficient process. Considering how much of modern diets revolve around coffee, fast food and snacks, it is easy to see why people might need a little extra to make sure they are receiving the nutrients they need. But as with all such products, there is a risk that nutraceuticals could be a fad, or could fail to catch on with the wider public.

Imran, for one, is not worried. “The nutraceutical industry is a very fast growing and trendy industry,” he says. “The industry’s primary focus is on life-style related issues, such as obesity, diabetes, joint health, heart health and total well-being. Most of the products are developed to serve the demand of these segments and they are marketed as specialty nutrition.” Indeed, he adds, the industry is also starting to win the medical profession around. “Many health practitioners now advise patients to combine specialty nutrition as a complementary treatment to help cure lifestyle related disease.”

But the nutraceutical phenomenon is down to more than good marketing, argues Imran: “Primarily nutraceuticals is a consumer driven industry – most of the products are based on demand and trends…. but the industry is based on scientific research and methodology.”

Nevertheless, consumer demand should always be tempered with expert advice, says Caroline Kanaan from the Advanced

role to play in redressing the balance. “We all agree that there is no substitute to natural healthy food and a balanced diet,” he admits. “But in given circumstances dietary supplements can be useful to substitute or complement the lack of essential nutrients. More and more people are advocating the use of food supplements. In western countries the majority of the population consumes some kind of food supplements on daily basis.”

Imran believes there is no reason that the principles of research science should not be applied to what we eat. “Every body has an immune system to fight against infections

and toxins,” he says. “And it is possible to strengthen our immune system to prevent all types of disease and illness by eating the right food. An immune system that is fed with proper nutrition will be much stronger to defend the body and improve our health.”

That may be true, but surely that can be achieved through following a healthy diet? Imran, of course, agrees, but argues that doing so can be an imprecise affair. “It has been proven that every individual has different body type, cells structure, metabolism etc…. [so] to optimize the benefits of food, science can help by clinical test and study that what is more suitable

“Many of us attempt to eat a healthy and well balanced diet but even

then our storage, cooking patterns and food growing and preserving

methods may put us at a disadvantage”

Vitamin C that they need – for them a Vitamin C supplement is a good idea,” she says. “For vegans who are avoiding meat and dairy products they are not getting and Vitamin B-12 from their food so they need to have a supplement. So vitamin and mineral supplements do actually play a big role especially when the person’s diet is poor in quality.”

NUTRITION NUTRITION

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32 • May 2010 May 2010 • 33

ALTERNATIVE MEDICINE ALTERNATIVE MEDICINE

The natural world

Considering their importance and centrality to modern medicine, it is no surprise that pharmaceutical companies are among the largest and most powerful organisations in the world. And while the drug development industry is responsible for some of the greatest steps forward in global healthcare, there are many who feel that prevailing medical wisdom is too dependent on pharmaceuticals. It is in common with much of the modern world, critics argue, than rather than address the causes of a problem, we, as a public, prefer to look to the pharmacists’ shelves, or the prescription pad, for a ‘miracle fix’.

There is plenty of evidence to suggest that the pharmaceutical industry can, indeed, provide seemingly miraculous treatment, but there is also a growing movement towards complementary and alternative medicine (CAM), as individuals look to a more naturalistic approach to their problems. And while CAM treatments in many ways outdate pharmaceuticals (some of its techniques can be traced back thousands of years), there is an element of modern homeopathy that is in opposition to our reliance on drugs.

“We believe that the body reacts against anything foreign that is introduced to it, including medication,” says Dr Mukesh Batra, from Dubai Healthcare City’s Dr Batra’s Homeopathic Clinic. “Through using conventional medication repeatedly, the body becomes resistant to the medication.” It is Batra’s contention that the more people use powerful pharmaceutical treatments, then the less effective they become. Indeed, he contends that we run the risk of developing serious side effects from following such treatments, and we can often find ourselves in worse position than prior to the treatment. “Say, for example, you take medication for constipation,” he says, “your body will work against the medication, and the constipation will come back worse than it was before.”

Homeopathy believes in diluting the concentration of treatments, or active ingredients, to the point where they pose no

When it comes to medical problems, pharmaceuticals aren’t the only option

potential harm to the patient taking them. This has led critics from allopathic, or traditional, medicine to dismiss such treatments as little more than “sugar pills” whose benefits owe more to the placebo effect than any serious science. Wherever you stand on the debate, though, it is true that homeopathy does have some advantages over the sometimes-risky world of pharmaceuticals. “Homeopathic medications are very safe,” reasons Dr Batra. “You can’t overdose on them, there are no side-effects and they don’t expire. Provided you keep them stored away from sunlight and strong smells, both of which can affect the action of the remedies, you can normally keep them for more than five years.”

Nevertheless, homeopathic pharmaceuticals do have similarities to their allopathic cousins. “Homeopathy too depends on homeopathic pharmaceuticals, where medicines are manufactured as per homeopathic pharmacopeia in accordance to international norms and FDA regulations,” says Batra. “The pharmaceutical concept in modern medicine is old; there are over 200 major, multinational companies in the field,” he points out. “Homeopathic pharmas are relatively new. There are only five or six homeopathic pharma multinationals today. Funding, research and development, and marketing are also comparatively small.”

Traditionally, homeopaths believed that homeopathic and allopathic pharmaceuticals

should not be used together, says Batra, as they believe in the theory of suppression. “For example, a cold, suppressed by modern medicine, may lead to asthma – likewise, the application of steroidal creams can suppress an eruption, and lead to flare-ups, or other unrelated illnesses, because the underlying factors, the real cause of the problem, or toxins, are not naturally expelled.”

Today, however, there is agreement that some ‘life-supportive’ conventional medicines can lead to drug-dependence – such as hypertension and diabetes. “Homeopathy can complement modern medicine in such cases,” says Batra. “The idea is to use the two together – and, gradually taper off conventional medications. This is like weaning, not stopping the conventional medicine suddenly.”

Another area in which there are growing calls for CAM treatment is fertility. For many would-be parents, unsuccessful attempts to conceive naturally can place an enormous strain on individuals and relationships. So it is no surprise that fertility drugs are one of the biggest markets worldwide, and are usually the first stop for any couple that is struggling to become pregnant. For one thing, they are usually much cheaper than processes such as in vitro fertilization. They typically work by causing the release of hormones that either trigger ovulation or regulate it.

There is, however, a movement within

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34 • May 2010 May 2010 • 35

The natural way

If there is one area where the line

between natural and

pharmaceutical treatments is

particularly blurry, then it has to be

in the field of skin care. One of the

largest cosmetic industries in the

world, manufacturers are typically

falling over each other in their

efforts to market their product as

being “natural” or for its “anti-

pharmaceutical” qualities. It is only

in a few cases that there is much

truth behind these claims, argues

Mona Mirza from DHCC’s Biolite

Skin Clinic. Indeed, despite a

growing demand for more natural

products, much of the cosmetic

industry is still based around

complex chemical formulas. “In the

past few years consumers have

started to question the safety of

parabens in their skin and body

care,” she says. “Parabens are

widely used as antimicrobial

preservatives for cosmetics… By

comparison, natural skin care

treatments are based from using

unique blends of botanically sourced

ingredients.”

True ‘natural’ products are

derived from plants , roots, flowers

and herbs, says Mirza, and they

combined with natural preservatives,

humectants , and emulsifiers to

function as rivals to other cosmetics.

And while they may have lost out to

cheaper, artificial products to begin

with, their presence is now being

accepted in the market. “Natural

treatments are now well

established,” she say. “As with all

areas of research more and more

knowledge is gained and new

information is forthcoming on a

regular basis.”

both CAM and allopathic medicine to suggest that the ancient Chinese practice of acupuncture can perform a central role to enabling these hormonal changes. Indeed, a study from the University of Maryland

recently found that, when used alongside or just before implantation, or immediately afterwards, acupuncture can boost IVF success rates by 65 per cent, claims Dr Shurong Mandaraki from DHCC’s Emirates Integrated Medical Center. “One of my patients tried IVF and it didn’t work for her,” she says. “Her doctors told her that she couldn’t get pregnant with her own eggs being implanted and that she would have to try donor eggs. She came to me and she is now pregnant naturally.”

