Pulse 2013 Jan-Feb - Hong Kong Adventist Hospital

Extending the healing ministry of christ – professionally we serve, personally we care
Jan/Feb 2013
Targeting Lung
Cancer
First da Vinci Si HD
in Hong Kong
TWAH Lithothropsy
Center Opening
Ceremony
HKAH Surgical
Services’ New Look
LEGEND
AHHK
CEO/PresidentMessage
HKAH
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Our Milestones in 2012
TWAH
Progress of New Hospital
Building: foundation work has
begun and completion is set for
April 2013
Rolled out Ewell’s Mobile Clinical Solution which
helps reducing human error and enhancing patient
safety
2012
JANUARY
‘Health Union’ Campaign organized with
Tsuen Wan District Council
TWAH Charity Walkathon
FEBRUARY
MARCH
Department Head Retreat
Patient
Experience
Model
workshops
conducted by
consultants,
Mr Mack
Rucker and
Ms Kathy
Perno, from
Florida
Adventist
Hospitals
1
Jan/Feb 2013
HKAH
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CEO/PresidentMessage
Content
‘World Health’ Campaign organized with
Wan Chai District Council
FIRST IN HONG KONG to become a member of
the World Health Organization’s Health Promoting
Hospitals (HPH) Network
APRIL
Yan Chai Heart Charity
A strategic alliance with Chiho Medical Centre
in Shenzhen, China.
MAY
JUNE
Participated in “Green
Monday” to encourage
people making healthy
lifestyle changes by
eating only vegetarian
meals on Mondays
NEWSTART program organized in Thailand
Easter Week of Revival
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Content
CEO/PresidentMessage
Jan/Feb 2013
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Annual Physician Banquet
JULY
AUGUST
SEPTEMBER
Adventist’s service quality was recognized again through its
continued accreditation by the Australian Council
on Healthcare Standards (ACHS)
Newly refurbished out-patient clinics on 7th floor
FIRST PRIVATE HOSPITAL in Hong Kong to
conduct the most advanced mitra clip procedure
Charity Gala Premiere
Newly renovated Rehabilitation
Center
OCTOBER
TOBER
Jan/Feb 2013
New one-stop Oncology
Center offers the very
latest therapies and tumour
screening technologies
including CyberKnife, new
TomoTherapy, new PET /
CT, and new SPECT / CT
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HKAH
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CEO/PresidentMessage
Content
New Service - Bariatric Surgery
Charity Golf Classic
NOVEMBER
DECEMBER
New Balance 10K Adventist Health Charity
Run for Healthy Heart
New Lithotripsy Center
Annual Spiritual Retreat
Newly installed da Vinci system
HKAHF Charity Walkathon
Content
CEOMessage
A picture is worth a thousand words.
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It is incredible that so much could be achieved in a year. As you see from the pictures in the timeline,
we have had a busy year. We have fitted our hospitals with enhanced equipment, and further
developed the quality service our patients have come to expect of us. Patients under your care can
Jan/Feb 2013
be assured of the best outcome at both Hong Kong and Tsuen Wan Adventist Hospitals.
As we gain momentum through our recent improvements, expanded programmes and delivery of
quality health care services, we look to reach more people internally and externally.
I wish you all a fruitful and prosperous New Year.
Yours truly,
Dr. Frank Yeung
President/CEO | Hong Kong and Tsuen Wan Adventist Hospitals
Content
1
4
5
Our Milestones in 2012
|Stepping Up eHealth
|All’s Well
14-18 HKAH |New appointment at HKAH
CEOMessage
|Healthy Living in Hong Kong
Content
|Surgical Services’ New Look
|First da Vinci Si HD in Hong Kong
|New Ultrasound Equipment in Urology
MedicalNews
|EUS is Us
AH | Targeting Lung Cancer
|Meet this Year’s Management Trainees
6 HKAH | Rise of the Robot
7-8
HKAH | Prevention of Transmission of
9
|Clinical Laboratories Take Part in Regional
Tests Program
Acute Infectious Respiratory
|Ground Floor Renovation
Diseases in Healthcare
|Going Up!
19 TWAH |Protect Against Kidney Stones
TWAH | Bronchoplastic Operation for Lung
Tumour
|Lithotripsy Center Opening Ceremony
10
20
Physician’sCorner
EventHighlights
HKAHF |Charity Walkathon
Profile of Our New Doctors at HKAH
HKAH |New Operating Room Dedication Ceremony
and TWAH
12
20-21 HKAH |CME Highlights
TWAH |CME Highlights
Lifestyle Management Center
13
AH |Patient Experience Model Workshop
Salt of the Earth
Back
HospitalNews
AH |Admission Right updated
Cover
ForthcomingEvents
AH |Patient Experience Model Workshop
AH |Upcoming CMEs
Targeting Lung Cancer
The advantages of Stereostatic Ablative Body Radiotherapy in treating
lung cancer
Dr Law Chun Key, Stephen | Specialist in Clinical Oncology
L
ung cancer is the most common
cancer and the leading cause
of cancer-related death in the
world and in Hong Kong. According to
the latest statistics from the Hong Kong
Cancer Registry, lung cancer accounted
for one in six of all new cancer cases
and more than one in four of all cancer
deaths in 2010.
Lung cancer commonly occurs in the
elderly and is typically silent in the
initial stage, hence late presentation
is the rule. However, even when
diagnosed early, many patients are poor
candidates for surgery – the most wellestablished method of treatment - due to
multiple co-existing medical conditions
like heart disease, diabetes and chronic
obstructive lung disease.
