Bangkok Hospital Phuket, Health Tourism Provider : Be Healthy Be Happy

ACUPUNCTURE for chronic pain and energy balancing

2010-04-02T11:54:00.004+07:00

Acupuncture is a natural way to relieve some chronic diseases, it also help to restore body energy into balance state and calm the mind, needling effect can use to relax some specific muscles and improve local blood circulation.

Acupuncture is suitable for :

1. Pain problem such as acute / chronic muscle pain, lower back pain, knee pain, tendonitis
2. Sequelae of aploplexy, migraine, chronic headache
3. Fatique, insomnia, poor digestion, quit smoking
4. for weight management

In case of severe chronic disease, patient should see specialist for full investigation

Acupuncture at Bangkok Hospital Phuket is performed by a doctor(MD) with specialty in acupuncture.

There is a special offer at 1,500 THB / 3 sessions for chronic pain treatment.

For further detail, please contact info@PhuketHospital.com

GERD or Acid Reflux Disease

2010-02-25T13:07:00.003+07:00

GERD stands for Gastro Esophageal Reflux Disease. It is a condition in which acid, bile and partially-digested food in the stomach back up into the esophagus. When "refluxed" stomach acid touches the lining of the esophagus, it causes a burning sensation in the chest or throat called heartburn. The fluid may even reach the back of the mouth, and this is called acid indigestion.

The following are several contributing factors that weaken or relax the lower esophageal sphincter, making reflux worse:
- Eating habits: eating large meals or soon before bedtime
- Lying down: especially in about two hours after a meal, gravity helps to keep the stomach juices from backing up into the esophagus, assists the flow of food and digestive juices from the stomach to the intestines
- Wearing belts or clothes that are tight fitting around the waist
- Drinking alcohol, caffeine drinks
- Eating fatty, fried foods and acid foods such as citrus fruits and tomatoes, spicy foods, mint flavorings
- Lifestyle: use of alcohol or cigarettes, obesity, poor posture (slouching)
- Other medical conditions: Hiatal hernia, pregnancy, diabetes, rapid weight gain

Symptoms
The symptoms in GERD or Acid Reflux Disease are closely related to the back up of acid and other materials from the stomach into the esophagus. It should be noted that the symptoms are not always present; sometimes they can disappear for weeks at a time, but come back after a while. Heartburn and chest pain is the most common of them. It is the unpleasant burning sensation felt into the chest, that can get worse if a person lies down, is lifting or after having a heavy meal. Sometimes the burning sensation moves into the throat area, along with a sour taste, as if the food has come back to the throat. It can resemble those of a heart attack or other heart disease. The symptoms may also be similar to those of an ulcer, gallstones, or pancreatitis.

Self-Care
- Take prescribed medications
- Maintain a reasonable weight. Obesity increases abdominal pressure, which can then push stomach contents up into the esophageal.
- Watch what you eat. If you suffer from acid reflux, you need to know what foods are safe and to avoid.
- Don't eat large meals. Eating a lot of food at one time increases the amount of acid needed to digest it. Eat smaller, more frequent meals throughout the day. Don't eat within 3 hours of bedtime.
- Don’t wear belts or clothes that are tight fitting around the waist.
- Don’t lie down for about two hours after eating.
- Avoid fatty or greasy foods, chocolate, caffeine, mints or mint-flavored foods, spicy foods, citrus, and tomato-based foods. These foods decrease the competence of the LES.

Complications of Long-Term GERD
GERD is a chronic condition and may lead to more serious medical conditions, but is treatable. If the disease is not treated effectively, the constant acid reflux can irritate the lining of the esophagus, and serious complication can occur. The more serious complications of GERD that may occur are Barrett's esophagus, esophageal cancer, laryngeal cancer, erosive esophagitis, and esophageal strictures.

For additional information, please contact info@PhuketHospital.com
www.PhuketHospital.com

Benefit of VASER Liposelection

2010-02-16T10:57:00.003+07:00

VASER Liposelection for greater skin retraction and to redefine the body lines with precision.

The VASER is an ultrasound assisted device for body contouring to help produce smooth, soft and painless liposuction. It has increased the quality of liposuction, diminished recovery time and post-op discomfort and pain.

The VASER emits ultrasound energy that which gently emulsifies the targeted body fat after the fatty tissue has been led to tumescence status with a large infiltration of solution containing local anaesthetic and adrenaline to reduce blood-loss. Undermined tissues retract as a result of the cavitation phenomenon connected with ultrasound waves. These emulsify fat, thus sparing elastic fibres and connective tissue. The exposed elastic fibres, denuded of the surrounding fat, tend to
retract.

Another explanation comes from the internal stimulation by contact with tissue, which as an internal “trauma” or “burn” sustains a secondary retraction.

Titanium probes : In the wet-fat VASER, by utilizing solid titanium probes—as small as standard liposuction cannulas, 2.2mm, 2.9mm and 3.7mm diameter—fat is gently emulsified,
sparing the vessels, connective tissue and elastic fibers that normally support the skin and nerves, which, of course, provide sensation. So it is able to accomplish
both the criteria required in body shaping—reduce mass and volume, and redrape skin to achieve a better-shaped body and a smooth contour.

Long, unnecessary scars and a prolonged recovery time can be avoided with the VASER. Post-op bruising is minimal. The procedure is absolutely soft and painless, as just a cream of the melting fat is produced and than extracted with the VentX aspiration system.

For pre-consultation via email or more details: info@PhuketHospital.com

Kind words for Bangkok Hospital Phuket's Dental Center

2009-10-27T13:59:00.004+07:00

Mr.Andrew Tainsh who flew from Australia for tooth implant stated his experience of receiving excellent dental job from Bangkok Hospital Phuket’s Dental Center. He found Bangkok Hospital Phuket via www.PhuketDentalThailand.com. He also mentioned about very high standard of medical services and absolutely perfect result.

Health Benefits of Fruits and Vegetables

2009-10-02T10:41:00.000+07:00

Prunes
Prunes are rich in potassium, iron, fiber and natural chemicals that help maintain healthy hair and skin.

Nuts
Nuts are one of the best plant sources of protein. They are rich in fiber and antioxidants such as vitamin E. As well as offering an effortless way to lose weight, s diet that includes nuts also boosts your energy levels and can improve your health.

Broccoli
Broccoli is a good source of vitamin A and C, antioxidants that protect your body from cell damage. It also contains vitamin B complex and vitamin E, which give a shine to our skin, hair, and nails. The presence of sulphur and certain amino acids make broccoli a very good detoxifier. It helps remove free radicals and toxins from the body.

Apples
Apples contain fiber, antioxidants, beta-carotene and substantial amounts of pectin - a unique group of complex carbohydrates that have been found to help lower excessive levels of toxic metals. The soluble fiber pectin found in apples reduces the amount of LDL (bad) cholesterol.

Bananas
Bananas are a good source of both potassium and vitamin B6. They are also rich in the antioxidant beta-carotene. Bananas are known to promote healthy digestion and create a feeling of youthfulness. They enhance calcium, phosphorous and nitrogen retention, which helps in the regeneration of healthy tissues.

Guava
Guava is one of the richest in vitamin A, B, C and potassium that are very good antioxidants and detoxifiers and keep your skin glowing and free from aging and wrinkles.

Oranges
Oranges are an excellent source of vitamin C, which helps to maintain the body’s defenses. It also contains beta-carotene, which is a powerful antioxidant guarding the health of our cells.