Indeed, Mandaraki argues that acupuncture can play a role in boosting male fertility, too. According to a study from Shanghai University of Traditional Chinese Medicine, she says, the ancient process can significantly improve the quantity and the quality of sperm a man produces, even if he has unexplained infertility. Moreover, she adds, the use of CAM treatments throughout pregnancy is risk-free, she says. “During pregnancy, it can help with morning sickness,

Therapeutic Group Allopathic drug Homeopathic

remedy

Analgesics Co-dydramolParacetamol

MagnesiaPhosphoricum

Anti-asthmatic Salbutamol inhalerBeclometasone

Arsenicum Album

Anti-rheumatic Diclofenac retardIbuprofenPiroxicam

RhusToxicodendron

Cardiovascular PropranololNifedipine retard

Baryta Muriaticum

Diuretics AmilorideCo-amilofruse

Furosemide

NatrumSulphuricum

GI Tract FamotidineRanitidine

Nux Vomica

Hypnotics TemazepamZopiclone

Passiflora Incarnata

Laxatives IsabgolLactulose

Senna

Dr Batra’s alternatives

“Most homeopathic medicines can be used

during breastfeeding and pregnancy”

ALTERNATIVE MEDICINE ALTERNATIVE MEDICINE

“Homeopathic medications are very safe… you can’t overdose on them,

there are no side-effects and they don’t expire”

the acupuncturist with you throughout the labour, but yes, it would certainly help.”

The German Clinic’s Dr Muhammed Jaber agrees. “Most homeopathic medicines can be used during breastfeeding and pregnancy,” he says. There are, however, a few exceptions. “It is not advisable to use Phytolacca when breastfeeding because it can stop milk production, and that pregnant women should avoid Arnica oil, especially in the third trimester,” he says.

For many cases, it would be unwise to avoid the advice of evidence-based, allopathic physicians. But if treatment for a medical complaint – especially if it is chronic – is failing to deliver results, there is surely no harm in looking to the world of CAM for a second, or supplementary, option.

Contacts:

Biolite Skin Clinic Dubai

Al Razi Medical Centre,

Block C, 3rd floor, 3009

Tel: 04 375 2122

www.biolitedubai.com

Dr Batra’s Homeopathic Clinic

Bldg. no. 64, Block E

2nd floor, 2036

Tel: 04 4343981

Emirates Integrated Medical

Center

Bldg. no. 27

Block B, 4th floor

Tel: 04 362 4740

The German Clinic

Bldg. no. 64 Block A

2nd floor, Tel: 04 4298346

www.germanclinic-dubai.comstress, oedema (swelling). It can also help with labour pain – you would have to have

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36 • May 2010 May 2010 • 37

EXPERT PROFILE

DHCC’s new ‘super lab’ should transform the health city’s diagnostic capabilities

Diagnosing Dubai

EXPERT PROFILE

Contact:

Super Religare Laboratories

Bldg no. 64, Block A, 1st floor

1007-1008, Tel: 04 4483100

www.srlworld.com

have belonged to private hospitals and clinics – so many physicians outside of those organizations have been forced to send samples for non-routine tests abroad, often all the way to Europe. SRL Dubai, however, is currently undergoing the College of American Pathologists (CAP) accreditation programme, which is seen as the international benchmark for laboratories.

Once the process is complete, says Chaudhry, SRL Dubai will offer access to testing standards that have previously been available to the privileged few. “All the other facilities in the region that are accredited by CAP are within hospitals or clinics, so we will be the first independent facility,” he says. “In other words, we will be the first CAP-accredited lab that is available to everyone.”

DHCC has always been clear about its ambitions to stem the flow of patients leaving the UAE for treatment and with facilities like SRL coming to the freezone, that dream is coming closer to reality. Indeed, considering DHCC’s ambitions to act as a home for the entire spectrum of medical specialties, the presence of major on-site testing is a huge boost. “If you look at the profile of DHCC, and the types of clinics that are opening, then you will see it is very multi-disciplinary and I think when it is fully running there will be almost every speciality,” explains Chaudhry. “So if you are going to be the testing lab for DHCC then you really need to be versatile in terms of the tests you provide.”

Healthcare City. SRL is the largest clinical reference laboratory network in India and South East Asia, and Chaudhry believes the Dubai facility is a major step forward for the health city and its patients.

“SRL is one of the world’s largest diagnostic networks – out of the 4,800 tests that you can run on a person, we can deliver around 4,000 of them right here,” says Chaudhry. “Effectively, any test that needs done in DHCC we have the capability to do it. It is a very advanced laboratory and can perform the most basic tests and the most advanced. So if a clinic needs blood tests returned, or saliva analysis then we can do that. But we can also perform analysis of molecular biology, advanced genetics or genomics to name but a few.”

While there have been laboratories in the region before, most high quality facilities

“Out of the 4,800 tests that you can run on a person, we can deliver around

4,000 of them right here”

“We want to be able to offer these benefits to physicians in the region and

the population at large”

Of course, while DHCC was envisaged as a centre of excellence, its emphasis on the specialties meant that it would be able to help healthcare providers across the region as a referral location. So while Chaudhry’s decision to set up within the freezone itself makes perfect sense, his ambitions for SRL Dubai do not stop there. “We could have set this lab up anywhere, but I believe that if DHCC is going to be a true medical hub for the region it needs to have on-site testing – with that in mind, we have built the facility so that it is bigger than just the needs of DHCC,” he says. “We want to be able to offer these benefits to physicians in the region and the population at large.”

Diagnostics is the cornerstone of modern, evidence-based medicine and Dubai Healthcare City, it seems, recently got an upgrade. It doesn’t matter how talented, or how experienced, a doctor is: without accurate and speedy test results, patients can

be at risk of delaying treatment for what could be a serious and urgent medical issue.

Not any more, argues Dr Sanjeev Chaudhry, chief executive of Super Religare Laboratories (SRL), which has recently opened a major new laboratory at Dubai

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38 • May 2010 May 2010 • 39

PATIENT PROFILE

f itFightingHow post-op rehab helped one patient make it to boot camp

were doing before – I would never have known how far I could push myself, for example.”

After making a full recovery, Selina was thankful that she was able to return to exercise with great enthusiasm – that is, until she made it down to boot camp. “So after I finished the treatment from the California clinic, I went back and did boot camp,” she says. “My knee was the only part of me that held up!”

were treated very much like a client.”Originally from the UK, Selina says the

Dubai Healthcare City experience was quite a culture shock. “Compared to the UK, the difference was huge,” she says. “There the treatment target is 18 weeks. I was seen in two days.” But it was more than just a short wait, she insists. “What I really liked about the setup was that you were encouraged to take an active part in your health. Every time you entered the clinic, there are computer terminals where you can log on and update how you are getting and you feel like you’re taking responsibility for your progress.”

In her initial consultation, the clinic director, Dr Charles Jones, took Selina through the exact reasons that had necessitated her surgery. After that, they drew up a plan that would help her get back to exercising as soon as possible. “It was basically a three stage plan,” she says. “First, we would help regain the mobility in my knee region, which was still stiff and sore from the operation. Then we would build strength in the affected area, and then we had to get the knee so that it was exercise ready again. It was a very clear and structured plan, and I think that is why it was effective.”