Early Stage Treatment
Radiotherapy is a long-established
alternative treatment for early stage
lung cancer patients who cannot receive
surgery due to various medical problems
or their own preference. The aim of
radiotherapy is to deliver an adequate
radiation dose to the tumour while
sparing the adjacent normal tissues as
much as possible.
However, the action of breathing
makes the lung a moving organ which
means any tumour will also move.
To combat this, the old radiotherapy
technique included a wide safety
margin of adjacent normal lung tissues
in the treatment field in order not to
miss the tumour during irradiation. The
resulting large radiation field meant a
greater volume of normal lung would
be damaged. This partly defeats the
purpose of radiotherapy as these
patients usually already have suboptimal
Jan/Feb 2013
By
lung function which prevented them from
otherwise having curative surgery.
Guided Therapy
Modern radiotherapy utilizes imageguided systems so the radiation dose
can be more focused on the tumour
with a narrower margin of adjacent
normal tissues, notably the lungs for
lung cancer. A much higher than
conventional dose per fraction can be
delivered more precisely to the tumour
over a shorter duration while sparing the
normal tissue as much as possible.
With courtesy of Accuray Incorporated,
University of Pittsburgh Medical Center, North
Florida Regional Medical Center, CyberKnife
Centers of San Diego
For early stage lung cancer, the typical
treatment period can be shortened to
three to 10 fractions over two weeks.
markers may be implanted adjacent
to the tumour to help real-time
tracking of the moving tumour during
radiation delivery.
• At each treatment session, the
patient lies on the machine treatment
table while imaging of the treatment
region is performed. Immediate fine
adjustments are made to correct dayto-day variations in the position of the
tumour and critical normal structures
before iffadiation. This guarantees
the precision of the procedure.
Step by step
Proven Success
A shorter treatment time is also
potentially advantageous as tumours
can re-grow during a protracted
treatment course. It also reduces the
number of journeys the patient has to
make to attend for radiotherapy, bringing
physical as well as social benefits for the
patient and their family members.
Stereostatic Ablative Body Radiotherapy
(SABRT) is a multi-step process, the
essence of which is explained as
follows:
• Confirmation at early stage of the
disease. PET-CT scan is essential at
this step.
• After deciding on radiotherapy,
the patient is immobilized in a
comfortable treatment position and
undergoes another CT scan for
radiotherapy planning purposes to
delineate the exact position and
volume of the tumour and all normal
organs nearby. Radio-opaque
5
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Studies have shown SABRT to be safe
and capable of producing excellent
results in early stage lung cancer, with
reported local control rate up to 90 per
cent within two years, comparable to
that of curative surgery.
The same technique can also be used
to target cancers in other areas of the
body, especially when there is a need
to irradiate a well-defined volume but to
avoid adjacent normal critical organs,
such as with spinal tumours adjacent
to the spinal cord, or adrenal and liver
tumours.
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Content
MedicalNews
Rise of the Robot
Recent technological advances have created new robotic tools to assist
surgeons carrying out keyhole procedures for prostate cancer
Jan/Feb 2013
By
Dr Yip Kam Hung, Sidney | Specialist in Urology
P
rostate cancer is now the most
common non-skin cancer among
men in the United States, while
cases have also risen consistently in Hong
Kong, making it the third most common
cancer among men today, with up to 1,500
newly diagnosed cases per year.
Cancer diagnosis
While experts have long debated whether
a screening program is of use, the
availability of a relatively simple blood test
for Prostate Specific Antigen (PSA) does
offer a tool for early detection (of elevated
blood level), the diagnosis may then be
confirmed by a biopsy of prostate tissue.
Overall, the worldwide trend (Hong Kong
included) is seeing more cancers being
diagnosed at an earlier rather than later stage.
In recent years, much enthusiasm has been
directed at the treatment options for early
cancer, especially in relation to the widely
available robotic assisted surgery system.
laparoscopic prostatectomy that the full
potential of robotic surgery was recognized.
To date, the number of robotic assisted
prostate cancer operations have
surpassed conventional open surgery in
the US, with the advantages of reduced
blood loss, enhanced recovery and a
“promise” of a better functional outcome.
The technology has also been adopted
by numerous disciplines including
general surgery (such as colorectal
surgery and endoscopic thyroid surgery),
gynaecology, ENT surgery (transoral
surgery), and many others.
Robotic features
The key features of the robotic system are
the dual endoscope-computer reconstructed
3-D image and Endowrist technology.
To rewind back a few years, one may
recall the impact that Avatar 3D had on our
cinematic experience. Likewise, the dual
endoscope computer image reconstruction
provides a superior 3-D perspective
superior to conventional keyhole surgery.
The reconstructed images feature practical
magnification of up to 10 times, is even
comparable to surgical microscopes.
Enter the robot
This treatment option involves surgery
conducted through tiny incisions using a
robotic interface with the surgeon sitting
in the console, rather than making a
major lower abdominal incision as in
conventional surgery.
This form of robotic surgery was first
developed for military applications
including remote site surgery. It was later
transferred to civilian use, where it was
initially developed with minimally invasive
cardiac surgery in mind.
It was not until this technology was
applied to the otherwise extremely difficult
The second key feature, the Endowrist
technology, addresses the limitation of the
conventional rigid laparoscopic instrument
by providing wrist-like flexibility at the tips
of the surgical instruments. This makes
the robotic system particularly good for
otherwise challenging reconstructive surgery,
such as cancer surgery of the prostate.