Additional information please contact info@PhuketHospital.com
www.PhuketHospital.com

Joint Commission International (JCI) Accreditation

2009-08-19T17:52:00.005+07:00

Bangkok Hospital Phuket is delighted to announce our recent achievement in attaining Joint Commission International (JCI) Accreditation. In response to the ever increasing number of patients seeking medical care outside of their home countries, it has become essential for hospitals to undergo rigorous screening to ensure they meet international standards for health care services. The current leading body for such accreditation is Joint Commission International , a US-based organization widely seen as the gold standard for top-level health care service providers worldwide.

Achieving JCI is not only an internal milestone, but also one for Thailand as a center of medical excellence. It officially recognizes that the practices of our doctors, nurses, medical assistants and the management team at Bangkok Hospital Phuket meet or exceed the standards of medical facilities in the US.

It is with great pride that we announce JCI accreditation this month. Ever committed to improving the lives of each patient that passes through our doors, we invite you and your loved ones to experience the top-tier services Bangkok Hospital Phuket has to offer.

http://www.phukethospital.com/

eMail: info@PhuketHospital.com

Please visit http://www.JointCommissionInternational.org for further information about JCIA

How to protect yourself from influenza?

2009-07-28T17:34:00.003+07:00

Kind words for Bangkok Hospital Phuket's Dental Center

2009-07-23T14:04:00.003+07:00

A Healthy Smile … A Healthy Body

2009-07-21T11:40:00.002+07:00

Why is Dental Healthy so Important?
A bright, healthy smile is something everyone wants, but healthy teeth and gums are important for more than cosmetic reasons. Untreated infection in the mouth would surely cause pain and discomfort, and could eventually threaten your circulatory, cardiovascular and other biological systems. Good oral care not only helps avoid dental diseases, but may also prevent other serious medical conditions and help enhance your overall health.

Protect Your Smile Inside and Out
- Brush your teeth correctly as recommended by your dentist to get rid of food particles left in between your teeth.
- Floss your teeth after every meal.
- Brush your teeth between meal or at least twice a day for two full minutes.
- Clean your tongue every time you brush your teeth.
- Replace your toothbrushes every three months. After that, even the best brushes become less effective.
- See your dentist twice a year. Dental professionals can evaluate your oral health, check for decay and diseases.
- Drink enough clean water during the day and before going to bed.
- Use the toothpaste that is formulated to reduce bacterial deposit.

Brought to you by Bangkok Hospital Phuket's Dental Center : www.PhuketDentalThailand.com
For further contact, please email info@PhuketHospital.com

Be Healthy Fair

2009-05-21T11:05:00.002+07:00

Bangkok Hospital Phuket is going to conduct the first health fair in Andaman region from May 30, 09 to June 6, 09. The activity is named "Be Healthy Fair".

New Influenza Virus 2009

2009-05-07T14:45:00.003+07:00

Status of the New Influenza Virus 2009
There has been an outbreak of the New Influenza Virus 2009, in which cases have been found from infected patients in Mexico, United States and other countries in Europe, with clusters of cases found in Asia such as Hongkong, and South Korea. There are no cases positive for the new influenza virus in Thailand.

“What is the New Influenza Virus 2009?
Swine Influenza is an infection that spreads from human to human, and is caused by virus type A H1N1, a new species of virus found in pigs and human hosts. The virus can easily be destroyed with heat by cooking food at around 70°Celsius and above.

Signs and symptoms:
Early signs of influenza A(H1N1) are flu-like, including fever, cough, headache, muscle and joint pain, sore throat and runny nose, and sometimes vomiting or diarrhea. If signs and symptoms are not severe, influenza will just resolve without the need for hospitalization. Severe condition includes difficulty of breathing, weakness, heavy cough, chest pain and ultimate death following severe pulmonary infection.

How is the disease transmitted?
Outbreaks in humans are now occurring from human-to-human transmission. When infected people cough or sneeze, infected droplets get on their hands, drop onto surfaces, or are dispersed into the air. Another person can breathe in contaminated air, or touch infected hands or surfaces, and be exposed, as handling doorknobs, water glasses, telephone. The virus enters the system through the nasal passages or eyes after nose picking or rubbing eyes. Infection is not spread by eating pork meat.

Vaccines and Treatment:
There are no available vaccines preventing infection. The influenza vaccine used at present is not effective in preventing this new species of influenza. Medications to treat influenza are available on request if there is a need to use it in treating patients in Thailand.

Measures to follow to prevent infection and avoid spread:

Persons without signs and symptoms:
- Prepare the body to be strong by eating nutritious food such as fruits and vegetables, drink plenty of liquids, get plenty of sleep, be physically active, and manage your stress.
- Try not to touch surfaces that may be contaminated with the flu virus. Avoid touching eyes, nose or mouth.
- Cover your mouth and nose with a tissue when coughing or sneezing if you do not have a tissue, then, clean your hands, and do so every time you cough or sneeze.
- Avoid traveling to areas that are high risk or populated with people infected with influenza-like illness, congested places like department stores or movie theaters.
- Stock up on necessities such as drinking water, rice, dry goods, medicine, etc. enough for 1 week to prepare in case one gets sick and there is a need to rest and stay at home.
- Be informed always, following up on news and updates.
- Diabetics and hypertensive patients should reserve medications for at least two to three months to avoid going to the hospital always and being in contact with sick patients.

Patient with Flu-like signs and symptoms:
- Slight or moderate symptoms such as fever, headache, body malaise, cough, sore throat, in most cases, the condition will resolve in itself. Stop working and take a rest at home. Schoolchildren should take a break from school. Call and ask information from staff with any doubts about present illness.
- Wear a mask always to avoid spreading the virus when sneezing or coughing.
- If condition has not improve after 3 days, with symptoms becoming serious, accompanied with severe coughing, weakness, difficulty of breathing, and chest pain, patients should wear a face mask and consult a physician immediately.
- It is possible to take herbal medications such as Andrographispaniculata (Burm.f.) NeesACANTHACEAE, four tablets three times a day for sore throat and fever.
- Keep on washing hands frequently.
- Do not use hands dirtied with nasal secretions, saliva in grasping objects, such as doorknobs, telephone, etc.

View updated information about Influenza A (H1N1) from www.PhuketHospital.com
eMail: info@PhuketHospital.com

Thailand is free from Influenza A (H1N1)

2009-05-06T09:33:00.008+07:00

Q & A about Influenza A (H1N1)

2009-05-04T21:40:00.003+07:00

Q: What is Influenza A (H1N1)?
A: Influenza A (H1N1) is transmitted disease which can only transmit from
human to human. There is not any report about transmission from pig to
human. The new virus strain which is the cause of Influenza A (H1N1) is the
subtype of influenza virus A and the most common cause of influenza (flu)
in humans (H1N1). Some strains of H1N1 are endemic in humans. Other
strains of H1N1 are endemic in pigs and in birds.

Q: Was any patient with influenza A (H1N1) detected in Thailand?
A: There is not any patient with influenza A (H1N1) found in Thailand. In
Thailand, there are 3,159 patients with seasonal influenza found from the
beginning of 2009. The numbers of patients are not different from last
year. No report of dead from seasonal influenza in Thailand.

Q: How do people become infected with influenza A(H1N1)?
A: Outbreaks in humans are now occurring from human-to-human
transmission. When infected people cough or sneeze, infected droplets get
on their hands, drop onto surfaces, or are dispersed into the air. Another
person can breathe in contaminated air, or touch infected hands or
surfaces, and be exposed. To prevent spread, people should cover their
mouth and nose with a tissue when coughing, and wash their hands
regularly.