The program took around four weeks and although the treatment made a material difference to Selina’s health, the main benefit, she says, was the confidence it gave her to return to exercise with a vengeance. “It was great, because I really felt that I needed that support to help me return to exercise,” she says. “When you are recovering from that sort of operation, it is difficult to know when you are safe to return to doing the things you

“It got to the point where I couldn’t walk, and I

really wasn’t sure either what was wrong or what

had caused it”

“What I really liked about the setup was that you were encouraged to take

an active part in your health”

Having moved to Dubai in January 2008, it was not long before Selina Haylock was making the most of the emirate’s somewhat eclectic array of sporting opportunities. Regularly skiing and playing tennis (never at the same time, it should be said), Selina, who works as a management consultant for Reputation Inc, was able to enjoy the best of summer and winter sports in the same week – or even the same day, on occasions.

Except, either on the slopes or on the court, she twisted her knee. And what initially seemed like a minor injury turned out to be rather serious indeed. “It got to the point where I couldn’t walk, and I really wasn’t sure either what was wrong or what had caused it,” she says. “In the end, I had to have keyhole surgery to address the problem.”

Due to the slow onset of the condition, and Selina’s hopes that it would sort itself out, it had been sometime since she was able to exercise. Determined to get back to her usual ways, one of the first things she did following the operation was enrol herself on Dubai’s infamous ‘boot camp’ exercise regime.

When she told the instructor of her recent operation, though, he recommended she consult a medical team before taking on the rigours of the course. Despite the initial disappointment, the advice turned out to be a blessing in disguise for Selina. “I decided to visit the California Chiropractic & Sports Medicine Center and from the moment I walked in it really wasn’t what I expected,” she says. “It was very friendly – almost like a family business – but at the same time you

Contact:

California Chiropractic and Sports

Medicine Center

Bldg. no. 64, Block A, 2nd floor

Tel: 04 429 8292

www.CaliforniaChirpracticCenter.com

PATIENT PROFILE

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May 2010 • 41

RECIPE

Comfort foodFood can have a genuine impact on mood levels – here are some of the top stress busting nutritional sourcesAsparagus High in folic adcid, asparagus can help to stabilize your mood. When the body is stressed, it releases hormones that affect your mood. Food sources rich in folic acid and B vitamins can help keep your mood steady because they’re needed to make serotonin, which is a chemical that directly affects mood in a positive way.

Beef

Sometimes associated with negative health headlines, beef is actually packed with high levels of zinc, iron, and B vitamins, all of which are help stabilize your mood. If you’re worried about fat content, you can always stick to leaner cuts.

Milk

High in antioxidants and vitamins B2 and B12, as well as protein and calcium milk is a true super food. Starting the day with a bowl of whole-grain cereal and low-fat milk is one of the best ways to keep stress levels in check.

Almonds

Almonds’ woody texture can make the very act of eating them a relaxing process. But crunching into almonds does more than let the aggression out, as they are also a great source of Vitamin B2 and E, as well as magnesium and zinc.

Source: www.mental-emotionalhealth.com

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HEALTH DIRECTORY

42 May 2010 May 2010 • 43

HEALTH DIRECTORY

ALLERGY & IMMUNOLOGY

Bassam Hasan MahboubDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

ANATOMIC AND CLINICAL PATHOLOGY

Shweta UppalSuper Religare Laboratories (SRL)Bldg no. 64, Block A, 1st floor1007-1008, Tel: 04 4483100www.srlworld.com

ANESTHESIOLOGY

Adnan Al-BahraAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

Sylvie Catherine BalquetThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Celeste BarrowThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Piet BekaertBelgium Medical ServicesBldg. no. 27 Block B5th floor, Tel: 04 362 4711

Leon Du PreezThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Hanna GattnerThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Sadik KodakatThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Kavita MordaniThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Ziad NesnasBelgium Medical Services, Bldg. no. 27 Block B, 5th floor, 506, Tel: 04- 3624711

Salim Taher SherllalahThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Khaled TibarThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

CARDIOLOGY (INTERVENTIONAL)

Fahad BaslaibDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

CARDIOVASCULAR DISEASE

Naeem Khan TareenAmerican Heart CenterBldg. no. 64, 1st floorTel: 04 437 0670

CRITICAL CARE MEDICINE

Asad Al SabbahThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Muhammad AliThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

DERMATOLOGY

Anwar Al HammadiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Suad Abdalla Lutfi AliDr Suad Lutfi Dermatology and Laser ClinicBldg. no. 27, Block A2nd floor, Tel: 04 429 8488

Mine Burcu BarutcuogluAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

Fadi Gebran HaddadDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Carol LecartBelgium Medical ServicesBldg. no. 27, Block B, 5th floorTel: 04 362 4711

EMERGENCY MEDICINE

Yesha BarkerThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

ENDOCRINOLOGY

Fatma Al MarashiSymbiosis HealthcareBldg. no. 27, Block A, 2nd floor, 203Tel: 04 362 4955www.medicentres.org

Omar Oqlah Hussein DhaimatDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Amel Bushra El-TayebThe Diabetes and Endocrine Center Bldg. no. 64, Block A, 1st floorTel: 04 375 2344, 04 375 2345

Naji Torbay KhouryWeight Care ClinicBldg. no. 64, Block A 2nd floorTel: 04 363 5395

Iyad KsseiryThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Bahaeldeen LazThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Rita NawarWeight Care ClinicBldg. no. 64, Block A, 2nd floorTel: 04 363 5395

FAMILY MEDICINE

Hanan Al HammadiDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Basmah Othayeb Al RowailyDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Firas Bassam AmawiDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Gordon Robert BlandDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Mona CherifBelgium Medical ServicesBldg. no. 27, Block B, 5th floorTel: 04 362 4711

Anne Besse de LaromiguiereISIS-The French ClinicBldg. no. 64, Block C, 3rd floor Tel: 04 429 8450www.isisclinicdubai.com

Andrew DevineThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Delphine DupuisSymbiosis HealthcareBldg. no. 27, Block A, 2nd floor, 203Tel: 04 362 4955, www.medicentres.org

Anees FatimaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Jack FernandesHealth Call, Bldg. no. 27, Block B 5th floor, Tel: 04 363 5343 www.health-call.com

Rola Ali HassanDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Fatima IbragimovaHealth Call, Bldg. no. 27, Block B5th floor,Tel: 04 363 5343www.health-call.com

Zoukhra IbragimovaHealth CallBldg. no. 27, Block B5th floor, Tel: 04 363 5343www.health-call.com

Tasnim Aamir KhanThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Sabine LavalouISIS-The French ClinicBldg. no. 64, Block C, 3rd floor Tel: 04 429 8450www.isisclinicdubai.com

Mavluda McDonnelHealth Call, Bldg. no. 27, Block B5th floor, Tel: 04 363 5343www.health-call.com

Katrien Van SteijnBelgium Medical ServicesBldg. no. 27, Block B, 5th floorTel: 04 362 4711

GASTROENTEROLOGY

Adnan M. Abu HammourAbuhamour Medical CenterBldg. no. 39, 1st floor, Tel: 04 363 5353

Saeed Salem Ali Mohamed Al ShaikhDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Peter BarrowThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Wael DahhanThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Rahul Anand NathwaniAbuhamour Medical Center Bldg. no. 39, 1st floor, Tel: 04 363 5353

Tareck SalehDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

All practitioners listed are located at Dubai Healthcare City

GENERAL PRACTICE

Firas Al WahebHealthExcel Medical Center Bldg. no. 27, Block A, 6th floor Tel: 04 363 5330, www.healthexcel.ae

Antonio ArmaniAlvi Armani, Bldg. no. 27 Block D, 1st floor, Tel: 04 362 4939www.alviarmani.com

Sara ArmaniAlvi Armani. Bldg. no. 27, Block D 1st floor, Tel: 04 362 4939www.alviarmani.com

Muna Ahmed Mohamed BassayThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

James BradstreetChild Early Intervention Medical CenterBldg. no. 64, Block B, 2nd floor, 2010, Tel: 04 423 3667, www.childeimc.com