Early treatment options
There are numerous treatment options for
early cancer of the prostate. These include
different forms of radiation treatment and
even ‘active surveillance’ in highly selected
cases.
In contrast, robotic -assisted surgery
involves complete removal of the
diseased organ, with available data on
this option demonstrating good long term
control of cancer. Functional recovery,
including urinary control and sexual
function, does take time. However,
generally speaking, satisfactory recovery
can be expected in most instances,
especially in the case of early stage,
organ-confined disease.
The optimal treatment for an individual
patient is ideally a joint decision made
by the affected person, his family and
specialist(s) involved after all factors have
been carefully considered.
What next?
Recent technological developments have
produced an even more advanced version
of an integrated surgical robotic system.
The new design features a dual console
design that allows an extra assistant to
work in a second console to assist the
main surgeon while utilizing the same
3-D image. Diagnostic images can also
be displayed adjacent to endoscopic
images for easy reference or even
transposed on to the endoscopic images
for better delineation of lesions or blood
supply.
This new system can also accommodate
single port robotic assisted surgery
features. Such use is being actively
evaluated and may soon open up many
more possibilities for keyhole surgery
via one single small incision, thus taking
minimally invasive surgery to a new
frontier.
The latest WHO guideline for acute respiratory infections with 10
recommendations based on thorough systematic reviews.
By
Dr Seto Wing Hong | Specialist in Clinical Microbiology
T
he World Health Organization has updated its
transmission of ARI pathogens to health care workers (HCWs)
guideline on “Epidemic and Pandemic Prone
and other patients.
Acute Respiratory Disease in Healthcare”, which
will soon be published on its website. Many of the
Two: Respiratory hygiene (i.e. covering the mouth and nose
changes are already widely practiced and now are also
during coughing or sneezing with a medical mask, tissue, or
formal WHO recommendations. Here we summarize the
a sleeve or flexed elbow followed by hand hygiene) should
10 recommendations.
be used by persons with ARIs to reduce the dispersal of
respiratory secretions containing potentially infectious
One: Use clinical triage for early identification of patients
with Acute Respiratory Infections (ARIs) to prevent the
particles.
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Prevention of Transmission of Acute Infectious
Respiratory Diseases in Healthcare
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LifestyleManagementCenter
Comment: Also known as cough etiquette and is part of
standard precautions.
Jan/Feb 2013
Three: Spatial separation (distance of at least one meter)
between beds should be maintained to reduce the
transmission of ARI pathogens from one patient to another.
Spatial separation (distance of at least one meter) between
the patient and the HCW without the use of personal
protective equipment (PPE) should be maintained to reduce
the transmission of ARI pathogens to the HCW.
Comment: The one meter rule is supported by various other
Comment: Particulate respirators (N95) are needed only
when there is “aerosol generation” - primarily procedures
involving endotracheal intubation.
Seven: Adequately ventilated single rooms should be used
when performing aerosol generating procedures that have
been consistently associated with increased risk of ARI
transmission.
Comment: WHO pandemic guideline lists this as 6-12
ACH for mechanical ventilation.
independent studies.
Eight: Vaccination for influenza should be used for HCWs
Four: Cohorting or grouping patients infected or colonized
illness from influenza to reduce influenza illness and
with the same pathogens in the same designated unit, zone
or ward (with or without the same staff), or taking special
measures to group patients with the same suspected
diagnosis (similar epidemiological and clinical information)
in the same designated unit, zone or ward (with or without
the same staff) within a health care setting. These isolation
precautions for patients with ARIs reduce transmission of ARI
caring for patients at higher risk of severe or complicated
mortality among these patients.
Comment: Already policy in Hong Kong hospitals.
Nine: Considerations for ultraviolet germicidal irradiation
(UVGI) recommendation: no recommendation possible.
pathogens to HCWs and other patients.
Comment: UVGI is widely practiced in some countries but
Comment: Cohorting may be based on just epidemiological
recommendation is possible.
and clinical information.
Five: Depending on the risk assessment, and procedure and
suspected pathogen, PPE may be needed when providing
care to patients with ARI syndromes and may include an
appropriate combination of the following: medical mask
(surgical or procedure mask), gloves, long-sleeved gowns,
and eye protection (goggles or face shields).
Comment: Generally surgical masks and not N95 respirators
not in Hong Kong. Evidence for this is lacking and thus no
Ten: Additional infection control precautions in health care
settings for patients with ARIs should be based on the
duration of symptomatic illness (according to the pathogen
and patient information) to reduce the transmission of ARI
pathogens to HCWs and other patients. Note that standard
precautions should always be used. There is no evidence
to support the routine application of laboratory tests for the
determination of duration of infection control precautions.
are used.
Comment: Viruses may be found in small amount
Six: Personal protective equipment including the use of
not show evidence that there is definite transmission in
gloves, long-sleeved gowns, eye protection (goggles or
face shields) and facial mask (surgical/procedure mask or
particulate respirators) should be used by HCWs during
aerosol generating procedures that have been consistently
associated with an increased risk of transmission of ARI
pathogens. The available evidence suggests performing
or being exposed to endotracheal intubation either by itself
or combined with other procedures (e.g. cardiopulmonary
resuscitation, bronchoscopy) was consistently associated
with increased risk of transmission.
before symptomatic illness but systematic review does
asymptomatic patients.
Modifying Traditional Surgical Technique for Better Post - Operative
Function and Outcome
By
Dr Chung Shiu Shek, Andrew | Specialist in Cardiothoracic Surgery
A
nastomosis for bronchus or trachea is not normally
used in major lung resection for cancer. Firstly, the
worry of blood supply to the cartilaginous material
increases the risk of dehiscence. Secondly, the concern for
clear resection margin is always a deterrent factor. Last but
not least, for surgeons without extensive experience in tertiary
center, the technique is difficult to learn, let alone master.