Q: What are the signs and symptoms of infection?
A: Early signs of influenza A(H1N1) are flu-like, including fever, cough,
headache, muscle and joint pain, sore throat and runny nose, and
sometimes vomiting or diarrhoea.

Q: Is there any confirmation of transmission between pigs and humans at this point?
A: No.

Q: Is there any medicine for Influenza A (H1N1)?
A: Yes, Oseltamivir and Zanamivir is the effective medicine for Influenza A
(H1N1).

Q: Is there enough Oseltamivir in Thailand?
A: Yes, there are 3,250,000 capsules of Oseltamivir (for 325,000 patients) at
present time. Public Health Ministry of Thailand has a facility for the other
more 1,000,000 capsules of Oseltamivir within 4 days.

Q: Is there any vaccination for Influenza A (H1N1)?
A: No. There is only vaccination for seasonal influenza that we should get it
done in order to prevent from occurrence of other subtype of influenza
strain.

Diarrhea

2009-04-02T16:38:00.002+07:00

Diarrhea is loose, watery stools. A person with diarrhea typically passes stool more than three times a day. People with diarrhea may pass more than a quart of stool a day. Prolonged diarrhea persisting for more than 2 days may be a sign of a more serious problem and poses the risk of dehydration.

Diarrhea can cause dehydration, which means the body lacks enough fluid to function properly. Dehydration is particularly dangerous in children and older people, and it must be treated promptly to avoid serious health problems. People of all ages can get diarrhea and the average adult has about of acute diarrhea about four times a year.

What are the symptoms of diarrhea? Diarrhea may be accompanied by cramping, abdominal pain, bloating, nausea, or an urgent need to use the bathroom. Depending on the cause, a person may have a fever or bloody stools.

When should a doctor be consulted?
Diarrhea is not usually harmful, but it can become dangerous or signal a more serious problem. You should see the doctor if you experience any of the following:
- Diarrhea for more than 3 days
- Severe pain in the abdomen or rectum
- A fever of 102 degrees or higher
- Blood in your stool or black, tarry stools
- Signs of dehydration

Preventing Diarrhea
Diarrhea happens when you consume food or water contaminated with bacteria, viruses, or parasites. You can take the following precautions to prevent diarrhea;
- Do not drink unpasteurized milk or dairy products.
- Avoid all raw fruits and vegetables, including lettuce and fruit salads, unless they can be peeled and you peel them yourself.
- Do not eat raw or rare meat, fish, and food not hot when served
- Wash your hands before and after cooking

Notice :
- Diarrhea is dangerous if a person becomes dehydrated.
- Causes include viral, bacterial, parasitic infections, food intolerance, reactions to medicine, intestinal diseases, and functional bowel disorders.
- Treatment depends on the cause of the problem involves. You may need an oral dehydration solution to replace lost fluid and electrolytes
- See the doctor if the person with diarrhea has severe pain in the abdomen or rectum, a fever of 102 degrees or higher, blood in the stool, signs of dehydration, or diarrhea for more than 3 days.

For additional information, please contact the “Gastrointestinal and Liver Center” Bangkok Hospital Phuket thru info@PhuketHospital.com

www.PhuketHospital.com

Dengue Hemorrhagic Fever

2009-03-26T09:11:00.002+07:00

Dengue virus, transmitted to human by Aedes Aegypti mosquitoes, causes dengue fever, mostly found during the rainy season.

Symptoms of Dengue Hemorrhagic Fever
1. Febrile stage – This stage starts with the onset of high fever, which lasts 2-7 days. Symptoms in this period cannot yet indicate Dengue Hemorrhagic Fever.
2. Critical stage – This is the severest stage. Patients may perform vomiting, abdominal pain, liver swelling, restlessness, cold extremities, fatigue, bleeding of skin, tissues or internal organs, skin rash and have lymph leaking outside of blood vessels, causing haemoconcentration. Patients will have to be closely observed.
3. Recovery stage – Patients will recover and gain more appetite and urination. There will also be itchier rash on skin. Plasma will slowly increase and will become normal within 7 days. Blood conditions have to be monitored for another 7 days.

Pre-hospital Care - when children have fever during the dengue fever epidemic
1. Be careful when using antipyretic, some types can lead to more serious symptoms during the critical stage.
2. Drink fruit juice or ORS (Oral Rehydration Salt) when having nausea and vomiting.
3. Observe your children closely and see the doctors if the signs of dengue fever suspected.
4. Avoid eating or drinking food with red, brown, or black color to observe bleeding in gastrointestinal tract.

Prevention and control of Dengue Hemorrhagic Fever
1. Get rid of the breeding sites for mosquitoes, e.g. household water containers both inside and outside the houses, jars, buckets, toilets, vases, standing water containers, discarded tyres, lotus tubs, etc.
2. Sleep in the room with mosquito nets or aluminium nets to avoid being bitten by mosquitoes, especially during the daytime.
3. Use mosquito repellent, which is suitable for children
4. Wash up well to dispose of sweat odour, which attracts mosquitoes.
5. Get rid of mosquitoes by using chemicals, electrical traps, or other insecticide equipments.

Because of your health is precious, Bangkok Hospital Phuket, we provide the PCR (Polymerase Chain Recreation) Test for an accurate Dengue Hemorrhagic Fever diagnosis. Therefore, the doctor can perform proper treatments.

Further information please contact info@PhuketHospital.com
http://www.phukethospital.com/

Influenza

2009-02-18T14:01:00.002+07:00

Influenza is a contagious respiratory illness, which occurs on a regular basis. It is caused by influenza viruses. The flu outbreaks usually occur throughout the year but mainly in the rainy season. Infections occur and spread rapidly.

Influenza infection
The virus presents on nasal secretions, saliva or sputum of infected persons. It spreads when infected persons cough or sneeze around others. Infections also occur through touching contaminated objects and then touching your own face, causing the virus to enter your body through your nose or mouth.

The signs and symptoms of influenza
Patients present with a high fever ranging between 38 and 40 degrees Celsius. The symptoms of influenza also include headache, chills, muscle aches, sore throat, runny nose or dry cough. These symptoms are similar to those of the common cold but are often more severe and last longer than the typical common cold. Flu-related complications can occur such as bronchitis and pneumonia. The symptoms usually appear in persons three to five days after being exposed and most people who get the flu recover completely in seven to ten days.

The difference between the influenza and the common cold
The common cold is caused by a virus. People with colds are more likely to have a runny or stuffy nose. The common cold usually does not cause a high fever. Influenza is caused by influenza viruses. Influenza is a contagious respiratory illness, which leads to a common infection of the lungs. Influenza usually comes on suddenly and causes higher fever than common cold, severe headache, muscle aches and sudden fatigue.

People in every age group can catch the flu. Rates of influenza infection are highest among children while the death rate is high among elderly people or those with certain chronic illnesses such as heart disease, pneumonia or kidney disease. A flu vaccine is the most effective way to protect against the flu. It can reduce infection rate, shorten hospital stay and risk of influenza-related complications.

Prevention of Influenza
1. Always take a good care of yourself. Exercise regularly and eat nutritious food to help boost your immune system.
2. Avoid ongoing close contact with or sharing personal items with other people especially the cold sufferers.
3. Wash your hands frequently.
4. Cover your mouth with a piece of cloth when coughing or sneezing. If you are sick, be careful not to spread the germs.
5. Keep yourself warm in the winter.

Influenza vaccine
The best way to protect yourself from influenza is to receive an annual influenza vaccine. Maximum protection develops by two weeks after vaccination. Flu shots are usually given to the elderly or people with certain chronic illnesses that cause immune deficiency. However, influenza is not considered a severe disease. If treated appropriately, the flu recovers completely in three to five days. You should see your physician to obtain a more accurate diagnosis if you have a high fever more than three days.