Sanu Scariah CherianThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Bernhard FischerAesthetica ClinicBldg. no. 39, 2nd floor, Tel: 04 429 8533www.aestheticaclinic.com

Chaouki GhamloucheDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Nizamuddin GulshaThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Shakeel IsmailThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Patricia KilianThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Alan Denis KourieThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Basel KretThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Radha LachhiramaniImperial Healthcare InstituteBldg. no. 27, Block A, 1st floorTel: 04 439 3737

Sinem LarsenAesthetica ClinicBldg. no. 39, 2nd floor, Tel: 04 429 8533 www.aestheticaclinic.com

Cristina Mures-BautistaAesthetica ClinicBldg. no. 39, 2nd floor, Tel: 04 429 8533www.aestheticaclinic.com

Zubin Marzban NalladaruThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Vinod Kumar Kesavan NamboorthriThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Nasir NawasrehThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Johannes Van DijkThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Margaretha Van SpronsenHealth CallBldg. no. 27, Block B, 5th floorTel: 04 363 5343, www.health-call.com

Vijay Chander VinodThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

GENERAL SURGERY

Kamal AbusinAbuhamour Medical CenterBldg. no. 39, 1st floorTel: 04 363 5353

Annett Al HamadiThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Ziad AlmazamDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Diethart Wolfram BayerGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Khalid HameedThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Shahreyar HashemiCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A, 2nd floorTel: 04 429 8292 www.CaliforniaChiropracticCenter.com

Faisal IkramThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Richard ReyesThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Mohamed Sheikh-SobehDr Sobeh’s ClinicBldg. no. 27, Block A, 7th floorTel: 04 362 4833, www.healthexcel.ae

Shefali VermaSymbiosis HealthcareBldg. no. 27, Block A, 2nd floor, 203Tel: 04 362 4955,www.medicentres.org

Tahsin WahebHealthExcel Medical Center Bldg. no. 27, Block A, 6th floor Tel: 04 363 5330, www.healthexcel.ae

Gabi Mikhail WazzDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

HEMATOLOGY

Maher Al HilaliThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

INTERNAL MEDICINE

Hanspeter Michael AugustinGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Lynn EckertThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Amer HelbaouiISIS - The French Pediatric Clinic Bldg. no. 64, Block C, 3rd floor Tel: 04 429 8450www.isisclinicdubai.com

Dr. Hyungjin KimSamsung Medical CenterBldg no 27, Block B, 1st floorTel: 04 449 5454, www.smcindex.ae

Saiyada MirzaDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Knut Martin PfeiferGerman Medical CenterBldg. no. 27, Block B3rd floor, Tel: 04 362 2929www.germanmedicalcenterdhcc.com

Hassan SaradithAbuhamour Medical CenterBldg. no. 39, 1st floor, Tel: 04 363 5353

Ji Hyun YangSamsung Medical CenterBldg no 27, Block B, 1st floorTel: 04 449 5454, www.smcindex.ae

INTERVENTIONAL CARDIOLOGY

Zuhair El Tayeb AhmedThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Caspar BoernerGerman Heart Center-BremenBldg. no. 39, 2nd floor, Tel: 04 362 4797

Nikolaos Byron KalliatakisThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Klaus Thomas KallmayerGerman Heart Center-BremenBldg. no. 39, 2nd floor, Tel: 04 362 4797

Hans Helmut LangeGerman Heart Center-Bremen Bldg. no. 39, 2nd floor, Tel: 04 362 4797

Rajeshkumar RaipancholiaHeart First Medical CenterBldg. no. 27, Block A, 2nd floorTel: 04 429 8298

Beate WildGerman Heart Center-BremenBldg. no. 39, 2nd floor, Tel: 04 362 4797

Naji YazbekDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

MICROBIOLOGY

Handan CelilogluThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Horst Guenter MaxeinerMEDLABBldg. no. 27, Block A, 7th floor Tel: 04 362 2960www.medlab.ae

MIDWIFE

Wilhelmina BrandtThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Mahnaz GolshanFetal Medicine and Genetic Screening Center, Bldg. no. 392nd floor, 211, 212, Tel: 04 360 4040www.my-baby.net

Kistammah GovindasamyThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Asena LoloheaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Masoomeh NavabiThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Saintini ScariaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Jane Faith StewartThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Annalize TheronThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Suzanne Van Der MerweThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Titilia VunidakaiThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Elmaree WentzelThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Dorothea ZulchThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

NEONATAL-PERINATAL MEDICINE

Farrukh JavedThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Rima MounlaThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Amal ZubaniThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

NEPHROLOGY

Mustafa Jamal AhmedThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

NEUROLOGY

Arne BrosigGerman Center for Neurology & Psychiatry Bldg. no. 64, Block A, 2nd floorTel: 04 429 8578, www.gnp-dubai.com

Deeb Maxwell KayedThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Hartmut Herbert KollikowskiGerman Center for Neurology & Psychiatry Bldg. no. 64, Block A, 2nd floorTel: 04 429 8578, www.gnp-dubai.com

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HEALTH DIRECTORY

44 May 2010 May 2010 • 45

HEALTH DIRECTORY

Elena RajdaGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929www.germanmedicalcenterdhcc.com

NEUROLOGICAL SURGERY

Haluk DedaHalman NeurotherapyBldg. no 64, Block B&C, 6th floorTel: 04 439 3575

Amr Mohamed SarwatThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

NUTRITION

Hala Hussein Ibrahiem Abu TahaDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Sara AdhamiThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Caroline KanaanAdvanced Nutrition CenterBldg. no. 39, 1st floor, Tel: 04 362 2982

Kelly LynchThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Nadiah MoussaviAbuhamour Medical CenterBldg. no. 39, 1st floor, Tel: 04 363 5353

Nabila ShafqatSymbiosis HealthcareBldg. no. 27, Block A, 2nd floor, 203Tel: 04 362 4955www.medicentres.org

Rana Mohd ShehadehAdvanced Nutrition CenterBldg. no. 39, 1st floor, Tel: 04 362 2982

Dana WehbiWeight Care ClinicBldg. no. 64, Block A2nd floor, Tel: 04 363 5395

OBSTETRICS & GYNECOLOGY

Badr El Din Ibrahim AhmedFetal Medicine and Genetic Center Bldg. no. 39, 2nd floorTel: 04 360 4040, www.my-baby.net

Rihab AwadMitera Clinic, Bldg. no. 64, Block C 5th floor, Tel: 04 363 5464www.miteraclinic.com

Yuliya BurmaginaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Elsa Maria De Menezes-FernadesThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Mohamad El KalyoubiDubai Gynecology and Fertility Center (DG&FC), Bldg. 64, Block D, 1st floor Tel: 04 439 3800

Ibrahim ElrahmanThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Najat Adel HazimehDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Karl Heinz-BroerGerman Clinic, Bldg. no. 64, Block A2nd floor, Tel: 04 429 8346www.germanclinic-dubai.com

Mohamed IbrahimMitera ClinicBldg. no. 64, Block C5th floor, Tel: 04 363 5464www.miteraclinic.com

Muhammad JaberGerman ClinicBldg. no. 64, Block A 2nd floor, Tel: 04 429 8346 www.germanclinic-dubai.com

Ekaterina KaloyanovaThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Aspasia MichalopoulouGerman ClinicBldg. no. 64, Block A 2nd floor, Tel: 04 429 8346 www.germanclinic-dubai.com

Gaby Michel KhayataDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Wael MadkourDubai Gynecology and Fertility Center (DG&FC), Bldg. 64, Block D, 1st floor Tel: 04 439 3800

Liselotte MettlerGerman Medical Center, Bldg. no. 27 Block B, 3rd floorTel: 04 362 2929www.germanmedicalcenterdhcc.com