It is, however, a useful technique for occasional patients who
need to undergo lung sparing procedure for example, those
with lung tumours occurring in the proximal bronchus, notably
the origin of R upper lobe bronchus. The close proximity to the
main bronchus requires resection of the distal part of R main
bronchus. Surgeons are then forced to sacrifice the lower lobe
and middle lobe. By carefully re-sectioning the base of the R
upper lobe bronchus and a certain amount of proximal bronchus
intermedius, a T-shaped resection of the R upper lobe bronchus
base, the lower lobe and middle lobe can be preserved. By
rejoining the bronchus intermedius to the R main bronchus
stump, a substantial lower part of the R lung can be saved. This
is bronchoplastic operation or sleeve resection of the upper right
lobe.
an attractive option. However, the presence of lung lobes
means resection of the L main bronchus alone is difficult. One
alternative is sleeve resection of the left upper lobe to preserve
the lower lobe alone. For benign, non re-current tumours, for
example leiomyoma, a bronchotomy and wedge resection of
the bronchus is more easily performed without complications.
Centers such as Harvard University produce excellent
long-term results for lung cancer. In the local center, sleeve
resection is also commonly performed as needed. In Hong
Kong, sleeve resection is performed mainly for patients with
border-line lung function. One reason is because if there
is anastomosis, completing the pneumonectomy will be of
considerable risk. However, if the surgeon is capable of good
anastomosis, the risk is small and the patient can have a
better quality of life. Recently, I performed such an operation
in a private setting for a patient receiving pre-operative
chemoradiation. I employed double intercostal muscle flap to
protect the anastomosis. The patient had excellent recovery
and withstood post-operative radiation well.
Anastomosis of the bronchus is best achieved with interrupted
delayed absorbable sutures such as vicryl (polyester) or
PDS (polydioxanone), with the knots tied on the outside.
Occasionally, part of the bronchus can be continuously sutured.
The more exposed part can be sutured with interrupted sutures
to match the small discrepancy of the two opposing sizes of the
bronchus.
Usually the pulmonary artery is flexible enough to
accommodate the slight crowding or buckling up with the lung
being pulled proximally. Resection of part of the pulmonary
artery and reanastomosis will not be necessary unless a small
part of the pulmonary artery is directly invaded by the tumour.
Another example is a localised tumor in the L main bronchus
for example leiomyoma or adenocystic tumour. Resection
of L main bronchus segment with end-to-end anastomosis is
References:
(1) D’Abreu AL. Mac HS: Bronchial “adenoma” treated by local resection and reconstruction of the left main bronchus Br J Surg. 39:355-7, 1952
(2) Bueno R, Wan JC, Wright CD, et al: Bronchoplasty in the mangement of low-grade airway neoplasms and benign bronchial stenoses Ann Thorac
Surg 62:824-8 828-9 , 1996
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Physician’sCorner
PLEASE EXTEND A WARM WELCOME TO THE FOLLOWING DOCTORS
NAME:
LAW Chun-key, Stephen
SPECIALIST:
CLINICAL ONCOLOGY
SCOPE OF SERVICE:
Full spectrum of clinical oncology from diagnosis,
radiotherapy and drug therapy to palliative care
STRENGTHS:
Patient-centered care
CREDENTIALS:
MBBS (HK)
FRCR
FHKCR
FHKAM (Radiology)
HOBBIES AND INTERESTS: Photography, reading, and studying Chinese history and
culture.
WHAT WOULD YOU LIKE My commitment is (1) to offer quality health care to patients,
TO SHARE WITH US? (2) to show respect and trust to colleagues, and (3) to
ensure professionalism, safety, and efficiency within the
field of oncology.
CLINIC HOURS:
HKAH
Monday to Thursday 9:30am - 6:00pm
Friday 9:30am - 5:30pm
TWAH
Wednesday and Sunday 2:00pm - 4:00pm
NAME:
MIAO Yin King, May
SPECIALIST:
PSYCHIATRY
SCOPE OF SERVICE:
General Adult Psychiatry, Perinatal Psychiatry, Child and
Adolescent Psychiatry, Mental Capacity Assessment,
Forensic Reports, Psychotherapy
STRENGTHS:
Openness, keeping abreast of new developments
and treatments, adopting multi-modal approaches in
treatment.
CREDENTIALS:
MBBS (HK)
MRCPsych
FHKCPsych
FHKAM (Psychiatry)
HOBBIES AND INTERESTS:
Yoga, meditation, reading, writing, arts and crafts
WHAT WOULD YOU LIKE When we reach beyond ourselves to care for others, we
TO SHARE WITH US?
are often led past our own fears and limitations.
CLINIC HOURS:
Friday 11:00am - 1:00pm
YIP Churk Lun, Raymond
SPECIALIST:
ORTHOPAEDICS & TRAUMATOLOGY
SCOPE OF SERVICE:
Spine surgery
General orthopaedic conditions
Trauma
STRENGTHS:
Spinal conditions
Minimally invasive spine surgery
CREDENTIALS:
MBBS (Lond)
FRCSEd (Orth)
FHKCOS
FHKAM (Orthopaedic Surgery)
HOBBIES AND INTERESTS: Travel, movies, music, astronomy and classic car
restoration.
WHAT WOULD YOU LIKE Back and neck pain are very common conditions.
