Friday, September 19, 2014

Karri Family Clinic Now Accepts CHAS and Pioneer Generation Cards!




I am very happy to announce that Karri Family Clinic is now a CHAS clinic and we can see patients who are holding either the Pioneer Generation card or the HealthAssist cards!

If you hold such a card, all you need to do is to fill up a simple form the first time you visit our clinic to register yourself at our clinic.  You can then start using your HealthAssist or Pioneer Generation cards.

Pioneer Generation card holders will get $28.50 deducted from your bill.  So, if your consultation and medications come up to $50, you pay only $21.50.  For Blue Tier card holders, if your bill is $50, $18.50 will be deducted from your bill and you pay $31.50.  Different rates apply for chronic diseases.  Please refer to the chart below or check the CHAS website for more details.

We look forward to serving you at Karri Family Clinic!



Friday, February 07, 2014

Eggs and cholesterol: The current thinking on the subject

http://www.huffingtonpost.com/david-katz-md/usda-eggs-cholesterol_b_820497.html Link to article


When I was young boy, my mum used to always cook an egg for me for breakfast.  For those of us who grew up in the 70's and before, the egg was good, healthy food and I often remember people in those days bringing eggs to the Char Kway Teow or Roti Prata man to have them add it into their dish to enhance it.

In between then and now, the egg became a sort of poster boy for high cholesterol food.  So much so that people started to cut down on eggs.  I am sure you know of people who would eat the egg white and leave the egg yolk behind.  The message that eggs were high in cholesterol and would thus lead to high blood cholesterol was so well marketed that it became entrenched in everyone's mind.

In recent years, the thinking about eggs has changed.  Not only have egg producers managed to lower the cholesterol content of eggs, but there have been studies that show that there is no link between eating eggs and high cholesterol levels.  In these studies, people who were given two eggs to eat daily showed no significant increase in cholesterol levels compared to those who didn't eat eggs.  As a result of this new information, the heart foundation are now telling us that eggs are nutritious and a healthy part of a balanced diet. 

I often have to counsel parents with kids who are finicky eaters.  You know, those who are slightly underweight and don't eat very well.  My advise is always to give these kids an egg for breakfast in the morning. Eggs are packed full of goodness and they are a good source of healthy protein for growing kids. Unlike adults, kids actually need cholesterol because they are the building blocks for growth.  And, it's certainly healthier for your child to eat a soft boiled egg for breakfast than having those sweetened cereals and fruit juices which have so much added sugar! 

Now before you go out and binge on eggs, let me just remind you that eating an hard boiled egg is good but eating an egg fried in butter is not as the butter is high in saturated fats.  Same goes for eating that extra slice of cake.  There are eggs in cake but there is also (most of the time) saturated fats like butter which is not good for your cholesterol levels.  Same goes for that bowl of ramen.  It might be ok to eat that egg, but the ramen soup is full of pork lard which is high in saturated fats! So please, what I am saying about eggs refer to just the egg alone!  You still need to take note of how it is prepared!

One last word on eggs.  When you buy your next tray of eggs, do take note of the nutritional information on each tray.  Nowadays, egg farmers are feeding their chickens which different feeds which can really lower the cholesterol levels of eggs and increase Omega 3 fatty acids.  So if you are still concerned about cholesterol levels (especially those with heart conditions) you can actually buy eggs which are lower in cholesterol!

At the end of the day, always remember that the bottom line to a healthy diet is balance.   A diet that is higher in fruits and vegetables and less in meats, fats and sugar is a good balanced diet and the egg can be a nutritious and inexpensive part of that diet.

Thursday, May 30, 2013

Singapore's reports its first Dengue Fatality this year

 

Link to article

Singapore has just reported it's first dengue fatality this year.  Here is a timely reminder for everyone to be more vigilant about keeping your place mosquito free and to see your doctor if you have a fever.

Saturday, March 09, 2013

Dengue Fever Update: Cases around Blk 869

This is another reminder for everyone who lives around Blk 869 especially in the lower levels.  We have several patients who have tested positive for dengue and one of our patients reported that a neighbour of hers in the block has passed away from dengue.  So please take the necessary precautions and seek medical attention if you develop a fever.

Thursday, February 14, 2013

Dengue Fever: New Outbreak around our neighbourhood

One of our patients living in block 867 has just been confirmed to have Dengue fever.  We would like to remind all our patients to take extra precaution.  The dengue mosquito likes to bite 2 hours after sunrise and at dusk and they like to bite indoors.  So do take the necessary measures to protect yourself and your family.

If you have a high fever and severe bodyache, please seek medical advise. We are now able to do a blood test that can detect Dengue from the first day of the fever if necessary.