For further detail about Influenza Vaccination, please contact info@PhuketHospital.com
Website : www.PhuketHospital.com

Easy Techniques to Breastfeed A Baby

2009-01-08T11:45:00.001+07:00

Easy Techniques to Breastfeed A Baby
1) The baby should be put to the mother’s breast as soon as possible after birth because this can help the mother produce milk.
2) The mother should offer the baby her whole breast and not just the nipple.
3) The baby should be fed from a different breast each time so that both breasts produce the maximum amount of milk.
4) The baby should be fed whenever he/she is hungry. Before offering the second breast to the baby, it should be ensured that the baby sucks the fat rich hind milk from the first breast.
5) The mother should be encouraged to let the baby continue to suck for as long as possible

For further information, please contact info@PhuketHospital.com
www.PhuketHospital.com

2/1 HongsYok Utit Road,
Maung district,
Phuket
Thailand

Eye Center at Bangkok Hospital Phuket

2009-01-04T09:19:00.002+07:00

“The eyes” are one of the most sensitive organs in the body. They give us the sense of sight, allowing us to learn more about the surrounding world. We use our eyes in daily activities we perform to develop our potentiality and make decision. If left unprotected or untreated, it can cause the probability of visual abnormalities, which may lead to loss of vision.

"Eye Center" at Bangkok Hospital Phuket possesses highly skilled and experienced sub-specialists and ophthalmologists, the team of caring staff, and utilizes the advanced, state-of-the-art techniques to provide treatment and services in a warm, comfortable and caring environment.

Our services
- Diagnosis and treatment of all eye diseases
- Comprehensive Vision Testing
- Pediatric Ophthalmology
- Vitreoretinal Surgery (Retina and Vitreous Surgery)
- Laser treatment for eye diseases
- All types of Ophthalmic Surgery
- Phacoemulsification with intraocular lens implantation
- Amniotic Membrane Transplantation in Pterygium Surgery: is performed by skilled sub-specialists.
- Corneal Transplantation of Thai Red Cross Eye Bank for patients with corneal problems
- “Bangkok Phuket LASIK Center” is staffed with highly skilled sub-specialists and ophthalmologists and possesses the latest EXCIMER laser technology for complete diagnosis and treatment of the refractive problems :
1. Myopia (nearsightedness),
2. Hyperopia (farsightedness).
3. Astigmatism.
The procedure is done within the room having 24 - hour nursing services and medical supervision. We apply quality care to help our patients have perfect vision with dynamic and pleasurable personality.

Our facilities
- Automated Refractometer
- Intraocular lens power calculation device
- Automated Perimeter: is used to detect and diagnose Glaucoma at an early stage.
- Non-contact Tonometer: is used to detect Glaucoma and prevent eye infections.
- Keratometer (Ophthalmologic curvature measuring device)
- Laser device for Diabetic Retinopathy and Glaucoma
- YAG Laser Capsulotomy: is used to treat posterior lens capsule opacity including preventing and/or treating acute angle-closure glaucoma.
- Phacoemulsification: the procedure can help the patients resume their normal activity faster. As the incision is small, staying at hospital is not required.

“Eye Center” at Bangkok Hospital Phuket provides consultation and advice for diagnosis, treatment and prevention of all aspects of eye conditions.
Routine eye examinations have been recommended as a standard for those who are at high risk of developing ocular abnormalities.
- People wearing contact lenses may experience symptoms of dry eyes, chronic dry eye syndrome, corneal ulcer and allergy, etc.
- Diabetic patients should prevent themselves from risk of blindness due to Diabetic Retinopathy.
- Patients with high blood pressure may experience risk of corneal damage especially the elderly.
- The elderly should prevent themselves from risk of common eye problems such as Cataract,Glaucoma, Diabetic Eye Disease and Hypertensive
Retinopathy.

For more information, please contact info@PhuketHospital.com or please visit www.PhuketHospital.com

Breast augmentation

2008-12-17T15:40:00.002+07:00

Surgical Procedure :
Therer are 2 methods of the incision, at breast fold and under armpits. You can make the decision after consulting with the plastic-surgeon.

Duration of Operation : around 1 hour.

Anesthetic : General anesthesia that renders the patient unconscious.

Types of Implants :
All breast implants utilize a silicone shell but contain different kinds of filler, gel or saline. The outer silicone shell may be smooth shiny and polished, or a slightly rough texture.

Placement of Implants :
There are two techniques for placing implants.
1. The implants are placed under the breast tissue and over the chest muscle.
2. The implants are placed under the chest muscle and breast tissue.
These two options should be thoroughly discussed between the patient and the surgeon.

Pre Operative Assessment for Size and Placement of the Implant :
- Our goal is to augment your breasts to a size in better proportion to your physique and maintain a natural look.
- The size and placement of the implant we choose will depend on many factors, such as your original cup size, your desired cup size, and your physique including chest muscle.
- If you have only a small amount of breast tissue and want to enhance the tissue much as possible, it is recommended that a large implant is placed below the muscle in order to prevent the feeling or appearance of the implant. There is also less chance of capsular contracture.
- If you have large chest muscles as a result of exercising, the implant should be placed above the muscles in order to allow for comfortable movement and a natural look.
- For patients with mild to moderate breast sagging, larger implants placed over the muscle is recommended. The larger the implant, the greater and more favorable the augmentation.

Post Operative Care :
- For at least 3 – 5 days upon surgery, try to keep arm extension to a minimum.
- After removing the dressing, you may be required to wear a support bra to help your breasts form and maintain a pleasing and balanced shape.
- You will probably be able to resume exercise and normal physical activities within a month or two when soreness has subsided.
- You will need to massage the breast to prevent capsular contraction of the breast.

Risks and Complications :
Capsular contracture occurs if the capsules around the implants begin to tighten and thicken. This will cause the breasts to feel hard and appear unnatural. Hard breasts can be treated in several ways. Sometimes removal of the capsule is required, or perhaps the implant needs to be replaced. Bleeding is usually minimal during the operation. In an unusual case, bleeding after surgery may cause a large blood clot that needs to be removed. Infection is an uncommon risk. However, if a breast becomes infected, the implant must be removed immediately. You need to wait for several months before repeating the operation.

Recovery and After Care Treatment :
- Afterwards, the patient is free to bathe as usual.
- The patient is requested to gently move the implants upward, downward, and inward in order to decrease the chances of capsule contracture.
- Only gentle massaging is recommended. Overly aggressive manipulation of the implant or strong squeezing can possibly cause an inflammation, thus producing an adverse effect on the capsules.
- During the first month following surgery, you should exercise your implants three to four times per for fifteen to twenty minutes. After that, if breast contour improve satisfactorily, you will need to exercise only once or twice daily.

Results :
Breast augmentation increases breast size and may also balance your body proportions. Clothes may fit better, and you may also experience an increase in confidence and self- esteem.