Afshin Pour MirzaFetal Medicine and Genetic Center Bldg. no. 39, 2nd floorTel: 04 360 4040, www.my-baby.net

Amir NasseriN9ne Medical InstituteBldg. no. 64, Block E, 1028 Tel: 04 449 9944, www.9medical.com

Wedad SadeqGerman Clinic, Bldg. no. 64, Block A 2nd floor, Tel: 04 429 8346 www.germanclinic-dubai.com

Farideh Safai-ElahiGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Wael Musa SammurGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Rosalie SantPrimavera Medical CentreBldg. no. 64 Block A3rd floor, Tel: 04 375 4669After hrs: +971 50 5530 116

Saoussen Sayhi-KouteichBelgium Medical ServicesBldg. no. 27 Block B5th floor, Tel: 04 362 4711

Helina Zghebeth TaylorDr. Sulaiman Al Habib Medical Center DubaiBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Hena ZaheerDubai Gynecology and Fertility Center (DG&FC), Bldg. no. 64Block D, 1st floor, Tel: 04 439 3800

OCCUPATIONAL THERAPIST

Stuart CarterThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Jennifer NelsonChild Early Intervention Medical Center Bldg. no. 64, Block B, 2nd floorTel: 04 423 3667www.childeimc.com

Gurkamal PuniaChild Early Intervention Medical Center Bldg. no. 64, Block B, 2nd floorTel: 04 423 3667, www.childeimc.com

Laxmi ShresthaStepping Stones Center for Autistic Spectrum DisorderBldg. no. 64, Block A, 2nd floorTel: 04 363 5433 www.steppingstonesca.com

Lisa ToughThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

OPTHALMOLOGY

Walid Mohamed AbdallaMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64Block E, 2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Mohamed Abdel HalimMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Safwan Al BayatiImperial Healthcare InstituteBldg. no. 27, Block A, 1st floorTel: 04 439 3737

Ammar Fouad Issa Al-JashaamiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Abdulsalam Al NaqiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Walid Al TurkiMagrabi Eye HospitalBldg. no. 64, Block E2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Mustafa Ibrahim AlyMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Mohammad AnwarMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Edmondo BorasioMoorfields Eye Hospital Dubai Bldg. no. 64, Block E3rd floor, Tel: 04 429 7888 www.moorfields.ae

Christopher Randall CanningMoorfields Eye Hospital Dubai Bldg. no. 64, Block E, 3rd floorTel: 04 429 7888, www.moorfields.ae

Boughram Srinivas ChidamberThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Giorgio CusatiImperial Healthcare Institute Bldg. no. 27, Block A1st floor, Tel: 04 439 3737www.imperialhealth.org

Ahmed El KhashabMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E2nd floor, Tel: 04 4370606 www.magrabihospitals.com

Tamer Mohamed El RaggalLaser Eye Care and Research Bldg. no. 27, Block B, 4th floorTel: 04 362 2955, www.lazer_i.com

Samir Georges FarahDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Vinod Gauba Imperial Healthcare Institute Bldg. 27, Block A, 1st floorTel: 04 439 3737www.imperialhealth.org

Mohamed Hesham AlyMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Tarek IbrahimMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E2nd floor, Tel: 04 4370606 www.magrabihospitals.com

Mustafa Ibrahim AlyMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E2nd floor, Tel: 04 437 0606 www.magrabihospitals.com

Christian-Peter KleczkaLaser Eye Care and Research Bldg. no. 27, Block B, 4th floorTel: 04 362 2955, www.lazer_i.com

Bertram Richard MeyerLaser Eye Care and Research Bldg. no. 27, Block B, 4th floor Tel: 04 362 2955, www.lazer_i.com

Renata PuertasMoorfields Eye Hospital DubaiBldg. no. 64, Block E, 3rd floor Tel: 04 429 7888, www.moorfields.ae

Charlie QanawatiSharif Eye CentersBldg. no. 27, Block D1st floor, Tel: 04 423 3664 www.sharifeyecenter.com

Prasan Madhukar RaoThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Anupama Prasan RaoThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Zahra RastegarMoorfields Eye Hospital DubaiBldg. no. 64, Block E, 3rd floorTel: 04 429 7888, www.moorfields.ae

Seyed SajjadiLaser Eye Care and Research Bldg. no. 27, Block B, 4th floorTel: 04 362 2955, www.lazer_i.com

Anwar Hamdan SajwaniLaser Eye Care and ResearchBldg. no. 27, Block B, 4th floor Tel: 04 362 2955, www.lazer_i.com

Hassan SalimMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E, 2nd floorTel: 04 4370606, www.magrabihospitals.com

Gianandrea SciscioMoorfields Eye HospitalBldg. no. 64 Block E, 3rd floorTel: 04 429 7888, www.moorfields.ae

Khaled Walid SharifSharif Eye CentersBldg. no. 27, Block D1st floor, Tel: 04 423 3664www.sharifeyecenter.com

Ashraf Mohamed ShoukryMagrabi Eye HospitalBldg. no. 64, Block E2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Gurdeep SinghThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Hisham Hamdy SolimanMagrabi Eye HospitalBldg. no. 64, Block E, 2nd floor, 2038Tel: 04 437 0606, www.magrabihospitals.com

David Tsang TseMagrabi Eye HospitalBldg. no. 64, Block E2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Alain Philippe TelandroMagrabi Eye HospitalBldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Rima Bitar VollmerDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Pramod WarhekarThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

OPTOMETRIST(EYESIGHT CALIBRATION)

Osama Khalil Abdel HafizMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Francoise Abi NaderDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Suni AshishThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Enaida EstebanMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Juliet JoseThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Irene Sophia JosephThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Lina JouhaSharif Eye CentersBldg. no. 27, Block D1st floor, Tel: 04 423 3664www.sharifeyecenter.com

Derakani Kumar Moorfields Eye HospitalBldg. no. 64, Block E, 3rd floorTel: 04 429 7888, www.moorfields.ae

Seeji Mathew Moorfields Eye HospitalBldg. no. 64, Block E, 3rd floorTel: 04 429 7888, www.moorfields.ae

Sheila PuaMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Heily SantosMagrabi Eye Hospital – Outpatient Surgery CenterBldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

John SteileMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

Eden VergaraMagrabi Eye Hospital – Outpatient Surgery Center, Bldg. no. 64, Block E 2nd floor, 2038, Tel: 04 437 0606www.magrabihospitals.com

ORTHOPEDIC SURGERY

Saeed Ali AlthaniAbuhamour Medical Center Bldg. no. 39, 1st floor, Tel: 04 363 5353

Ali Al BelooshiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

John Charles BouillonCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A, 2nd floorTel: 04 429 8292 www.CaliforniaChiropracticCenter.com

Zbigniew J. BrodzinskiDubai Bone & Joint Center Bldg. no. 64, Block F, 1st floor Tel: 04 423 1400, www.dbaj.ae

Karsten DennerGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Gert GraebnerGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Nabil HamdanDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Shah Alam KhanDubai Bone & Joint Center, Bldg. no. 64, Block F, 1st floor Tel: 04 423 1400 www.dbaj.ae

Achim Ernst Hermann LuethGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

William D. MurrellDubai Bone & Joint CenterBldg. no. 64, Block F, 1st floorTel: 04 423 1400, www.dbaj.ae

Michael OpitzThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Michael Van SteijnDubai Bone & Joint CenterBldg. no. 64, Block F1st floor, Tel: 04 423 1400www.dbaj.ae

Gerald ZimmermannGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

OTOLARYNGOLOGY (EARS, NOSE, THROAT)

Ayman Al FraihatDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Abdul AleemThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Mohammed Al HammadiDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 4297777www.drsulaimanalhabib.com

Marcus HambekGerman Medical CenterBldg. no. 27 Block B3rd floor 302, Tel: 04 3622929www.germanmedicalcenterdhcc.com