Characteristics of Dengue Fever:
  • Fever that lasts for 2 to 7 days
  • Severe muscle ache, headache and joint pains
  • Rash appearing after the fever subsides usually after the 5th day. The rash may look like a measles types rash. There may also be some pin point red spots known as petechiae that may appear.
  • Abdominal discomfort
Sometimes the Dengue Fever causes the platelet levels (component of the blood responsible for clotting) to drop dramatically. When the platelet levels are low, the body loses its ability to repair any bleeding blood vessels. This might result in uncontrolled bleeding in the body which is the condition known as Dengue Haemorrhagic Fever. (Haemarrhage means to bleed) Dengue Haemorrhagic Fever is the main cause of death when the patient contracts Dengue.

What happens when you are diagnosed with Dengue?
  • If you have a fever for 5 days and the blood test reveal that your platelets have dropped to less than 150.000 you will need to do daily blood tests to monitor your platelet levels.
  • If your platelets continue to fall below 80,000, you may need to be admitted to hospital
  • Most patients will not need admission. Dengue can be managed at home with daily visits to the clinic.
What you should do when you are diagnosed with Dengue.
  • Make sure you get your blood checked daily
  • There are no antibiotics that can be given with Dengue. It is mainly bed rest and fluids until the patient recovers.
  • If the platelets are low, you should avoid any vigorous exercise or situations that may cause an injury.
  • Check around your home for possible mosquito breeding sites and eliminate them
  • Although you cannot infect another person directly, it is possible that a mosquito that bites you can in turn bite another person and transmit the disease that way. So it is important to make sure you do not give mosquitos a chance to bite you.
Conclusion

Dengue can be a deadly disease. It is important to recognize the symptoms of Dengue so that you can present yourself for a blood test. The most important way to to avoid contracting Dengue is to ensure that you don't get bitten by mosquitoes by taking the usual precautions.

More info on Dengue from MOH can be found here

Friday, February 08, 2013

Chinese New Year closure

Our clinic will be closed from 10 to 12 Feb Clinics will resume on Wed morning. Happy Lunar New Year!

Wednesday, June 20, 2012

Cervical Cancer Vaccination Packages




MOH recommends that girls aged 9 to 26 be vaccinated against the HPV virus infection which has been linked to the development of cervical cancer later in life.  So do get yourself and your loved ones vaccinated as soon as possible.

Our clinic is now offering the Cervarix Package for $400 nett, fully claimable through Medisave if you are less than 26 years of age.  The vaccination is taken at 0, 1 and 6 months.

Wednesday, March 07, 2012

ECHO: Register for your Health Screening now!


Tampines ECHO Video from CGH CA on Vimeo.

For those of you who have not had Health Screening done before, now you can do it for as low as $2 as part of the Eastern Community Health Outreach initiative.  Its time to do some maintenance work!

More info can be found here:  http://echohealth.com.sg/

For those who want a more comprehensive package, we also offer packages starting from $60 at our clinic.  Do come by the clinic and have a chat with our doctor who can cater a package to your needs.

Wednesday, December 14, 2011

Hep A outbreak in Malaysia: Protect yourself with the Hep A vaccine!

There has recently been a report of an outbreak of Hep A in Terengganu, Malaysia.  If you are planning a trip to the region, please get yourself vaccinated with the Hep A vaccine.  You will need two jabs over six months, but even after the first jab, you will get 85% protection by 2 weeks and 100% protection by 3 weeks.

Hep A is easily contracted through exposure to contaminated food and water and is highly recommended for visitors planning to travel to regions like South East Asia and South Asia.

The Hep A vaccine is available at our clinic at $110 nett.

Tuesday, November 29, 2011

Kids to get two MMR vaccines at 12 and 15 months

MOH has announced that from 1 Dec 2011, all children will need to have 2 MMR vaccines at 12 and 15 months.  Currently, they are only required to have one at 15 months followed by a booster at primary one.

The reason for this is because there have been measles cases reported in Singapore.  By completing the 2 courses, the child will have earlier protection against measles.

It is also advised that older children who have already taken the first MMR also complete the course instead of waiting till primary one.

You now have the option of including the chickenpox vaccine as part of the MMR vaccination.  The combined vaccine is called MMRV and contains Measles, Mumps, Rubella and Chickenpox vaccines.  It is a convenient way of protecting your children against an additional disease.  Our package for your child's 2nd year vaccines include 2 MMRV at 12 and 15 months and the 5 in One booster at 18 months.  The package costs $340nett and includes the consultation fees.

The MMR vaccine without chickenpox is also available at our clinic.

Read the ChannelNewsAsia article.