For further information about the Aesthetic Center, please visit http://www.phukethospital.com/eng/center_aesthetic.php or www.PhuketAesthetic.com

eMail : info@PhuketHospital.com

Breastfeeding Exclusively for the First 6 Months Helps Your Baby…

2008-12-08T15:25:00.000+07:00

- Helps babies’ brains to grow and develop
- Breastmilk is easy to digest
- Protects against ear infections, respiratory illnesses, pneumonia, bronchitis, kidney infections, blood poisoning and viruses
- Protects against allergies, asthma, and the severity of allergic reactions
- Decreases risk of tooth decay
- Decreases incidence of colic and diarrhea
- Breastfeeding plays an important role in the emotional and spiritual development of babies
- Children receive the most complete and optimal mix of nutrients and antibodies

“Breastfeeding promotes a very special bond between mother and child that only a mother can provide”

For additional information please contact the “Women’s Health Center and Child Clinic”, Bangkok Hospital Phuket.

eMail: info@PhuketHospital.com
www.PhuketHospital.com

5 Strategies Keep Your Heart Healthy

2008-12-02T17:55:00.001+07:00

Take steps to avoid heart disease —get regular exercise, eat healthy foods and do not smoke. Avoid heart problems in the future by adopting a healthy lifestyle today. Here are five heart disease prevention tips to get you started.

1. Don't smoke or use tobacco products
Tobacco smoke contains more than 4,800 chemicals. Many of these can damage your heart and blood vessels, making them more vulnerable to narrowing of the arteries (atherosclerosis). Atherosclerosis can ultimately lead to a heart attack.
2. Get active
Regular physical activity helps prevent heart disease by increasing blood flow to your heart and strengthening your heart's contractions so that your heart pumps more blood with less effort. Physical activity also helps you control your weight and can reduce your chances of developing other conditions that may put a strain on your heart, such as high blood pressure, high cholesterol and diabetes. It also reduces stress, which may be a factor in heart disease.
3. Eat a heart-healthy diet
Consistently eating a diet rich in fruits, vegetables, whole grains and low-fat dairy products can help protect your heart. Legumes, low-fat sources of protein and certain types of fish also can reduce your risk of heart disease.
4. Maintain a healthy weight
The excess weight can lead to conditions that increase your chances of heart disease — high blood pressure, high cholesterol and diabetes.
5. Get regular health screenings
High blood pressure and high cholesterol can damage your cardiovascular system, including your heart. But without testing for them, you probably won't know whether you have these conditions. Regular screening can tell you what your numbers are and whether you need to take action.

“Caring For Your Heart with Our Heart”
“Heart Center”, Bangkok Hospital Phuket, http://www.phukethospital.com/eng/center_heart.php
For additional information please contact info@PhuketHospital.com

Sexual activity in patients with heart disease.

2008-11-27T18:10:00.003+07:00

Sexual activity is a matter of great concerns for cardiac patients. The fear that intercourse will increase the heart rate (the heart works harder) makes the patients lack confidence and depressed. In fact, sexual activity (with the same partner) will increase heart fitness. If patients can climb two flights of stairs briskly without getting chest pain or feeling breathless, it is probably safe to resume sexual activity. Therefore, there is nothing to worry about if the heart disease patients understand what they should and shouldn’t do and strictly follow the guidelines.

Recommendations for heart disease patients and post operative patients.
1. Openly discuss your concerns with your spouse or partner so that he/she understands them.
2. Have enough rest before having sex or choose a time when you are rested, relaxed and free from stress.
3. Make sure the setting is well ventilated and peaceful. It should not be too hot, humid or cold.
4. Should begin slowly, not rushed. Arousal should be done in order to decrease heart’s work.
5. Select the least stressful and most comfortable position. If the patients’ breathlessness is very limiting, you may need to depend on your partner taking a more active role.
6. Frequently changing partners will make the heart work harder.
7. Avoid sexual activity when you feel stressed.
8. Try not to have sex for at least 2-3 hours after having a full meal to allow time for digestion. This will ease stress on the heart.
9. Try not to have sex for three hours after consuming alcohol. Alcohol makes the blood vessels expand and the heart work harder.
10. Stop intercourse if breathlessness develops. Take medication and see the doctor.
11. Several kinds of heart disease medicine produce side effects affecting sexual activity.

Please consult a physician if you have any questions.

Warning signs and how to observe yourself:
If the following symptoms are experienced, it means your heart work harder.
- Chest pain during or after intercourse.
- Increase in respiration rate and pulse for 15 minutes after the intercourse.
- Sleeplessness
- Weak limbs within 24 hours after the sexual activity.

If any of such symptoms develop, see the doctor immediately.

http://www.phukethospital.com/eng/center_heart.php
eMail: info@PhuketHospital.com

Physical Fitness Rehabilitation after Acute Myocardial Infarction (Heart Attack).

2008-11-27T17:56:00.002+07:00

Acute Myocardial Infarction, commonly known as a heart attack, is a disease that occurs when the blood supply to a part of the heart is interrupted, causing death of heart tissue.

Rehabilitation after a heart attack is divided into two stages as follows:
1. Rehabilitation in hospital
2. Rehabilitation at home

Result of patient rehabilitation
1. Reduce the length in hospital.
2. Reduce the mental illness and anxiety.
3. Better quality of life for patients through improved heart and circulation efficiency

Rehabilitation in hospital
Organize the following activities for patients as soon as possible. Starting from little and increase the intensity by having the patient sit in the chair with high armrest and backrest. Leave the arms and legs down 1-2 hours each time, starting on the second or third day if there is no secondary attack or complication.

In ICU or CCU
Patients should exercise with low energy, for example having meals themselves, changing clothes, washing their faces, brushing teeth, defecation in a bedside commode, exercise limb muscles to keep them in good condition i.e. flexibility of joint and muscle tone.

Dangerous symptoms patients should recognize while exercising :
- Paleness and feeling dizzy
- Sweating and shivering.
- Feeling faint
- Chest pain
- Sudden illness or fever

If these symptoms are experienced, patients should consult an exercise expert.

After leaving the CCU to the general ward, patients should do more exercise by sitting longer, getting up from bed, going to bathroom, self-wash with close monitor, limbs and body exercise. Patients should exercise with increased distance and speed to avoid complication arising from spending too long in bed. Before going home, patients should practice walking down the steps one floor.

Any such exercise should be appropriate according to the age, physical and medical condition of the patients.

Rehabilitation at home
The first day after leaving hospital patients should exercise the same as the last day at hospital and gradually increase if possible.
The best length for exercise is 10 minutes, after that walk with medium speed until feeling a little exhausted. Patients should not stop walking suddenly but continue walking slowly for 5-10 minutes. If possible, take the pulse and check out if the heart beat rate can increase 20-25 beats faster than when you were at rest.

Do and Don’t
Do not force out or hold breath while exercising, avoid clenching the fist and horizontal exercise. After leaving hospital, patients should make an appointment to see their doctor regularly.

Further information about Bangkok Hospital Phuket's Heart Center, please visit www.PhuketHospital.comE-mail : info@phukethospital.com

Food for Heart Patient

2008-11-27T17:48:00.002+07:00

Eat Heart-Healthy Food
Changing the way you eat can lower your cholesterol, blood pressure, and weight. Food does not have to be bland and boring to be healthy. Start by working some healthy changes into your present diet. Try some of the tips below. Also, ask your doctors for other tips. Better eating habits can help your whole body.

Less Fat
- Eat fewer fatty cuts of meat and more fish. Use less butter, margarine, and lard.
- Avoid foods containing palm and coconut oil or hydrogenated oils (check the label).
- Eat fewer high-fat dairy products like cheese, ice cream, and whole milk.- Get a heart-healthy cookbook and try some new, low-fat dishes.

Less Salt
- Salt increases your heart rate and the risk of health problems, including high blood pressure.
- Don't add salt to food when cooking, and keep the saltshaker off the table.
- Don't use sauces or cooking aids that are high in salt such as soy sauce, MSG baking soda, and baking powder.
- Instead of salt, season your food with herbs and flavorings such as lemon, garlic, or onion.