Firas Ahmad HamdanAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Edmon Pierre KhouryAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

Christoph LammGerman Medical CenterBldg. no. 27 Block B3rd floor 302, Tel: 04 3622929www.germanmedicalcenterdhcc.com

Joachim SpaethGerman Medical CenterBldg. no. 27 Block B3rd floor, 302, Tel: 04 362 2929 www.germanmedicalcenterdhcc.com

PATHOLOGY

Hala AbdelazizThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Ayad Abdul Al AjeelSalus Referral LaboratoryBldg. no. 64 Block C, 1st floor, 1013Tel: 04 425 5793, www.salus.ae

Johann ArnoldMEDLABBldg. no. 27, Block A, 7th floorTel: 04 362 2960, www.medlab.ae

Amar Das GuptaSuper Religare Laboratories InternationalBldg no. 64, Block A, 1st floor 1007-1008, Tel: 04 4483100www.srlworld.com

Aaron HanDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Veronique JacomoDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Michael LouwDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Kuosai MansuoreMEDLABBldg. no. 27, Block A, 7th floorTel: 04 362 2960, www.medlab.ae

PEDIATRIC

Alya Zia AhmadThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Taref Al AbedDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Hassan Al DhahrabiDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 4297777www.drsulaimanalhabib.com

Zakieh Awni Zohdi Al JaioussiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Sameer Al SajwaniDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 4297777www.drsulaimanalhabib.com

Ibrahim Al ZahraniThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Kathrin Christine FöheISIS - The French ClinicAl Razi Bldg. no. 64,Block D, 3016, Tel: 04 429 8450www.isisclinicdubai.com

Zainab MalikThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Pierre MajdalaniDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 4297777 www.drsulaimanalhabib.com

Marie-France PetermansBelgium Medical ServicesBldg. no. 27, 5th floor, Tel: 04 362 4711

Nawar Tayara SayedISIS - The French ClinicAl Razi Bldg. no. 64, Block D, 3016Tel: 04 429 8450, www.isisclinicdubai.com

Rajeshree SinghaniaSinghania ClinicBldg. no. 64, Block A, 1st floorTel: 04 429 8498 www.singhaniachildernsclinic.com

Thomas TroesterISIS - The French Clinic Al Razi Bldg no 64, Block D, Clinic 3016Tel: 04 429 8450www.isisclinicdubaicom

PEDIATRICS – PULMONOLOGY (RESPIRATORY)

Pierre Ernest MajdalaniDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

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HEALTH DIRECTORY

46 May 2010 May 2010 • 47

HEALTH DIRECTORY

Asif SattarThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

RADIOLOGY (X-RAY)

Priyadarshini ChaudharyThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Alexandra Antonia Magdalini EconomacosThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Margaret Linny AustinDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Jameel Ahmed NazeerDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Mohamad Moussa PachaThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Wolfgang Friedrich WilhelmDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

REPRODUCTIVE ENDICRONOLOGY / INFERTILITY

Awatif Juma Al-BaharDubai Gynecology & Fertility CenterBldg. 64, Block D, 1st floorTel: 04 439 3800, www.dgfc.ae

RHEUMATOLOGY

Waleed Al ShehhiDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

SPORTS MEDICINE

Saeed Ali Al ThaniAbuhamour Medical CenterBldg. no. 39, 1st floorTel: 04 363 5353

William MurrellDubai Bone and Joint CenterBldg. no. 64 Block F, 1st floor, 1020Tel: 04 423 1400, www.dbaj.ae

THORACIC SURGERY

Obaid Mohammed Al JassimThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Andre WesselsThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

UROLOGY

Jen Erik AltweinGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Dimitrios BorousasMedical Group PracticeBldg. no. 64, Block A2nd floor, 203, Tel: 04 4281413

Mohamed El HowairisThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Osama JaberDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Ashraf Aly KamelGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Faisal KhokhardiDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Konstantinos KonstantinidisMedical Group PracticeBldg. no. 64 Block A2nd floor, 203, Tel: 04 4281413

Martin Josef PetschGerman Medical CenterBldg. no. 27, Block B3rd floor, Tel: 04 362 2929 www.germanmedicalcenterdhcc.com

Semir Ahmad SalimProfessor Al Samarrai Medical Center Bldg. no. 64, Block D, 2nd floor Tel: 04 295 1119

Zuhair Hadi SikafiThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

VASCULAR AND INTERVENTIONAL RADIOLOGY

Jaikishan Pahumal MordaniThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

VASCULAR SURGERY

Ali JawasVein Care and Surgery CenterBldg. no. 64, Block E, 2025Tel: 04 434 3000

Complementary and Alternative Medicine – CAM

MEDICAL DOCTOR OF CAM – ACUPUNCTURE

Shurong Jiang MandarakiEmirates Integrated Medical CenterBldg. no. 27, Block B4th floor, Tel: 04 362 4740

DOCTOR OF CAM – CHIROPRACTIC

Niveen El-SalehCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A2nd floor, 2007, Tel: 04 429 8292www.CaliforniaChiropracticCenter.com

Charles Winning JonesCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A2nd floor, 2007, Tel: 04 429 8292www.CaliforniaChiropracticCenter.com

Gerald Nastasia JrCalifornia Chiropractic And Sports Medicine CenterBldg. no. 64, Block A, 2nd floorTel: 04 429 8292 www.CaliforniaChiropracticCenter.com

DOCTOR OF CAM - HOMEOPATHY

Tabassum InamdarDr Batra’s Homeopathic ClinicBldg. no. 64, Block E2nd floor, 2036, Tel: 04 4343981www.drbatras.com

Usha KhatriDr Batra’s Homeopathic ClinicBldg. no. 64, Block E2nd floor, 2036, Tel: 04 4343981www.drbatras.com

DOCTOR OF CAM - NATUROPATHY (HERBAL MEDICINE)

Daria HomayounfarGerman Medical CenterBldg. no. 27, Block B3rd floor, Tel: 04 362 2929 www.germanmedicalcenterdhcc.com

MEDICAL DOCTOR OF CAM - OSTEOPATHY

Naomi HartSymbiosis HealthcareBldg. no. 27, Block A2nd floor 203, Tel: 04 3624955www.medicentres.org

Muhammed Aleem MirzaSymbiosis HealthcareBldg. no. 27, Block A2nd floor, 203, Tel: 04 3624955www.medicentres.org

CAM INSTRUCTOR - MASSAGE THERAPIST

Susanna RiveiroCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A2nd floor 2007, Tel: 04 429 8292www.CaliforniaChiropracticCenter.com

Dentistry

DENTAL HYGIENIST

Ian Victor AquinoBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Victoria BorasioThe UK Dental ClinicBldg no. 64, Block C3rd floor, Tel: 3635371www.ukdentalclinic.com

Ali GhasemiDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Abir George MassouhDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Mustafa MusaBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Christine Fay SimpsonDr. Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, 302 Tel: 04 362 4787www.dubaipostgraduate.com

ENDODONTICS

Zuhair Zuhdi Al-KhatibDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Sami Mohd ChogleBoston Univ. Dental Health CenterBldg. no. 34, Grd floor Tel: 04 424 8777, www.budubai.ae

GENERAL DENTISTRY

Homan Naeimi AkbarDentCare Center InternationalBldg. no. 27, Block A, 205Tel: 04 437 0111, www.dentcare.ae

Anila AliTower ClinicBldg. no. 27, Block D, 1st floorTel: 04 362 2939, 04 3694 990www.towerclinic.com

Zahra Al JadidiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 4297 777 www.drsulaimanalhabib.com

Mohamad AssoudDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 4297 777 www.drsulaimanalhabib.com

Shehnaz AzharDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 4297 777 www.drsulaimanalhabib.com

Doaa BedewyAmerican Medical & Dental Center Bldg no.64, Block A, 1st floorTel: 04 374 8428