TO SHARE WITH US? Diagnoses of spinal problems are mainly mechanical
in nature and can be divided into structural instability
and neurological symptoms. Pathology is usually due
to minute disruptions (in millimeters) and therefore with
current advances in technology, minimally invasive
surgery can be used to treat the vast majority of spinal
conditions, with wound sizes around one to two cm.
Disruption is minimized with fast rehabilitation and a
return to function and work in a few days to weeks.
CLINIC HOURS:
Tuesday and Thursday 9:00am - 11:00am
NAME:
CHUNG Shiu Shek, Andrew
SPECIALIST:
CARDIOTHORACIC SURGERY
SCOPE OF SERVICE:
Open heart surgery, minimally invasive cardiac and
vascular surgery, airway stenting, pectus correction,
VATS, minimally invasive thoracoscopic surgery, hybrid
coronary surgery.
STRENGTHS:
Developer in field of VATS and MICS (minimally invasive
cardiac surgery), expertise in mitral valve anterior leaflet
repair, radiofrequency AF ablation, hybrid coronary
surgery, VATS in mediastinum surgery, pectus excavatum
repair, renowned expert in airway stenting surgery.
CREDENTIALS:
Locally trained in general and cardiothoracic surgery.
Overseas experience in prestigious centers including,
Mayo Clinic, Rochester; Stanford University; University
of Michigan; and University of Alabama. Pioneer in
transplant surgery in Hong Kong for liver and heart
transplants. Introduced VATS and MICS in Hong Kong
and hosted international symposium workshop in live
thoracic surgery at Queen Elizabeth Hospital in 2003.
HOBBIES AND INTERESTS:
DIY computer assembly, chess and card games, bridge.
WHAT WOULD YOU LIKE The art of medicine lies in being honest and honorable
TO SHARE WITH US? to our patients. A great surgeon should be confident but
humble. Our skills are granted through the generosity of
patients who put their lives in our hands.
AH
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NAME:
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Jan/Feb 2013
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Jan/Feb 2013
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NAME:
KWOK Hon Chu, Kenneth
SPECIALIST:
GENERAL PRACTICE
SCOPE OF SERVICE:
Out-patient and in-patient services
STRENGTHS:
Caring of elderly patients
CREDENTIALS:
MBBS (Sydney)
DCH (Sydney)
DPD (Cardiff)
DipClinDerm (Lond)
DipGerMed RCPS (Glasg)
DipMed (CUHK)
DFM (CUHK)
MFM (CUHK)
FHKCFP
FRACGP
HOBBIES AND INTERESTS: Photography
WHAT WOULD YOU LIKE As a Christian, I am very happy to be able to work in a
TO SHARE WITH US? Christian hospital.
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LifestyleManagementCenter
Salt of the Earth
More than just common table
salt, sodium chloride is essential
for life
A
t a physiological level, salt (sodium chloride)
regulates blood pressure, body fluids, normal
transmission of nerve impulses, passage of
various nutrients into cells, heart activity and metabolic
functions. In addition, salt has been used throughout the
Finally, salt is a great natural cleaner with a multitude of
ages for the preservation of food due to its antibacterial
uses, causing little to no harm to the environment when used
properties that dehydrate food, hence inhibiting the
in moderate amounts.
growth of bacteria that spoils food. Upon contact with a
bacterium, salt starts absorbing the bacterium’s moisture
Salt in moderation promotes health but most of the time,
through its cell walls, which results in the death of the
people forget to keep an eye on high-sodium condiments
bacteria.
and consume much more than recommended. The amount
of dietary salt consumed is an important determinant of blood
Salt is also a flavor enhancer used in many cuisines
pressure levels, hypertension, and overall cardiovascular
across various cultures. It selectively filters flavors,
risk. The World Health Organization recommends less
suppressing unpleasant tastes (bitterness and acidity) in
than five grams of salt per day to prevent cardiovascular
favor of more palatable ones (such as sweetness).
diseases.
FOR ENQUIRIES [HKAH] (852) 2835 0555
FOR ENQUIRIES [TWAH] (852) 3616 6821
Stepping Up eHealth
(From November 2012 to January 2013)
Adventist Hospitals integrate the Government’s
new eHealth Record (eHR) system into its clinical
management system
Hong Kong Adventist Hospital
Specialty
Anaesthesiology
Cardiology
Cardiology
Cardiology
Gastroenterology & Hepatology
General Practice
General Practice
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Haematology & Haematological Oncology
Neurosurgery
Obstetrics & Gynaecology
Obstetrics & Gynaecology
Obstetrics & Gynaecology
Ophthalmology
Ophthalmology
Otorhinolaryngology
Paediatrics
Paediatrics
Psychiatry
Rheumatology
Name
Dr Tong Kam Chiu
Dr Leung Wai Fung, Anders
Dr Wong Ming Ho
Dr Yip Wai Cheong, Thomas
Dr Ng Ho
Dr Chan Kay, Stephenie
Dr Yeung Ngai Man, John
Dr Cheng Wing Kay, Anthony
Dr Lai Kai Cheong, Albert
Dr Ng Wing Chiu, Lawrence
Dr Tse Chun Yiu, Samson
Dr Yau Kwok Kay
Dr Ma Shing Yan, Lawrence
Dr Kwok Ching Kwong, John
Dr Cheung Mei Ling
Dr Tam Man Kit, Edwin
Dr Wong Ying, Grace
Dr Chan Chia Chieh, Orlando
Dr Wu Kai Wah, Patrick
Dr Yu Hip Cho
Dr So Kit Wing
Dr Tsui Kit
Dr Lai Tai Sum, Tony
Dr Chau Shuk Yi, Lucia
In November 2012, Hong Kong and Tsuen Wan Adventist
Hospitals signed a cooperation agreement with the Hong
Kong Government’s eHealth Record Office to participate in
the Government’s eHR sharing platform. The partnership
integrates the applications designed by the eHR Office into
Adventist’s clinical management system.
Adventist’s Information Technology Department is currently
rewriting its existing clinical management system so that
the eHR Office applications may be introduced in phases.
The hospital is scheduled to install the first application
(Structured Alert) in the first quarter of 2013. The second
application (Discharge Summary) will be available on
the In-patient Department’s online platform in the second
quarter. Three more applications will be introduced at a
later stage.
Tsuen Wan Adventist Hospital
Specialty
Anaesthesiology
Cardiology
Clinical Oncology
General Surgery
Geriatric Medicine
Obstetrics & Gynaecology
Plastic Surgery
Psychiatry
Psychiatry
Radiology
Rheumatology
Name
Dr Lee Tsun Woon
Dr Wong Wing Ho
Dr Law Chun Key
Dr Ng Wing Chiu, Lawrence
Dr Tam Cheuk Kwan
Dr Wong Ying, Grace
Dr Lam Lai Kun
Dr Chang Chi Lok
Dr Lai Tai Sum, Tony
Dr Ng Seung Ming
Dr Chan Shuk Yi, Lucia
All’s Well
Adventist Hospitals partner with local vocational school
to launch wellness programmes
Hong Kong and Tsuen Wan Adventist Hospitals and
Vocational Training Council (VTC) Wellness Center, Hong
Kong Institute of Vocational Education (Chai Wan) have
become strategic partners and are launching wellness
programs for VTC staff, students, and the general community.
A Memorandum of Understanding was signed at the opening
ceremony of the VTC Wellness Center on 30 November, 2012.
The cooperation aims to enhance holistic wellness concepts
and promote healthy, fulfilling, and quality lifestyles among
students, staff and the community. In the last quarter of 2012,
Adventist held four health lectures and organized four health
promotion days at IVE (Haking Wong), IVE (Tsing Yi), Hong
Kong Design Institute, IVE (Lee Wai Lee), and IVE (Chai
Wan). In total, Adventist performed 200 health screenings
and consultations.
AH
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Admission Right updated
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New Appointment at HKAH
We are pleased to announce two
We are also happy to announce the
new appointments.
appointment of Dr Law Chun-key,
Jan/Feb 2013
Stephen as Clinical Director of Hong
Dr Yip Kam Hung, Sidney has
Kong Adventist Oncology Center,
been appointed Clinical Director
effective December 2012.
of Robotic Surgery (Urology) for
Dr Law joins Adventist Health from
Hong Kong Adventist Hospital,
the Hospital Authority where he held
effective January 2013.
the positions of Chief of Service in Clinical Oncology of Queen
Dr Yip obtained his early training in Hong Kong, and
Elizabeth Hospital from 2003 to 2012 and Director of Hong Kong
subsequently practiced as a specialist in Singapore. He was
Cancer Registry from 2004 to 2012. He has been the President
appointed Head and Professor of the Division of Urology at
of the Hong Kong College of Radiologists since 2008. He is
the Chinese University of Hong Kong (2007 - 2011), after
also a past President of Hong Kong Head and Neck Society, and
which he commenced his private practice.
ex-Vice President of Hong Kong Nasopharyngeal Carcinoma
Study Group and Hong Kong Lung Cancer Study Group.
His specialty areas include prostate and renal cancers,
laparoscopic and robotic surgery, as well as transplantation.
Dr Law is an all-round clinical oncologist with special interests in
He is passionate about clinical research and training
stereostatic radiotherapy and TomoTherapy.
programs for laparoscopy and robotic surgery, both in
Hong Kong and regionally.
Please join us in welcoming Dr Law and Dr Yip, and we look
forward to their valuable contributions.
Healthy Living in Hong Kong
Adventist Opens Out-Patient Lifestyle Medicine Clinic in Hong Kong
Reach for a second serving of meat or opt for the steamed
vegetables, stay to the left on an escalator, or climb stairs or
stand? Faced with daily lifestyle questions across an array of
topics including nutrition, exercise and stress management,
everyone’s path to wellness takes a different course.
To help patients make informed lifestyle decisions, Hong Kong
Adventist Hospital opened an Out-Patient Lifestyle Medicine
Clinic in October 2012.
Clinic sessions are held every Thursday from 11:00am to
1:00pm and are conducted by Dr Albert Tsai, MD (University of
Chicago) and Mr Alan Siu, Registered Dietitian (USA), MBA.
The American College of Lifestyle Medicine defines
lifestyle medicine as utilizing evidence-based lifestyle
intervention such as nutrition, exercise, stress
management and other lifestyle modalities in the
prevention, management and treatment of diseases and
health-related problems.
Lifestyle medicine is suitable for anyone interested in
maintaining a healthy lifestyle and in particular those
seeking to prevent and/or manage:
weight control
metabolic disorders such as diabetes mellitus and
elevated cholesterol
cardiovascular disorders such as hypertension and
heart diseases
menopause
stress
cancer
.
.
.
.
.
.
Referrals by physicians and other healthcare professionals
are welcome, and patients may also register themselves.
FOR APPOINTMENTS OR ENQUIRIES: 3651-8622 or 3651-8779 (MS JUDY LAM)
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Surgical Services’ New Look
HKAH’s new Operating Rooms (ORs) and Endoscopy Unit (Endo) – equipped with the latest technology – have commenced
services in January 2013.
The four new ORs are located on the eighth floor, with one OR fitted with the latest da Vinci robotic surgical system. Adjacent
to OR is Endo with two endoscopy rooms. Endo has been expanded to allow for the installation of new equipment, providing
physicians with the capability of visually examining the entire length of the digestive tract. In addition, the new Endoscopic
Ultrasonography System (EUS) is available now.
Short Stay Unit (SSU) has opened as well and is also located on the eighth floor. SSU has four private rooms and four
standard beds. Doctors can make only one phone call to our booking representatives on 2835 0510 (during office hour) for
arranging all the bookings, such as beds, the procedures required for patients. Jan/Feb 2013
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First da Vinci Si HD in Hong Kong
H
ong Kong Adventist Hospital installed the most advanced technology in surgical care – the da Vinci Si HD. It is the
latest model available and the first in Hong Kong.
In addition to providing surgeons with higher quality control, precision, dexterity and visualization than that of traditional
surgical techniques, the Si HD model offers enhanced, high-definition 3D vision for superior clarity. It is designed to expand
the surgeon’s capabilities and provides patients with a minimally invasive option for many complex procedures. It also offers
surgeons and their operating room teams the advantages of fast setup, rapid instrument exchange, multi-quadrant access and
multi-image display capabilities.
With the Single-Site Instrumentation, single port da Vinci procedures will be available soon.
FOR ENQUIRIES : (852) 3651 8621
New Ultrasound
Equipment in Urology
New and advanced, the ultrasound equipment installed in Urology combines
simultaneous biplane and endfire prostate imaging in one transducer. Buttons on
the handle of the Triplane allow for easy switching between planes, in addition to
freezing, saving or printing the image. Images are easily reconstructed on screen,
data sets may be browsed, and information can be shared with colleagues.
EUS is Us
Endoscopic ultrasonography (EUS) examinations now available at Hong Kong Adventist Hospital
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In November 2012, Hong Kong Adventist Hospital started offering EUS examinations and
EUS is a procedure that assists doctors in reaching accurate diagnoses through combined
endoscopic and ultrasound examination of the internal organs, where tissue diagnosis may
also be obtained using ultrasound guidance.
EUS examinations may be recommended to patients suffering from esophagus, stomach,
bile duct, gallbladder, pancreas or lung ailments, such as unexplained upper abdominal pain
and weight loss, suspected biliary obstruction, upper digestive tract cancer, lung cancer,
gastrointestinal submucosal lump found during a prior examination, shadow on the pancreas,
pancreatic cancer, acute or chronic pancreatitis, abnormal lymph nodes inside the body that
require tissue diagnosis, etc.
Referrals by physicians and other healthcare professionals are welcome, and patients may
also contact us directly.
FOR APPOINTMENTS OR ENQUIRIES: : (852) 3651 8620
Meet this Year’s Management Trainees
Tony Chan
A forensic accountant by training, 22 year-old Tony graduated from Queensland University of
Technology, Australia and returned to Hong Kong to work in a local accounting firm as an auditor.
Not fulfilled, he decided on a career change and turned to supporting clinical professionals and
serving patients. “It is much more meaningful for me,” says the new management trainee at HKAH.
“After visiting several departments, I now understand why systematic cooperation is very important
for every department.”
Jolly Tang
Jolly joins HKAH from a law firm where she spent two years mainly handling Chinese notary
cases, including commercial, authorizing and heritage documents. She studied Chinese culture,
politics and economics at university and lists classical music, singing and tea art as her interests.
“I am happy to be part of this quality team. The smiles and kindness of all my colleagues across
the hospital have deeply impressed me,” she says. She looks forward to working with various
teams at HKAH, and hopes her enthusiasm is a good fit for the hospital.
Gabriella Zhang
Gabby spent four years in Beijing earning her bachelor’s degree in English studies, and came to
Hong Kong to undertake a master’s degree in translation and bilingual communication. Instead
of pursuing a career in translation, Gabby worked for two years as a marketing executive at an
electronic manufacturing firm before joining HKAH as a management trainee. “Life is a process
of ceaseless learning and improving,” she says. “Since I am new, there is a lot to learn and I am
looking forward to growing and developing alongside the hospital.”.
Jan/Feb 2013
special promotion packages for the procedure
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Clinical Laboratories Take Part in
Regional Tests Program
Jan/Feb 2013
Clinical Laboratories at Adventist Health has been invited by the Royal College of Pathologists of Australasia (RCPA) to
participate in a program to set up target values for a list of chemical tests.
In accordance with the Hong Kong Laboratory Accreditation Scheme, Adventist Health has been part of the external quality
assurance program organized by the RCPA for a number of years. Only laboratories with instruments appropriate for the assays
and a track record of good performance in the RCPA Quality Assurance Programs are invited to set up target values.
The results we provide will be adopted as a standard in external quality control programs among other laboratories, and used
for peer group comparison of analytical performance to ensure greater accuracy and precision.
Ground Floor Renovation
Hong Kong Adventist Hospital ushers in the New Year with two new treatment bays in the urgent care unit and half a new
entrance. The rest of the entrance will be completed during phase II of the ground floor renovation work which began in
January and work on the In-Patient Admission Office and a new prayer room will also begin.
Shuffles during phase II renovations include Out-Patient business manager’s office moving to La Rue 6A, and one of the
consultation rooms temporarily relocating to the seventh floor. We will also have an interim In-Patient Admission Office set
up in the entrance lobby.
Going up!
An “out of order” sign may at times dredge up frustration but at Hong Kong Adventist Hospital it appears to be a rallying
cry motivating teamwork across departments.
Two lifts were suspended due to unexpected water damage, leaving only one lift operational and no access to the
Basement and Lower Basement levels. Despite that we continued to provide ambulance services to deliver and pick up
patients from these two levels. The lifts were fully operational within two weeks.
As hospital staff remained focused on finding solutions in the short term, strong team spirit was shown by everyone who
cooperated with the new arrangements. In particular, we would like to thank all our doctors for their patience and understanding.
Protect Against Kidney Stones
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In line with our hospitals’ “Total Health” concept, dedicated registered dietitians provide dietary advice to patients to help prevent
future recurrences.
Ms Helena Yu, registered dietitian at TWAH, notes a common misconception is that people who
have had kidney stones should avoid calcium. She says, “It has been shown that moderate dairy
products could reduce the risk of stones. Moreover, fiber could help to bind excess oxalate,
calcium found in the digestive gut, preventing it from entering the kidneys.”
Dietitians analyze a patient’s diet and provide tailor-made dietary advice to
fit the patient’s lifestyle. Working towards lifelong habits in the prevention of
kidney stones, focus is placed on good hydration and a well-balanced diet
consisting of high fiber and avoiding processed high-salt, high-fat foods.
FOR ENQUIRIES : (852) 2276 7338
EventHighlights
TWAH Lithotripsy Center Opening Ceremony
Jan/Feb 2013
The Lithotripsy Center at Tsuen Wan Adventist Hospital opened in November 2012, providing treatment for urinary stones
Content
EventHighlights
HKAHF
HKAH
HKAHF Sets the Pace in
Charity Walkathon
Jan/Feb 2013
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Hong Kong Adventist Hospital Foundation (HKAHF) organized its second
Charity Walkathon at the Peak in November. Despite the slightly cooler and
The event was officiated by (from second left to right): drizzly weather, 360 vibrant and enthusiastic participants joined the Footprints Dr Maurice Leung, Chairman of Adventist Paediatric Heart
Fund; Ms Ella Koon; beneficiary; Mr Eric Chong, CEO of
Siemens; Ms Jo Soo, Chairman of HKAHF; Dr Eddie Cheung,
Assistant Medical Director of Adventist Paediatric Heart Fund.
at the Peak walk.
Dr Leung presented souvenir to Mr Chong,
CEO of Siemens, Title Sponsor of the event.
Ms Ella Koon, HKAHF’s ambassador, with
Adventist Paediatric Heart Fund beneficiary.
HKAH
CMEHighlights
Food Allergy - Myths or Science?
Speaker
Dr Ho Hok Kung, Marco
Tropical Disease in South East Asia
Speaker
Dr Simon John Wingate
SPECIALIST IN PAEDIATRICS
Date
1 November, 2012
Fungal Lung Infections
Speaker
SPECIALIST IN INTERNAL MEDICINE
Dr Tsang Wah Tak, Kenneth
SPECIALIST IN RESPIRATORY MEDICINE
Date
4 December, 2012
Jan/Feb 2013
New Operating Room Dedication Ceremony
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HKAH
EventHighlights
Content
CMEHighlights
TWAH
Treatment of Birthmark by Laser
Speaker
Dr Luk Chi Kong, David
Specialist in PAEDIATRICS
Date
10 January, 2013
The Current Status of Robotic Prostatectomy
Speaker
Dr Ng Chi Fai
Specialist in UROLOGY
Date
30 November, 2012
EventHighlights
Content
Patient Experience Model Workshop
Jan/Feb 2013
HKAH
HKAH
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Mr Mack Rucker (fifth left), our consultant from the US, and our senior
administration team.
Group discussion
Mr Sam Tsien (right), Director and Head of Customer Service
Delivery, Hong Kong of American Express International, Inc.
shared with us the AE customer service philosophy.
Presentation from TWAH ‘Service
Recovery’ team
Patient Experience Model Workshop in
October 2012
ForthcomingEvents
HKAH CME
TWAH CME
7-8 March, 2013
The Use of CyberKnife and TomoTherapy in
Cancer
TIME
8:30am - 4:00pm
Speaker
Venue
1B/4A, La Rue Building, Hong Kong Adventist Specialist in CLINICAL ONCOLOGY
Cochlear Implant Course 2013
Date
Dr Law Chun Key, Stephen
Hospital, 40 Stubbs Road, Hong Kong
Date
22 February, 2013
HOTLINE
2835 0581
TIME
1:00pm - 3:00pm
Venue
Room 4, 11/F, L’Hotel Nina et Convention Centre, Tsuen Wan
HOTLINE
3616 6809
Temporal Bone Dissection Course 2013 - An
Interactive Mutual Exchange
Date
10 March, 2013
TIME
8:30am - 6:00pm
Venue
4A, La Rue Building, Hong Kong Adventist Hospital, 40 Stubbs Road, Hong Kong
HOTLINE
2835 0581
Tsuen Wan Adventist Hospital
Hong Kong Adventist Hospital
Address 199 Tsuen King Circuit, Tsuen Wan, N.T., Hong Kong
Address 40 Stubbs Road, Hong Kong
Phone
Fax
Email
(852) 2276 7676
(852) 2415 6767
[email protected]
www.twah.org.hk
Phone
Fax
Email
(852) 3651 8888
(852) 3651 8800
[email protected]
www.hkah.org.hk