More Fiber
- A diet low in fat, saturated fat and cholesterol that contains plenty of fruits and vegetables as well as whole-grain breads and cereals can reduce the risk of heart disease and cancer.
- Eat more fresh fruits and vegetables.
- Add oats, whole-grain rice, and bran to your diet.
- Eat more beans and potatoes. They are great sources of fiber.

“Caring For Your Heart with Our Heart” “Heart Center”, Bangkok Hospital Phukethttp://www.phukethospital.com/eng/center_heart.php
eMail : info@PhuketHospital.com

Trigger Finger

2008-11-24T16:27:00.002+07:00

A Trigger Finger occurs when the motion of the tendon that opens and closes the finger is limited, causing the finger to lock or catch as the finger is extended. Symptoms of trigger finger usually start without any injury.

What causes Trigger Finger?
Trigger Finger is caused by a narrowing of the sheath that surrounds the tendon in the affected finger. It is usually associated with activities that involve repetitive gripping actions or repetitive usage of the fingers.

Symptoms of Trigger Finger
The most common symptoms of Trigger Finger are:
- Stiff finger
- Clicking sound when you move your finger
- Bump or tenderness in your palm, at the base of the finger
- Swelling

How to prevent Trigger Finger?
It is preventable. The most important action you can take to prevent Trigger Finger is to avoid overuse of your thumb and fingers. If you have a job or hobby that involves repetitive motions of the hand, you can take the following steps:
- Adjust your workspace to minimize the strain on your joints
- Alternate activities when possible
- Take breaks throughout the day
- Use proper methods for carrying items
- Use instrumental or machines instead of bare hands

Care & Share : “Bone and Joint Center”, Bangkok Hospital Phuket.
http://www.phukethospital.com/eng/center_bone_joint.php
eMail: info@PhuketHospital.com

Exercise for Osteoporosis

2008-11-19T10:41:00.002+07:00

Did you know…?
One of the best ways to strengthen your bones and prevent osteoporosis is by getting regular exercise such as walking, dancing, jogging, weight bearing exercise or playing tennis. Even if you already have osteoporosis, exercising can help maintain the bone mass you have.

Other possible benefits of exercise include:
- Increasing your ability to carry out daily tasks and activities
- Maintaining or improving your posture
- Relieving or lessening pain
- Increasing your sense of well-being

Walking outside in the sunshine not only gives bones the strengthening benefits that come with the weight bearing exercise of walking, but the skin’s exposure to sunshine also helps with the absorption of Vitamin D. It is needed to absorb calcium from the intestines and into the blood. Statistically, about 30 - 40 percent of the people who get hip fractures, a common occurrence with osteoporosis, are vitamin D deficient.

For additional information please contact info@PhuketHospital.com
Care & Share by Bone and Joint Center, Bangkok Hospital Phuket : http://www.phukethospital.com/eng/center_bone_joint.php

Headache

2008-11-11T09:40:00.005+07:00

“Headaches” are one of the most common medical complaints. They are caused by blood vessels that can abnormally constrict (narrow) or dilate (widen) around your skull. Besides occurring in conjunction with other frequent illnesses such as the common cold and influenza, the pain also occurs in those with anxiety, stress, or those who work under pressure.

Headache symptoms
Headaches can range from a condition of mild to severe pain. A headache may signal a more serious condition.

Tension headaches
Tension headaches are the most frequently occurring type of headache due to factors such as insufficient sleep, stress, and eyestrain. They may cause an aching or squeezing sensation located in the temples with radiation to the middle and back of the head. The headaches may be unilateral (on one side of the head) or bilateral (on both sides of the head). The pain of a tension headache often occurs in the afternoon or throughout the day and may not disappear completely. Migraine headaches are characterized by rapid onset of severe pain that then completely disappears.

One-sided headaches or migraines
Migraine pain, triggered by heat and bright light, usually throbs in the rhythm of a person's pumping heart. Each time the pain occurs, it may be unilateral or bilateral. Headaches may occur on the both sides at the same time for some people. If the pain is intense, patients may experience nausea and vomiting. The pain gradually decreases and lasts between 4 and 72 hours.

Headaches in women
Migraines are common symptoms that occur in conjunction with menstrual periods or menopause.

Headaches in children
If children have a chronic headache occurring daily and consistently, it is caused mostly by brain abnormalities such as meningococcal meningitis and brain tumors. If it occurs sporadically (infrequently and without a pattern), the headache may originate from migraines.

Headaches in the elderly
Much rarer are headaches due to vascular abnormalities. The main symptom is dizziness. This symptom is triggered by several factors such as hypotension caused by body movement, balance problems caused by ear or eye diseases or loss of sensory nerves. In addition, the elderly may experience neck pain caused by degeneration in the cervical spine (neck region).

Headaches can be caused by several different kinds of diseases
Hypertension, glaucoma and brain tumors can trigger headaches.

Prevention and Protection
• Headaches should be treated based on the specific type of disease causing then.
• Headaches caused by stress or anxiety can be treated by getting sufficient rest and regular exercise. Do not take your work too seriously. If the pain is severe, you can massage around your neck or take painkillers every 4 to 6 hours.
• Migraine headaches can be treated by:
• Observing and finding out your trigger factors and avoiding them
• Taking painkillers such as paracetamol or aspirin immediately if you start to feel intense pain
• Exercising regularly

For further detail about Bangkok Hospital Phuket, please kindly visit www.PhuketHospital.com
eMial : info@PhuketHospital.com

Health Check-up…..Prevention is better than cure

2008-11-10T17:37:00.002+07:00

With today’s hurry-up lifestyle, people often don’t pay careful attention to their health or take care of themselves. The easiest way to ward off diseases and protect your health is to undergo regular medical check-ups. It is essential and beneficial because you can take appropriate medical action immediately if abnormal symptoms are detected and protect yourself from subsequent serious illness.

How often should a person have a medical check-up?
People should undergo regular medical check-ups at least once a year. Details of the check-up are determined according to a person's age, sex, personal risk factors and family history, especially for genetic diseases. This also includes a person’s pattern of daily living (such as stress, drug use, cigarette smoking or work) that may also contain leading risk factors for several illnesses and diseases.

Preparation for a check-up
1. Do not consume any food or drink 6 to 8 hours before your check-up.
2. Wear comfortable clothing to perform a venipuncture procedure.

Benefits of medical check-up
- Reduces health risks because if the check-up is conducted, illnesses detected can be reduced, warded off and treated immediately.
- Reduces the rate of hospital stay and saves money on treatment
- Improves better quality of life. Good physical health helps people achieve and sustain a state of good mental health, helping people work effectively. Thus, family and economic problems are reduced.

Medical check-ups are the right time for consulting a doctor about your general health. If you see the doctor when you are not ill, it is easier to perform medical check-ups, to help develop an exercise plan for strong health and to improve functional ability in all areas of daily life, especially for the elderly.

Medical check-ups are not a waste of time; on the contrary, they help us save time. Abnormal symptoms detected at earlier stages are easier and take less time to treat.

For further information, please visit http://www.phukethospital.com/eng/center_wellness.php

info@PhuketHospital.com

Diet for patients with chronic renal failure who undergo dialysis with machine

2008-09-30T15:55:00.004+07:00

Diet for patients with chronic renal failure who undergo dialysis with machine

1. Consume foods that give adequate energy at every meal, every day. When hungry foods made from starch and snacks can be consumed.

2. Consume meat in quantity set by doctor strictly. Suitable meats are meats free from fat and cholesterol (or low) such as fish, chicken fillet and egg albumen.