Dominique CaronVersailles Dental Clinic Bldg no. 64, Block A, 1st floorTel: 04 4298288www.versaillesdentalclinic.com

Mathieu Julien GabrieleHollywood Smile ClinicBldg. no. 64, Block C3rd floor, Tel: 04 423 3634

Dusko GedosevDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Reinoudt Peter GeertsemaDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Lina HamdanHollywood Smile ClinicBldg. no. 64, Block C3rd floor, Tel: 04 423 3634

Stewart HardingThe Dental CenterBldg. no. 64, Block F4th floor, Tel: 04 375 2175 www.the-dental-center.com

Zahid HussainThe Dental CenterBldg. no. 64, Block F4th floor, Tel: 04 375 2175 www.the-dental-center.com

Nawar Tayara SayedISIS - The French ClinicAl Razi Bldg. no. 64 Block D, 3016, Tel: 04 429 8450www.isisclinicdubai.com

PEDIATRIC SURGERY

Mamoun Al MarzouqiDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 4297777 www.drsulaimanalhabib.com

Patrick BalquetThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

PHARMACIES

Mulham Al-RijlehMoorfields Eye Hospital DubaiBldg no. 64, Block E, 3rd floorTel: 04 429 7819

Nidal A BakiNakheel PharmacyBldg no. 26, Grd floorTel: 04 437 0530

Latheesh ChakkadathBin Sina PharmacyBldg no. 55, Grd floorTel: 04 429 8242

Malak Mohammed NazhatThe Medicine Shoppe PharmacyBldg no. 64, Block A, Grd floorTel: 04 429 8294

Harish RamachandranPanacea PharmacyBldg no. 64, Block D, Grd floorTel: 04 434 3920

George Youssef RiskallaThe City Hospital PharmacyBldg no. 37, Grd floor, Tel: 04 435 9999

Marwah TarabichiLIFE Health GroupBldg no. 27, Block D, Grd floorTel: 04 362 4802

PHYSICAL THERAPY

Jon Santiago AbregoCalifornia Chiropractic and Sports Medicine CenterBldg. no. 64, Block A2nd floor, 2007, Tel: 04 429 8292www.CaliforniaChiropracticCenter.com

Isam Ali Al MikhiDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Laleh AstanehPhysiocare, Bldg. no. 64 Block B, 2nd floorTel: 04 429 8560www.physiocare.ae

Shiela L BanasDubai Bone & Joint CenterBldg. no. 64, Block F1st floor, Tel: 04 4231400www.dbaj.ae

Neasa Kathleen BarryThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Rashid BuhariDubai Bone & Joint CenterBldg. no. 64, Block F1st floor, Tel: 04 4231400www.dbaj.ae

Mildred CastilloSportsFit, Bldg. no. 27, Block A 6th floor, 604, Tel: 04 428 1455 www.sportsfit.net

Jennifer CrabbeThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Zarin DumasiaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Teresa Du PlessisThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Meredith EdlundThe Physio CenterBldg. no. 49, 4th floorTel: 04 4370570, www.physiocentre.ae

Ahmed El HadidyGerman Medical CenterBldg. no. 27 Block B, 3rd floorTel: 04 362 2929 www.germanmedicalcenterdhcc.com

Amy EllisThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Anh-mai FaujourBelgium Medical ServicesBldg. no. 27, Block B, 5th floorTel: 04 362 4711

Anne-Elisabeth FilereISIS - The French ClinicAl Razi Bldg. no. 64 Block D, 3016Tel: 04 429 8450, www.isisclinicdubai.com

Christine Jennifer ForbesThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Karen GeorgeSportsFit, Bldg. no. 27, Block A 6th floor, 604, Tel: 04 428 1455 www.sportsfit.net

Hayley Jane GroveThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Fatemeh Ziba KazemiPhysiocare, Bldg. no. 64 Block B, 2nd floorTel: 04 429 8560, www.physiocare.ae

Virginia KellyThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Beckie KhawajaThe City Hospital, Bldg. no. 37Tel: 04 435 9999, www.thecityhospital.com

Maricel MendozaDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Beverly Ann O’SullivanSportsFitBldg. no. 27, Block A, 6th floor, 604Tel: 04 428 1455, www.sportsfit.net

Nenita PescadorSportsFit, Bldg. no. 27, Block A 6th floor, 604, Tel: 04 428 1455 www.sportsfit.net

Catharina PortwigThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Rincy SamSportsFit, Bldg. no. 27Block A, 6th floor, 604Tel: 04 428 1455, www.sportsfit.net

Mercy San JoseCalifornia Chiropractic Center Bldg. no. 64, Block A2nd floor, Tel: 04 429 8292 www.CaliforniaChirpracticCenter.com

Therese StjernbergThe Physio CentreBldg. no. 49, Tel 04 437 0570www.physiocentre.ae

Bibu ThomasSymbiosis HealthcareBldg. no. 27, Block A2nd floor, 203, Tel: 04 362 4955www.medicentres.org

Josefina WahlindSportsFitBldg. no. 27, Block A 6th floor, 604, Tel: 04 428 1455 www.sportsfit.net

Megan WaitePhysiocare, Bldg. no. 64 Block B, 2nd floorTel: 04 429 8560www.physiocare.ae

Beena WalawalkarSymbiosis HealthcareBldg. no. 27, Block A, 2nd floor, 203Tel: 04 362 4955, www.medicentres.org

PLASTIC SURGERY

Carole AzzamAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

Kristin BoehmAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

David Raymond BroadwayAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Steven HoppingAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Dany Ibrahim KayleMajestic Aesthetic ClinicBldg. no. 27, Block A, 7th floor Tel: 04 369 4922, www.drkayle.com

Yasser KhattabThe City HospitalBldg. no. 37, Tel: 04 435 9999www.thecityhospital.com

Florencio Quiogue LuceroLondon Center for Aesthetic Surgery Bldg. no. 64, Block E4th floor, Tel: 04 375 2396www.lcas.com

Massimiliano MarcellinoLondon Center for Aesthetic SurgeryBldg. no. 64, Block E4th floor, 4017, Tel: 04 375 2396Fax: 04 298534, www.lcas.com

John Aaron MillardAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Nader SaabCCE - Dr Nader Saab Clinic Bldg. no. 27, Block C, 2nd floorTel: 04 363 5466, 050 5153350 www.nadersaab.com

Ioannis SalivarasAmerican Academy of Cosmetic Surgery Hospital, Bldg. no. 73Tel: 04 423 7600, www.aacsh.com

Wolf-Gunter SteinmetzAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Maurizio VielLondon Center for Aesthetic Surgery Bldg. no. 64, Block E, 4th floorTel: 04 375 2396, www.lcas.com

Roberto VielLondon Center for Aesthetic Surgery Bldg. no. 64, Block E, 4th floorTel: 04 375 2396, www.lcas.com

PROSTHETIST

Michael MuellenheimGerman LimbtechBldg no 64, Block C, 6th floorTel: 04 363 5331, www.limbtech.ae

PSYCHIATRY

Arne BrosigGerman Center for Neurology & Psychiatry Bldg. no. 64, Block A, 2nd floorTel: 04 429 8578, www.gnp-dubai.com

Rakhshanda Bashir HassanSymbiosis HealthcareBldg. no. 27 Block A, 2nd floorTel: 04 362 4955

Hartmut Herbert KollikowskiGerman Center for Neurology & Psychiatry Bldg. no. 64, Block A, 2nd floorTel: 04 429 8578, www.gnp-dubai.com

Shujaat NathaniHealth CallBldg. no. 27, Block B, 5th floorTel: 04 363 5343, www.health-call.com

PSYCHOLOGY

Vivian DavidStepping Stones Center for Autistic Spectrum DisorderBldg. no. 64, Block A, 2nd floorTel: 04 363 5433 www.steppingstonesca.com

Evelin GarciaChild Early Intervention Medical CenterBldg. no. 64, Block B2nd floor, 2010, Tel: 04 423 3667www.childeimc.com

Doreen GranpeeshehChild Early Intervention Medical CenterBldg. no. 64, Block B2nd floor, 2010, Tel: 04 423 3667www.childeimc.com

Jessica RioasChild Early Intervention Medical CenterBldg. no. 64, Block B2nd floor, 2010, Tel: 04 423 3667www.childeimc.com

Andrea TosatoThe Art of Family Consultation CenterBldg. no. 64, Block C2nd floor, 2013, Tel: 04-4230777

PULMONARY DISEASE

Sulaiman Abdulaziz Al-MajedDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

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HEALTH DIRECTORY

48 May 2010

Samuel HyattDr. Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, 302 Tel: 04 362 4787www.dubaipostgraduate.com

Huda JawadThe North Carolina Dental PracticeBldg. no. 25, 1st floor, 1006Tel: 04 363 5328, www.ncdp.ae

Bertrand LarmoyerVersailles Dental ClinicBldg no. 64, Block A1st floor, Tel: 04 4298288www.versaillesdentalclinic.com

Ayisha MohammedDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Joachim MrochenClinic for Cosmetic DentistryBldg. no. 64, Block A2nd floor, 2002 Tel: 04 429 8400

Rachid NajimAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Peter NeumanDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Mehran NikouDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Yunson Denise OnClinic for Cosmetic DentistryBldg. no. 64, Block A, 2nd floorTel: 04 429 8400

He Son OnTower ClinicBldg. no. 27, Block D, 1st floorTel: 04 362 2939, 04 369 4990 www.towerclinic.com

Margarida O’NeillTower ClinicBldg. no. 27, Block D1st floor, Tel: 04 362 2939, 04 369 4990 www.towerclinic.com

Arshnoor RajabaliThe Dental CenterBldg. no. 64, Block F 4th floor, Tel: 04 375 2175www.the-dental-center.com

Ahmadreza Arash RajaeiBoston Univ. Dental Health Center Bldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Munzer RamahiDr Nicolas and ASP Dental CenterBldg. no. 27, Block D, 3rd floorTel: 04 362 4787 www.dubaipostgraduate.com

Flora Maria Miriallis RisslerDr Nicolas and ASP Dental Center Bldg. no. 27, Block D, 3rd floor Tel: 04 362 4787www.dubaipostgraduate.com

Olaf SchenkDr. Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Peter SchletterDr. Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

This directory is updated monthly. Please send any

updates or changes [email protected]

Dale Derick SwallowThe UK Dental ClinicBldg no. 64, Block C3rd floor, Tel: 3635371www.ukdentalclinic.com

Hans Van der ElstGerman Dental OasisBldg. no. 64, Block C2nd floor, 2014, Tel: 04 363 5367www.germandentaloasis.com

Klaus Joachim WiedhahnDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Linda ZakkoutTower Clinic, Bldg. no. 27, Block D1st floor, Tel: 04 362 2939, 369 4990 www.towerclinic.com

Mamduh ZaidanCanadian Specialized Dental Center for Orthodontics & Dental TreatmentBldg. no. 64, Block B3rd floor, 3019, Tel: 04 4281499

ORAL & MAXILLOFACIAL SURGERY

Kadhim Al HamdaniHollywood Smile ClinicBldg. no. 64, Block C, 3rd floor, 3018Tel: 04 4233634, www.hscuae.com

Ahmad Al ZahailiFrench Dental ClinicBldg. no. 64, Block C2nd floor, Tel: 04 429 8218

Shahrokh Chaichian BagheriAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Marc Michael BaltenspergerDr Nicolas and ASP Dental Center Bldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

Johan Christer DahlinDr Nicolas and ASP Dental Center Bldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

Husain Ali KhanAmerican Academy of Cosmetic Surgery HospitalBldg. no. 73, Tel: 04 423 7600www.aacsh.com

Richard LebedaDr Nicolas and ASP Dental Center Bldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

ORTHODONTICS

Jon AartunDr. Nicolas and ASP Dental Center Bldg. no. 27, Block D 3rd floor, Tel: 04 3624787 www.dubaipostgraduate.com

Izdihar Al ChabFrench Dental ClinicBldg. no. 64, Block C 2nd floor, 2026, Tel: 04 4298218

Dani Al KhaldiDr Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

Moaza AlmuhairiThe Dental CenterBldg. no. 64, Block F, 4th floorTel: 04 375 2175 www.the-dental-center.com

Saif Abdulla Saeed AlwaliDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

John BennettDr Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

Lana DalbahBoston Univ. Dental Health CenterBldg. no. 34, Grd. floorTel: 04 424 8777, www.buDubai.ae

Abdelhakim El Gheriani Dr Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, Tel: 04 362 4787www.dubaipostgraduate.com

Firas HamzaThe Dental CenterBldg. no. 64, Block F4th floor, Tel: 04 375 2175 www.the-dental-center.com

Firas Haj IbrahimFrench Dental ClinicBldg. no. 64, Block C 2nd floor, Tel: 04 429 8218

Edgard IraniThe North Carolina Dental PracticeBldg. no. 25, 1st floorTel: 04 363 5328, www.ncdp.ae

Ahmad Muhammad IsmailDr Nicolas and ASP Dental CenterBldg. no. 27, Block D3rd floor, Tel: 04 362 4787 www.dubaipostgraduate.com

David JonesBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Osama KojanCanadian Specialised Dental Center for Orthodontics and Dental TreatmentBldg no. 64, Block C3rd floor, Tel: 04 428 1499

Nabil MoukbilDr Sulaiman Al Habib Medical Center Bldg. no. 55, Tel: 04 429 7777 www.drsulaimanalhabib.com

Gunter NeumannTower Clinic Bldg. no. 27, 1st floorTel: 04 362 2939 04 369 4990www.towerclinic.com

Farzana Akhtar RahmanThe North Carolina Dental PracticeBldg. no. 25, 1st floorTel: 04 363 5328, www.ncdp.ae

Guido ReinhartDr. Nicolas and ASP Dental Center Bldg. no. 27, Block D 3rd floor, Tel: 04 3624787 www.dubaipostgraduate.com

PEDIATRIC DENTISTRY

Manal Mohammad Al HalabiPediatric DentistryBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777www.buDubai.ae

Khadija Al SuweidiDentCare Center InternationalBldg. no. 27, Block A, 205Tel: 04 437 0111www.dentcare.ae

Dina Samir DebayboBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777www.buDubai.ae

PERIODONTICS

Giovanni Carlo ChiantellaTower ClinicBldg. no. 27, Block D 1st floor, Tel: 04 362 2939, 04 369 4990www.towerclinic.com

Yasser Mohamad KhabbazBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Bassam Mikheel KinaiaBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Amin Ur RahmanThe North Carolina Dental PracticeBldg. no. 25, 1st floorTel: 04 363 5328, www.ncdp.ae

PROSTHODONTICS

Samer Al NasserFrench Dental ClinicBldg. no. 64, Block C2nd floor, Tel: 04 429 8218

Maher AtassiDr Sulaiman Al Habib Medical CenterBldg. no. 55, Tel: 04 429 7777www.drsulaimanalhabib.com

Mohamad KoutrachBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Steven Michael MorganoBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Faysal SuccariaBoston Univ. Dental Health CenterBldg. no. 34, Grd floorTel: 04 424 8777, www.buDubai.ae

Non-Clinical

AESTHETICS

Mona MirzaBiolite Skin ClinicBldg. no. 64, Block B3rd floor, 3009, Tel: 04 3752122www.biolitedubai.com

Page 27: Testing times - Imperial Health · 2014. 3. 17. · one in 200, causes pale skin patches that lack pigment and burn easily. Previously physicians have believed the condition to be