Monday, June 20, 2011

Protect your kids with a Prevenar 13 booster

I have just returned from a weekend conference on pneumococcal disease and am reminded yet again on how the disease can be very severe to young children.  If you haven't already done so, please have your kids vaccinated against pneumococcal disease in the first year of life.  The MOH recommendations are for three doses of pneumoccocal vaccine to be administered at 3 months, 5 months and 1 year old.

For those kids who have been vaccinated prior to 2010 and are between 2 and 5 years of age, you might want to get a booster dose of the latest pneumoccocal vaccine which covers and extra 6 different strains of the pneumococcal bacteria.  The original pneumococcal vaccine covered 7 strains but the latest one covers 13 strains.  So with an extra booster, you will be able to extend the vaccine coverage for your kids.

Lately there has been news about some kids who have still fallen ill even though they had been vaccinated with the pneumococcal vaccine.  You can read the story here.  This is because there are many strains of the bacteria and the original vaccine did not cover all of them.  One strain of particular importance is the strain 19A which has been causing pnuemoccocal disease worldwide.  The good news is that the latest pneumococcal vaccine will confer immunity to strain 19A.


If your child has already completed the pneumococcal vaccine and are between 2 to 5 years of age, do check with the doctor if he/she has been covered with the latest pneumococcal vaccine.  One booster dose is all that is required to give them wider protection.

One dose of the Prevenar 13 vaccine costs $140 nett at our clinic and includes GST and injection fees.  Our 3 dose package is $405 nett.  These rates are for cash and Baby Bonus.  Medisave can also be used but admin charges will apply.

Sunday, May 29, 2011

Cervical Awareness Month: Protect your daughter against Cervical Cancer



It's Cervical awareness month again. So here is a timely reminder for all parents that you can protect your daughter against Cervical Cancer by giving her a vaccine when she reaches 9 years of age.

The vaccine is actually already in the National Immunization program for girls from 9 to 26 years of age. So you can withdraw $300 from Medisave to pay for the vaccine if you wish. The price for the Medisave Package is $420

If you are able to pay by cash or nets, we are giving you a further discount and the package is $390 nett. This special price is valid while the current stocks of vaccines last.


Medisave price is $420

Tuesday, May 03, 2011

What to do when you get a Burn


Burnt with hot oil

When I was a kid, I remember playing hide and seek with my friend and I hid under my father's writing desk. Unfortunately, our helper had kept her hot iron under the desk too and I suffered a burn to my left arm. The first thing she did was to put toothpaste on the wound. I only have a vague memory of what happened after that, but that 8 cm scar is still visible on my left arm to remind me of what happened.  It's a good thing it wasn't my face or I might be given the nickname, "Scar".

This is a very short post to tell you one thing. When you get a scald or a burn, the first thing you should do is to put the affected area under running tap water for 10 to 15 mins. Once the pain subsides, go see the doctor. Of course if it is just a small burn about the size of a coin or two, then you may not need to see the doctor. But if it is relatively large and especially if it affects any of the joints or has blistered, then it is advisable to seek medical help.

Would you all please instruct your home helpers, viz maids, grandma, grandpa and whoever is looking after your child about this today so that they know what to do.

Tuesday, April 12, 2011

Safety of Seafood from Japan

I have written an article on radiation and how it affects the food we eat. 

In essence, because of the stringent controls in place, we can be confident that the food imported from Japan is safe. The article will also explain the different types of radiation and how radiation causes cancer.

Click here to read.

Wednesday, April 06, 2011

Common Bicycle Accident in Kids: Parents please be careful!


Common Bicycle injury in kids

I just saw another case of this type of bicycle accident where the child is riding in front of the bicycle and inadvertently got his leg trapped in the spokes of the spinning wheel.

May I remind parents to be extra vigilant when you have kids riding in front of the bicycle.  Here are some things you might want to do:

1.  Make sure the child wears proper shoes and socks.  This child was wearing a pair of slippers only.  If he had a proper pair of shoes and thick socks, the injury would not have been so bad.

2.  Please make sure you have one of those bicycle seats where the child can place his legs inside the plastic foot rests.  Make sure that the seat is big enough such that the child can stretch his legs past the seat into the spokes of the wheel.

3.  Seating the child at the back of the bicycle is better than in front as it lessens the chance of the leg getting caught in the spokes of the wheels.

4.  Always remind the child that riding a bicycle is potentially dangerous and he must sit still and not play around while the bicycle is in motion.

5.  Not many people do this in Singapore, but it is always safer if you can wear a helmet.  In Australia, this is compulsory.  I have come across one case where the child fell from a bicycle and hit her head against the drain.  She subsequently had to have an emergency surgery to evacuate a blood clot in the head.