3. Patient with high level of uric acid or cholesterol in the blood should avoid animal innards and egg y

4. Avoid high-phosphate items such as egg yolk, milk in all forms, cheese, all dried grains and items made from beans and peas.

5. Avoid salty food, salty seasonings such as salted fish, pickled vegetables and fruits, fish sauce, soybean sauce (use only in quantity permitted by doctor, for instant 1 teaspoon of salt per day, or 1 teaspoon of fish sauce per meal.

6. Consume vegetables and fruits in quantities set by doctor since fruits contain high potassium. If doctor forbids consumption of fruits, his order should be strictly observed.

7. Use soybean oil (if possible mix it with bran oil in ration 1 to 1) for cooking.

8. Avoid foods made from coconut such as coconut cream, avoid fats from animals such as butter and lard.

9. Limit intake of water and drinks to recommendation by doctor/nurse, In this case foods to avoid are curry, soup and noodles.

10. Consume supplement vitamins as prescribed by doctor only. Excessive vitamins may lead to accumulation and toxin in the body, especially vitamin A. Thus, vitamins should not be purchased and consumed without doctor’s order.

http://www.phukethospital.com/eng/center_haemodialysis.php

e-mail: info@PhuketHospital.com

Care for artery and vein under dialysis treatment

2008-09-14T20:44:00.001+07:00

Self-care for patient fitted with double ports for dialysis (temporary type)
1. Keep the area around the ports clean, avoid the wound getting wet.

2. Patient fitted with double ports at thigh or groin should avoid movement that bend the leg that the ports are fitted to prevent tubes being folded or broken thereby causing blood to clot inside the tubes.

3. Patient fitted with double ports at neck should avoid placing plaster on them or wearing garment that presses on the tube end because this may cause the tube to fold or break, or blood clot in the tube.

4. In case the suture at both wings become frayed and loosen and the ports end slips off, cover the wound with clean cloth and go to the hospital immediately.

5. If there are pain, swelling, blood or puss seeping from area around the ports, or fever; visit doctor immediately.

Self-care for patient after arterial surgery AVF and AVG (permanent type)

A. Post surgery

1. During the first 3 days, the arm on which surgery is performed should be raised above level of the heart to prevent and reduce swelling.

2. Carry out hand-grip exercise by frequently squeezing on small rubber or tennis ball. This exercise can start immediately on the first day after

surgery if there is no severe pain at the wound.

3. Observe the area around the wound for any sign of excessive bleeding, or excessive swelling of the skin around the wound that may be caused

by bleeding under the skin.

4. Observe any symptom of ache, swelling, hot and red skin with high body temperature, as this may be indication of infection or inflammation in

area where surgery has been performed.

5. Avoid impact on the wound from surgery.

6. No blood pressure measurement, not blood sample taken, no injection, no blood transfusion or intravenous saline injection on the arm which surgery has been performed.

B. During period when dialysis is performed

1. Patient should not wear wristwatch or bracelet, or garment that is tight around the arm. Patient should not lie down with head on the arm used for

dialysis or use the arm to carry heavy object.

2. The arm used in dialysis should be washed with soap once a day then lotion applied to prevent the skin getting dried or cracked.

3. Check by probing with finger tips the artery/vein at least once a day. If no pulse is sensed or very faint, visit the doctor immediately.

4. Do not scratch the skin near the artery-vein fitted with ports for dialysis.

Further information please visit : www.PhuketHospital.com
eMail: info@PhuketHospital.com

Knee Replacement

2008-08-26T10:04:00.002+07:00

Knee Replacement
An artificial knee joint (prosthesis) is made of metal and high-grade plastic components, which replaces the worn surface within severe knee joint damage.
The prosthesis is made of a durable and inert metal such as stainless steel, cobalt-chromium alloy and titanium, and hard plastic, which is abrasion resistant such as polyethylene.

Knee replacement surgery
A knee joint replacement is recommended for patients with severe knee joint damage, which can be caused by how it is used, increasing age or osteoarthritis of knee such as rheumatoid arthritis or an injury from the accidents. This causes knee joint to become pain or loose, leading to the feeling of instability in the knee. Typically, patients undergo this surgery after non-operative treatments have failed to provide relief of arthritic symptoms.

Types of knee replacement surgery
1. Total condylar knee replacement is a surgery that involves removal of all the knee joint surfaces. The surgical procedure may or may not include the part of patella or kneecap depending upon the damaged surfaces.
2. Uni-condylar knee replacement is a surgery that replaces only one side of the knee joint. The decision as to whether to use which types of knee replacement depends upon patients’ condition.

Preparation for knee replacement surgery
Before the surgical procedure, your heart disease, blood pressure, a physician, who will determine when you are ready to have an operation; will monitor diabetes and kidney function.

During knee replacement surgery
- The procedure usually takes about 2- 3 hours.
- Anesthesiologist will determine whether anesthesia or pain shots, which may be regional or general, will work best for each patient.
- After surgery, a drainage tube will be inserted to drain excess fluid or any blood from the new joint.
- A sterile bandage or splinting will then be applied on patients’ knees.
- The bandage or splinting will usually be removed after the second day of the surgery.
- Patients will begin a rehabilitation program.
- Patients are expected to stay in the hospital for approximately 5 – 6 days after the surgery.
- Patients will start to walk with the help of a walker. It may be needed for about 1 month after the surgery.

Advantages of knee replacement surgery
- The surgery will relieve your pain and stiffness when you bend or straighten your knee.
- Your leg will be straighter if you have a knee deformity, such as joint that bows in or out.
- You may feel more stability or comfortable in the knee when you bear weight on your knee.

Disadvantages of knee replacement surgery
- The knee prosthesis components may loosen or wear out. The average artificial knee joint replacement lasts 15 – 20 years. Durability of the prosthesis depends upon how the knee joint is taken good care of or used (a patient’s activity level).
- Avoid “impact loading” sports such as jogging. You can enjoy a variety of low-impact activities such as swimming, biking on level surface and playing golf.
- Avoid heavy lifting.

Further information please visit : www.PhuketHospital.com
eMail: info@PhuketHospital.com

HOW FOOD CAN CONTROL DIABETES?

2008-08-05T16:37:00.001+07:00

Diet and Diabetes control
Good nutrition plays an essential role in controlling your diabetes. Although diabetes medication and insulin injections are available, diet control is always required for diabetes. Diet Control means knowing how to eat and select foods in moderate amounts to meet your specific needs as well as to control your blood sugar levels, fat level in blood, and blood pressure. Diabetes patients must change inappropriate eating habits to be more qualitative. Changing eating habits takes time and patience, but it is worth doing. This will prevent or delay diabetes complications, which will occur in the future.

How to start diet control?
Diet control is NOT starving and it should begin with:
- Weighing and measuring your height to calculate your moderate weight and consider if you should gain or lose weight
- Knowing how to choose the eatable foods and avoidable foods
- Daily food amounts of each meal are different for each individual depending on gender, age, weight, and individual activities

Selecting types of food for diabetes patients
Unlimited eatable foods
Low-calorie foods with fiber are all green vegetables and white vegetables such as ivy gourd, Ipomoea, white lettuce, cabbage, luffa, cucumber; spices; and beverages such as green tea without sugar.
Avoided foods
- Desserts or food with added sugar such as many kinds of Thai desserts like Thong Yip, Thong Yord (eggdrop sweet), Kha-nom Chun (layer sweet), Thua Bpab
- Beverages with added sugar such as soft drinks, canned fruit juice, honey, tonic drink and flavored milk
- Fermented food, dried food, salted snacks such as potato chips, instant noodles.
- Alcohol drinks
Eatable foods, but should limit amount
- Foods from rice, flour, glucose (carbohydrate) such as sticky rice, non-glutinous variety of rice, noodles, egg noodle, green-gram noodle, bread, boiled rice-flour noodles, macaroni, taros, potatoes, corn. They cause high glucose levels in blood and obesity.
- Meats or protein nourish the body and helps the repair of body tissue. You should have low-fat meats such as fish, pork, or chicken with lean fat or protein from vegetable such as Tofu.
- Fat should be consumed with limited amount of serving as it has a high cholesterol content. You should also avoid animal fat such as pork oil, chicken oil as it causes high fat level in the blood leading to Atherosclerosis and Arteriolosclerosis.
- Fruits such as orange, banana, papaya, watermelon should be eaten in moderation as they cause high glucose levels in blood.
- Milk should be fresh milk or non-flavored skim milk at a moderate amount.
Selecting type of snacks for exercising
- 1 portion of fruit such as 1 orange, 1 apple, a glass of milk, or a slice of bread is recommended for exercising for less than 30 minutes.
- Snacks, which consist of flour, meat, and low fat like Chicken Sandwich is recommended for exercising for less than 45 minutes.
- Increase more snacks in case of exercising longer and can eat again after finishing exercise. The right snacks for each diabetes patient must be evaluated from glucose levels in blood and type of exercise.

Further information please contact "Diabetes Center" Bangkok Hospital Phuket. www.phukethospital.com
e-Mail: info@phukethospital.com

What is Dental Implant?

2008-07-15T12:05:00.002+07:00

What is Dental Implant?
Dental implant has revolutionized in dentistry for functional replacement for missing tooth/teeth due to periodontal disease, decay, injuries, etc. The dental implant is a titanium screw which will be fused to bone within 3-6 months after surgery. These implants can then be used to anchor crowns, bridges and dentures. The prosthodontist will surgically place an implant to patients without harming the remaining teeth and soft tissue with the most natural look.

Are you a candidate for dental implant?
The ideal candidate for a dental implant is in good general and oral health: adequate bone in jaw to support the implant, and have healthy gum tissues that are free of periodontal disease.
However, patients should consult your dentist to see the possibility in treatment. Patients will be evaluated by dentist at a consultation appointment with respect to their jaw size, quality and quantity of bone, also the condition of the opposing dentition. There are many types of treatment options which time factor can vary according to treatment options, number of teeth replaced and patients’ health. Your dentist will assist in determining the proper procedure option.

Side effect
Side effect will depend on type of implant and patients’ health. They may feel numb for 2-3 days or to week as a result of the sedation including some swelling around the implant area which mostly temporary effects of a successful procedure. Then these symptoms will be relaxed.

Dental Center at Bangkok Hospital Phuket, we provide a full range of dental implant services.

Single Crown Implant
Bridge Implant
Implant Retained Overdenture
Implant Supported Overdenture
Implant Supported Fixed Prosthesis
Immediate Loaded Implant

Additional information, please visit www.phukethospital.com

e-Mail: info@phukethospital.com

Lasik Surgery (Eye sightedness correction)

2008-07-02T14:30:00.003+07:00

What is LASIK?

LASIK is one of a number of solutions for correcting nearsightedness, farsightedness and astigmatism. With LASIK, the Microkeratome is used to shave the cornea to create a flap. The flap then is opened to expose tissue just below the cornea’s surface. Next, the Excimer laser is used to remove ultra-thin layers from the cornea to reshape it to reduce nearsightedness or farsightedness and astigmatism. Finally, the flap is returned to its original position, without sutures.

“LASIK is corneal laser eye surgery, which Bangkok Phuket Hospital LASIK Center provides you with a Specialist in corneal and refractive surgery and the latest Excimer Laser (Wavefront & Non-wavefront System). NIDEK EC-5000 CXIII (Excimer Laser) was approved by US.F.D.A about NAVAX 4^thGeneration LASIK. This ultra-modern machine has been developed to have more efficiency to over come various factors that some ex-models were unable to provide, such as, Eye Tracker System, adding more accurately Astigmatism correcting Program (TED), Multipoint laser program, Increased ability to save more corneal area, Reducing night vision problems, etc. Bangkok Phuket Hospital LASIK Center ensures we will fulfill the patient’s needs and confidence - we are able to provide you with the highest quality treatment.

Candidate:

Must be at least 18 years of age and have had stable vision for at least one year.
Have no corneal diseases or other eye diseases, Thyroid, SLE, and Keloid.
Not be pregnant or breast feeding.
Have a complete understanding of the advantages and disadvantages of the surgery.
Have a realistic expectation of the outcome.
Do not take any medication that effects hormones, such as, birth control, or acne medication.

Procedure : You should refrain from wearing contact lenses prior to the examination and the operation (Soft lenses: At least 3 days prior and Hard or semi-hard lenses: At least 1 week prior to the examination), an accurate analysis needs the cornea to return to its normal shape.

1. Eyes Examination Process it takes approximately 2-3 hours for the examination. (The dilating medication affects the eyes from 4-6 hours, please bring sunglasses with you and take a taxi or have a friend or family member drive you.)

- Start with checking vision ability, auto-refractive by machine then OPD-scan (Wavefront scanning) to measure the precise imperfection of the eyes from the cornea to the optical system with Wavefront scanning revealing 3-Dimension-Mapping of the cornea.
- Manifest Refraction to measure refractive error.
- Dilate eyes to check the optical system.
- Pachymeter to check the cornea's thickness.
- Meet the ophthalmologist to cyclopegic refraction and to analyze corneas' data and possibility to have LASIK surgery.
2. Operative Process: The process takes 1 hour for preparation and about 1 hour for the operation (Laser Treatment). The patient is required to rest at home for the rest of the day and meet the ophthalmologist the next day to take off the eye-shields
3. Follow-Ups: You will be required to meet with your doctor for post-operation observation visits in the following intervals; 1 day, 1 week, 1 month, 3 months, 6 months, 1 year respectively as given to schedule. (Normally after 2-3 weeks, ophthalmologist would allow you to follow up with your own ophthalmologist)

Recovery Time: 2 days(Operation day and next day to take off eye-shields) after your operation, you can begin normal activities Except: Exercise, Hard Work, and Heavy Lifting. Refrain from doing anything that may cause Sweating; Sweat may cause infection.

Further information, please contact www.PhuketHospital.com

eMail: info@phukethospital.com

Dental Bridge

2008-06-24T21:03:00.003+07:00

A dental bridge is a custom-made false tooth or teeth, which are permanently placed between two healthy teeth, filling in the area left by a missing tooth or teeth. The bridge is held in place by porcelain crowns placed on the healthy teeth on each side of space to be filled.

Types of Dental Bridges: There are three main types of bridges:

1. Traditional bridges involve creating a crown for the tooth on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.

2. Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.

3. Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of porcelain teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

There are three basic types of materials for dental bridges:

1. Porcelain fused to metal dental bridges

2. All porcelain dental bridges

3. All metal dental bridges (Gold)

The all porcelain dental bridges and porcelain fused to metal (PFM) dental bridges are tooth colored bridges. Your dentist can help you decide which to be used based on the location of the missing tooth (teeth) and its function. PFM dental bridges are usually used to restore back teeth where the forces of chewing and grinding are strongest. All porcelain dental bridges are the most aesthetic and are used almost exclusively for front teeth where the need for strength is not as critical. Gold dental bridges are the most durable and offer the most precise fit. Gold dental bridges does not chip.

Benefits of Dental Bridges

- