In this case report, we present the challenges encountered by physicians and cardiologists managing patients with advanced HF, and highlight the broadening spectrum of medical therapies and pathways that comprise contemporary practice.
Charity begins at home, as the saying goes. With this in mind, more and more healthcare professionals have been giving back to the underserved and isolated communities in Sabah and Sarawak for the past few years.
Dr Indumathi Venkatachalam, a consultant at the Department of Infectious Diseases, Singapore General Hospital, speaks to Roshini Claire Anthony on how GPs can help ensure early detection of tuberculosis (TB).
A 38-year-old right-handed man had had epilepsy since 2 months of age. There was no relevant family history. Perinatal history was unremarkable. No other risk factors such as central nervous system infection or cerebral trauma were identified. Developmental history did not show major delay. His epilepsy was uncontrolled despite trying valproate, carbamazepine, clobazam, levetiracetam, oxcarbamazepine and perampanel.
While most doctors delve into healthcare because of a desire to heal, geriatricians tend to care with a little more compassion. Dealing with the elderly and frail naturally dictates that the person involved be more patient, gentle, communicative, encouraging than another person dealing with an otherwise healthy person. Ability to communicate in the person’s mother tongue will allay their anxieties. Speaking slowly and clearly are important especially those who are hard in hearing may compensate with lip reading.
Dr Paul Chiam, a senior consultant cardiologist at The Heart & Vascular Centre, Mount Elizabeth Hospital, Singapore, and an Adjunct Associate Professor at the National University of Singapore, shares his insights with Pearl Toh on diagnosing and managing hypertension in the primary care setting.
MIMS Pharmacist speaks to Khaled bin Ghazali, assistant treasurer of the Malaysian Pharmaceutical Society (MPS), and Nik Nurma Nik Yahya, vice-president of the Kelantan Malaysian Community Pharmacy Guild (MCPG) to find out more about their experiences with state-wide collaboration among the Kelantanese pharmacy community.
Dr. Fanny Wai-San Ko, Dr. Wing-Ho Yip, 20180815064342
Although a majority of patients can achieve good asthma control with the use of inhaled corticosteroid (ICS) and bronchodilators, some patients’ asthma remain uncontrolled despite the use of these medications.
Associate Professor Reshma A Merchant, Head & Senior Consultant of the Division of Geriatric Medicine at the National University Hospital, Singapore, speaks with Audrey Abella to discuss the challenges associated with dementia, its impact on the ageing population, and how this condition can be best managed in primary care.
Individuals following a diet low in or free of meat are at lower risk of diabetes, and this protective association is partly attributable to having a lower body mass index when compared with regular meat eaters, according to a study.
Vitamin E supplementation does not appear to contribute to blood pressure (BP) improvement, with results of a recent systematic review and meta-analysis showing decreases only in systolic (S)BP but no favourable effect on diastolic (D)BP and mean arterial pressure (MAP).