MAY 2017ISSUE #1

A HEALTH INSIDER BY SENGKANG GENERAL HOSPITAL

WHAT GOES INTO

BUILDING A NEW HOSPITAL?

Better LivingFrailty Can Be Prevented and Treated

Health Files A Doctor’s Perspective on High-risk Surgery for Elderly

Insights Therapists Get Creative in Designing Treatments

CONTENTS

COVER STORY

HEALTH FILES

INSIGHTS

PG 6

PG 2

PG 5

WELCOME NOTE

Surgeries can bring a new lease of life, even to the elderly

Therapy with a difference

Sengkang General Hospital adopts design thinking to create patient-centred spaces and services.

What would people want to read about health? And what stories would interest general practitioners and community-based organisations we partner?

These were the questions foremost on our minds when we started planning for this magazine.

We hope you will enjoy our first issue of skoop which will give you the insider view with stories that are a little unexpected, that debunk myths and provide deeper understanding of conditions and treatments.

EDITORIAL TEAM

APPLYING DESIGN THINKING FOR QUALITYPATIENT EXPERIENCE

Publisher Sengkang Health Pte. Ltd.

Editorial TeamCecilia Pang (Chief Editor)Loretta Lee Bernard Chan Renee Seow

Advisors/Contributing ExpertsA/Prof Chew Min HoeDr Tan Choon ChiehDr Victor Kwok France ArchambaultMohamad Rizal Bin Mohd Razali Jenric Ng

We value your feedback on how we can improve skoop. Please send in your comments and queries to skh.skoop@gmail.com

skoop is published by Sengkang Health Pte. Ltd. Copyright © is held by the publisher. All articles in this publication are for information only and are not meant to substitute any advice provided by your own doctor or other medical professionals.

All information is correct at time of printing. Reproduction in part or whole without permission is prohibited. All rights reserved. MCI (P) 170/03/2017.

Decisions surrounding surgery for the elderly are often difficult to make, but in many cases, a well-informed decision can mean a new lease of life.

Occupational therapists get creative in designing treatments for patients.

Besides giving the insider’s view on various healthcare topics, we also bring you behind-the-scenes on what it takes to plan and build our upcoming Sengkang General and Community Hospitals, which are progressing well. As we prepare for the oncoming silver tsunami, it is now more crucial than ever to ensure we make better lifestyle choices to stay healthy! If you have suggestions on how we can make this publication more interesting and relevant for you, do write in at skh.skoop@gmail.com! We would love to hear from you.

Cecilia PangSengkang Health

90700-001-0517

ON-THE-GROUND QUIZ

BETTER LIVING WHAT’S HAPPENING

PG 10PG 13

PG 12

Empowering kids as health ambassadors

Make Your Family Doctor Your First Port of Call

Find out if you could be considered frail. Take a simple FRAIL test below:

1. Fatigue - Do you feel tired most or all of the time in the past four weeks?

2. Resistance - Do you have difficulty climbing a flight of stairs?

3. Aerobic - Do you have difficulty walking one block?

4. Illnesses - Do you have five or more medical conditions?

5. Loss of weight - Have you lost more than 5% of your previous weight in the past six months?

If your answer is “yes” to one or two of the above questions, you are at a pre-frail stage. If you have three or more “yes” answers, you are considered frail. Arrange an appointment with your doctor today and discuss possible treatments.

FRAILTY:ARE YOU AT RISK?

Better Living

Learn more about frailty and what you can do to prevent and

even reverse the condition.

Pg 9

Leading the way in helping kids develop healthy lifestyles and be a positive influence to families and friends.

Stronger doctor-patient relationships a key to better community health.

We are giving away 10 attractive prizes!

Community Health Fair @ Compass One in SengkangJoin us on a Journey to Better Health! Get more details on the back cover.

29 May to 4 June 201710am to 9pm

Just answer 3 simple questions - it’s that easy!

1

78-year-old Mdm T* sat quietly on the chair in the corner of the clinic as I conversed with her family members. While she was calm, her two sons and daughter were much less so, gesticulating at the histology report on the table, exchanging anxious looks and glancing at their mother from time to time.

It was clear that Mdm T was not well when her children brought her to the polyclinic two weeks ago. She was later referred to us. Her symptoms included passing blood in her stools and a perceptible change in bowel frequency. She felt lethargic and found it increasingly difficult to keep up with her grandchildren during playtime.

Upon examining Mdm T in the clinic, we discovered a tumour. A colonoscopy and biopsy were carried out, and the family was at the follow-up consultation to review the reports.

“Your mom has rectal cancer. She needs surgery to remove it,” I told the family.

Surgeries Can Bring A New Lease Of Life,

Even To The Elderly

Health Files

Decisions surrounding surgery for the elderly are often difficult to make, but in many cases, a well-informed

decision can mean a new lease of life.

BYAdj Assoc Professor Chew Min Hoe, Head, Department of Surgery, Sengkang Health

“The tumour is localised within the rectum and has not spread. The stage of the tumour will only be known after its removal and after further tests can be done,” I explained as we reviewed the CT scan results that helped us to determine the extent of the tumour.

“After surgery, your mother will need a temporary stoma to divert the stools as we allow the anastomosis to heal.” I explained the procedure in detail using illustrations to help. “The stoma is likely temporary if all goes well. She will need another minor operation a few months later to close the stoma.”

2 *The name in this article has been changed to preserve the patient’s privacy.

The family members took some time to absorb the information. Finally the daughter piped up:

“My mother is so old, can she take it? Is the operation dangerous?”

Family members and patients themselves are often highly anxious as to whether they are fit enough for surgery. Many worry about not waking up after having anesthesia. Some even lament that since they are already advanced in age, it is better to let things take their natural course.

This is the question that surgeons face almost on a daily basis. Many cases of the elderly undergoing surgery are largely cancer-related.

When it comes to elderly patients, there are three key concerns surrounding surgery — morbidity and mortality in the near term, impact on the quality of life post-surgery and the financial burden of such interventions. These weigh significantly on the decision-making process of both patients and caregivers.

I explained to the family, “Your mother is independent at home, cares for her grandchildren, takes medications for her cholesterol and

high blood pressure, but otherwise there does not appear to be any major illnesses that would prevent surgery. Due to her age, she will be considered to be at moderate risk for a major surgery like this. But she is otherwise fit for the procedure.”

Mdm T’s children discussed briefly before her daughter turned to me, “Thanks Doc, but the decision depends on my mother.” They looked expectantly at Mdm T. She took a while to compose herself.

“Of course I have to do this… I want to see my grandchildren grow up.”

After passing various tests to ensure she is fit for surgery, Mdm T underwent a successful laparoscopic ultra-low anterior resection and was discharged six days after the surgery. She recovered well and had her stoma reversed three months later.

It is now almost eight months post-surgery and she is back at the clinic for her routine follow-up. Mdm T and her family are in good spirits. What seemed at first a difficult end to 2016 has become a new beginning in 2017.

From my personal perspective since I have been a trainee and up to being a consultant surgeon of more than five years, the number of elderly patients

needing elective colorectal surgery for cancer has risen dramatically. Often when these patients walk in to the clinic, they are fit, healthy and independent individuals, caring for their grandchildren and living life! I believe this number will continue to rise. Many of the elderly patients I have talked to have simple objectives when it comes to surgery. Many crave independence of lifestyle and do not want to be physically dependent or home bound after surgery. Quality of life is an important decision making process.

The decision to have an elderly family member undergo surgery can be a difficult and emotional one. Like Mdm T and her family, receiving the shocking news of cancer and the need for major surgery often takes time to absorb and understand. Having to live with a stoma, albeit temporarily, has many implications to both Mdm F and family members’ daily lives.

In particular, the need for someone to help care and look after her after surgery requires logistic and financial considerations. Mdm T had strong family support and thus her confidence in her recovery was easy.

Community support comprising strong family physicians, good nursing care and easy access to medical facilities also allay fears

3

4

WHAT TO CONSIDER BEFORE DECIDING ON SURGERY FOR ELDERLY PATIENTS:

HEALTH OF THE PATIENTAm I fit for surgery? Do I have

any major health issues that may complicate surgery? These are some issues that you may want

to discuss with the surgeon.

RISKS AND COMPLICATIONS Surgery will always carry some risks, so it is important to weigh

the benefits against the risks. Ask about possible complications and any side effects that could arise.

BENEFIT OF SURGERYIt is important that your surgeon

explains the benefits of surgery to you. You should also ask how long these benefits typically last. Some questions you may want to raise: Is the surgery necessary to save

your life? Are there other treatment options to consider?

THE RECOVERY PROCESS Ask your doctor about how the

recovery process will be like, especially in the days and weeks after surgery. Find out how long

you will be hospitalised for, and if you need special equipment, such as a wheelchair, or the help of a caregiver during the recovery

period. You should also discuss the ways to manage any pain that

may follow the procedure.

THE PATIENT’S OWN WISHES If the patient is your family member,

it is important to discuss the pros and cons of surgery with them, but give them space to make

their own decision.

FINANCIAL RESOURCES (WHAT WILL INSURANCE COVER OR NOT COVER)

Coverage of insurance plans may vary so you will need to check with your insurance provider how much of the surgery will be covered by

insurance. Be sure to also check the cost of post-operative care, and

follow-up treatments.

Health Files

of being helpless in the recovery process. You can helpin the decision making process by keeping an open mind, clarifying any doubts, and being involved and engaged.

Surgery in the elderly is safe. However, the decision on surgery requires a detailed understanding of its indications, what to expect immediately post-surgery, caregiver support and the recovery process after.

Adj Associate Professor Chew Min Hoeis Head and Consultant Colorectal Surgeon at the Department of Surgery, Sengkang Health. He specialises in General Surgery and is trained in pelvic exenterations for recurrent rectal cancers, diagnostic and therapeutic endoscopy as well as laparoscopic colorectal surgery.

Insights

Medicine adds days to life. Occupational therapy adds life to days.

The heart of occupational therapy is to help people live their life as fully as possible. Beyond simply teaching a series of exercises, we also explore new approaches to make therapy engaging and meaningful for our patients. Sometimes, this means doing something a little unconventional.

Occupational therapists get creative in designing treatments for patients.

Therapy With A Difference

5

BYTan Yeu Shiuan and Jasmine Tsoi, Department of Occupational Therapy, Sengkang Health

Playing Her Way to HealthKinect games were also introduced as part of our patients’ recovery. The aim was to offer something fun to help improve how patients feel about therapy and thus increase their level of engagement and motivation. Selected games like tennis or darts help improve patients’ balance, standing tolerance and upper limb functions.

Mdm S is a patient who has benefitted from our Kinect game sessions. Hospitalised for three weeks after dislocating her hip, she was eager to progress to the next stage of recovery and return home. Unfortunately, her X-ray results showed otherwise and she became depressed. We decided to introduce her to Kinect games. Immersing herself in the games helped to take her mind off the sad news. Physically, she also found herself being able to stand for longer periods.Whether through cooking or Kinect games, we are seeing patients becoming more engaged and motivated in therapy. Over time, as their physical conditions improve, they become more confident and realise they can do more than they imagined possible.

The names in this article have been changed to preserve patients’ privacy.

Culinary TherapyCooking is a special activity for many people. For some, it is a

hobby that allows them to unleash their creativity; for others, it is an

expression of love as they whip up delicious meals for loved ones.

But do you know that cooking is becoming a regular part of

therapy? Meal preparation and cooking require a range of upper

limb movements, muscle strength, standing balance and tolerance

in handling tasks like peeling, cutting, mixing and lifting. Combined

with an element of fun and sense of accomplishment one feels from

cooking, it’s little wonder that the cooking therapy group we started

last year has been well-received by our patients.

Just ask Mr B.

Admitted to the hospital for pneumonia, Mr B would get breathless

easily when doing simple exercises and needed frequent rest. At

one of our cooking sessions, he was so focused on the task of frying

noodles that he didn’t realise he had stood for over 10 minutes.

Feeling pleased and surprised by the outcome, he said, “When I

cook, I don’t feel breathless anymore!”

Cover Story

Applying Design Thinking for Quality Patient Experience

The doors opened and a man rushed into the A&E carrying a crying baby close to his chest. The frantic man stopped for a moment to survey the unfamiliar environment, searching for a sign that would tell him where to go next.

A nurse sitting behind the cardboard counter noticed the man and his baby and immediately stood up to attend to them.

Cardboard counter? Yes, you read that right. This was not a real A&E – it was a makeshift mock-up of the emergency department for the upcoming Sengkang General Hospital.

Sengkang General Hospital adopts design thinking to create patient-centred spaces and services.

The use of cardboard was part of a mock-up simulation exercise by hospital executives at Sengkang Health to test space requirements for the hospital and gain empathetic insights into the needs and experiencesof patients.

The idea of using cardboard for space planning first came from a Finnish designer. With its modular design and moveable parts, a cardboard setup is not only time- and cost-effective as it eliminates the need to build and tear down plaster walls; it also allows hospital staff and clinicians to easily visualise and adjust any furniture and equipment around.

With the help of a local cardboard sculptor, the team planned and executed the mock-up simulations at a temporary site office on actual hospital ground.

The simulations included role-playing by infrastructure and planning executives, nurses and doctors, and even the architects and building consultants. “The mock-up was made to be as real as possible. Acting as patients, caregivers and clinicians in various scenarios, we reacted and behaved as if we were responding to real medical situations while giving suggestions to improve patient flow along the way,” recalled nurse clinician Tan Khee Khee.

For added realism, residents living in Sengkang were invited to role-play as patients or caregivers.

Simulation for Better Space Planning

6

The team had the help of local cardboard sculptor Butternmilkto create cardboard furniture for mock-up exercises.

Through role-playing, hospital staff and clinicians were able to step into the shoes of patients and caregivers, heightening awareness of their needs and preferences and empowering them to suggest enhancements to the original plans. “As an example, we redesigned the blood-taking station in the consultation area, as we had found it too narrow and did not provide sufficient privacy for patients,” shared Jenric Ng from Service Planning and Care Integration.

Lua Seok Bian, senior nurse manager for specialist clinics, said the cardboard setup was a tremendous help. “It was a good experience and it’s important we do this at the planning stage. By testing out workflows based on different patient scenarios, we could identify any bottlenecks encountered by ‘patients’ at various touch points and review them for improvement.”

Indeed, there is growing realisation in the healthcare industry that services and spaces should be human-centred.

Being human-centred means that the design process for a space or service begins with the patients in mind, and ends with solutions to meet their needs.

It also highlights the need to find a balance between the use of technology and the need for human touch-points at critical stages of a patient’s journey, such as the optimal mix of automated services and manned counters.

In the process, the mock-up simulation also brought up unexpected findings related to directional signs.

“One of the surprising things we discovered was unclear way-finding signage. During the exercise, some patients couldn’t find the next area they were supposed to go to. This came as a surprise to us. While we may be familiar with all areas and find it easy to navigate our way, we’d assumed the same to be true for our patients, which is not necessarily so,” said Lua.

Empathy for Patients’ Needs

7

Cardboard setup of a blood-drawing station.

Feature

Meanwhile, at the actual construction site, other innovations were also taking place. A semi top-down method, not commonly used for large-scale projects of this footprint, was adopted for the building of the hospital.

The method was not only efficient and cost-saving, more importantly, it ensured the stability of nearby structures, preventing any damage or cracks to roads and nearby HDB flats, and protect the safety of the general public.

The main building contractor also used a 3D Building Information Modelling (BIM) technology for better work flow management. BIM allows for the integration of all the different disciplines across the entire project lifecycle, syncing all parties to a central model to prevent discrepancies in information.

It also enabled engineers to detect any clashes in mechanical and electrical services, and provided a virtual construction of a facility before the actual construction.

“Many aspects are involved in building design – electrical lines, air-conditioning ducts, fire safety systems like sprinklers etc.,” said Richard Thong, Director of Operations, Sengkang Health.

“Using BIM helps show us what might happen in 3D if there’s an air-con duct and a plumbing system in the exact same place. Such clashes are determined upfront so we can reduce the amount of rework and solve the problems in the office prior to construction and not at the site.”

As the largest integrated hospital in Singapore sets to open its doors to serve the community in the northeastern part of the island, residents can look forward to warm and friendly patient-centred services, and spaces that have been thoughtfully designed with the intention of providing the best level of experience and care to every patient.

Innovation in Construction Technologies

Development Site: 69,000m2 - Approximately 8.5 football pitches

Constructed Floor Area:431,800m2 – Approximately 3,925 HDB 5-room flats

Number of Rooms (whole development): Approximately 5,000 rooms

Number of Doors (all types): Approximately 12,000 doors

Number of Workers (as at March 2017): 5,000 workers

8

Some interesting facts:

Photo credit: Sengkang Health, March 2017

Frailty is a condition arising from ageing and underlying medical illnesses, yet it is potentially preventable. More than half of older persons above 85 years old are actually not frail. It is important to identify frailty early as it can lead to serious consequences, such as falls and disability.

While there is no standard definition for frailty, someone can be considered frail if he or she experiences at least three of the following:

• Unintentional weight loss of at least 4.5kg in the past one year• Feeling weak with difficulty climbing stairs unassisted• Feeling like every task requires a huge effort• Low level of physical activity including household chores and exercise• Slowness in walking

Yet, it is not a lost cause for someone identified as frail. “There is extensive evidence that frailty can be improved with appropriate treatment,” said Dr Laura Tay, a consultant with Department of General Medicine, Sengkang Health. “That said, frailty is due to more than one factor, therefore requiring a multi-dimensional approach. And, a comprehensive doctor assessment to screen for contributing medical conditions will be important.” she added.

Better Living

As frailty is linked to a person’s physical, mental and social functioning, treatment and prevention are also directed at these areas. Here are some things you can do to keep frailty at bay:

• Eating a healthy diet to optimise nutrition • Having regular exercise to improve strength and endurance • Keeping an active social life for emotional health and mental stimulation • Controlling vascular risk factors with regular medical check-ups • Early treatment of diabetes, high blood pressure and high cholesterol

Besides adopting a healthy lifestyle early in adulthood, saying goodbye to smoking, excessive drinking and a sedentary lifestyle go a long way in combating frailty too!

As frailty can develop silently and it is often not apparent until complications arise, screening for early detection is advised.

In our community health screenings, we have begun education efforts to teach the public about frailty. We have also included frailty tests to measure the gait speed and grip strength of older persons.

The twilight years could become some of our best years yet. That can happen when we start making the right lifestyle choices now to maximise our health and prevent frailty in old age.

FRAILTY IS PREVENTABLE WITH A HEALTHY LIFESTYLE

FRAILTY NOT AN INEVITABLE OUTCOME OF GROWING OLDFrailty can

be prevented and treated, and doctors at Sengkang Health are helping patients to do just that.

Continued from Pg 1

9

Written in consultation with Dr Laura Tay, Consultant Geriatrician at the Department of General Medicine, Sengkang Health. She has a sub-specialty interest in cognition and memory disorders.

10

On-The-Ground

Leading the way in helping kids develop healthy lifestyles and be a positive influence to families and friends.

Parents, when was the last time you ended up reluctantly at a fast food joint because your kids begged you to? Chances are it might have happened more often than you would have liked. The truth is, children do have influence over their parents’ decisions. So, what if we harness that for something good?

That is the goal of the Millennia Kids Programme (MKP), a joint school outreach effort by Sengkang Health with Health Promotion Board, Sport Singapore and Tobacco Free Generation. The programme aims to help children live, learn and lead a healthy lifestyle from an early age.

The MKP began as an idea in 2014 from Professor Christopher Cheng, the CEO of Sengkang Health, to create healthy communities in the northeast. He believes that by creating a ground-up movement inculcating children with healthy habits from young, they can in turn influence their families, friends and the larger community.

In the last three years, the MKP has reached out to 6,500 students in three participating schools. The programme first started with Primary 4 students, and was extended to Primary 5 and 6 levels in 2016. Today, 11 schools are involved in the MKP which has won the Singapore Health Age-Friendly Award 2015 and the Singapore Healthcare Management Award 2016, in recognition of its impact on community health.

10

I Am Healthy

My Family is Healthy

I Am Unique

I Help Others

I Searchfor Knowledge

I Learn from Others

MKP

LIVE

LEAD

LE

AR

N

STAYING FIT, THE MKC WAY

Requiring minimal teacher supervision, the programme provides effective experiential learning for students to develop healthy habits through engaging hands-on activities, such as making their favourite foods healthier.

For every completed activity, students are awarded stars which go towards earninga special Healthy Living Badge. Students also take part in nutrition, sports and wellness talks organised by partner institutions during school assembly.

The annual Millennia Kids Challenge (MKC) event, open to residents living in the northeast, is also held to encourage more family bonding through enjoyable sports-themed activities.

Participating in the MKC was how Royston D’Souza, his wife Sarita, and three kids began their first of many sporting events as a family.

Royston came across a poster for the MKC at the nearby community club two years ago. An active runner and former member of his university’s football team, he thought the event would be a great opportunity for family bonding and for his children to try out new sports. “Any aqua events will always get the kids excited,” he said. “And I loved the bouncy castle in the water the most!” enthused Rachel, the oldest child, on her favourite activity at the first MKC she joined.

Rachel is a bubbly Primary 4 student at Sengkang Primary School, one of the 11 schools participating in the MKP. After witnessing her parents complete the Swissotel Vertical Marathon, it ignited her passion for sports and she asked them to register her for a 1.8km marathon last year.

While surprised, her parents were more than delighted to support her interest in competitive recreation. Recently, she has also

11

Rachel D’Souza (extreme right) with her family of sports enthusiasts.

started playing badminton with friends from the neighbourhood every weekend.

The family’s love for sports and active playtime has certainly shaped young Rachel’s well- being. With her impressionable siblings following her encouraging example, she is eager to make it good since one of MKP’s objectives is for students to learn how to be a role model.

When asked how she could become a health ambassador at home and in school, she exclaimed with a big grin: “I’m really keen to try out the hands-on task card activities in the ‘Sport Safety’ and ‘Being Active’ categories. I can show all the awesome benefits from completing these tasks, and I

hope my badminton friends willjoin me and my family at thisyear’s MKC!”

“It would really make me happy if people listen, understand and just take small, simple steps towards living a healthy lifestyle.”

Healthy habits do pave the way to better living and as the D’Souza family has shown, life becomes more fun when it’s done as a family.

12

MAKE YOUR FAMILY DOCTOR YOUR FIRST PORT OF CALL

When you fall ill, where do you go for medical assistance? Do you visit your family doctor or the nearest hospital? Studies have shown that people are more likely to raise a health problem with a family doctor they have seen over time and built up a relationship with, than with one they have just met.

Sengkang Health (SKH) is helping residents in Sengkang to build more enduring relationships with their family doctors. We started a pilot programme last year to make the follow-up process for community health screenings more accessible by tapping into the general practitioners (GP) network, which involved working with 41 GPs from 31 clinics in the northeast.

“Instead of setting aside another day and a specific time to collect their screen results, participants could collect their reports anytime within six months from their date of screening from their preferred GP clinics within our network of 31 clinics. Follow-up calls to participants were made by the SKH team, including door-to-door visits by community volunteers, to nudge them to collect their results and seek appropriate medical advice from our GP partners. The first consultation is not chargeable,” said Dr Farhad Fakhrudin Vasanwala, Head of Family Medicine, Sengkang Health.

“On top of the medical report, the GP will issue a Personal Action Plan card with personalised advice for the participants, encouraging them to make appropriate changes in their lifestyle.”

Indeed, showing up for a health check-up is the first step towards better health but some neglect a crucial second step of collecting their results and acting on lifestyle changes. In Singapore, the increase of individuals failing to follow through on their health screenings has prompted even PM Lee Hsien Loong to raise his concern in 2015, “It’s really wasted effort, and you are sitting on something that will cause you a lot of trouble later.”

Stronger doctor-patient relationships a key to better community health.

Better Living

WHAT SOME HEALTH SCREENING PARTICIPANTS SAID:

“It was a very complete health screening. I found it very useful as I seldom go for health screenings. Look forward to joining similar

check-ups in the future.”

“It was very beneficial as my GP was helpful

in explaining my results to me.”

“I definitely prefer collecting results from

my doctor. I seldom go for health checks; I only visit

the GP when I’mhaving a cold.”

The response to the GP follow-up for the health screening was positive, with participants citing the convenience of collecting their health screening results from neighbourhood clinics located near their homes. They could also choose to pick up the results during a routine appointment.

By involving the GPs actively in the follow-up after health screenings, we hope people will develop closer relationships with their family doctors to help manage their chronic conditions better in the long run.

Illustrations by A/Prof Koo Wen Hsin, Chairman, Division of Medicine, Sengkang Health

Quiz

Stitches

Q1: Name two signs that a person may be considered frail.

Q2: What do you do if your health screening results are abnormal? A) Visit the A&EB) Consult a general practitioner (GP)C) Do nothing Q3: Design thinking is used in space planning for the Sengkang General Hospital. True or False?

Hint: Get your answers from the articles in this issue.

13

Send in your answers to bit.ly/skoop-skh by

26 May 2017.

Doctors have a sense of humour too.

We are giving away 10 attractive prizes!Dry Bag

QUIZ TIME!Just answer 3 questions.

It’s that easy!

Community Health Fair @ Compass One in Sengkang

Join us on a Journey to Better Health!

OFFICIAL VENUE PARTNER:

• Combat Frailty and Prevent Falls• Prevent Diabetes and Cancer• Be Updated on Sengkang General and Community Hospitals

• Mass Workouts• Games and Activities• Virtual Reality - What Happens During a Surgery?

DISCOVER! PLAY!

Coming Soon!

BROUGHT TO YOU BY:

Look out for updates on our Facebook page

29 May - 4 June 201710am - 9pm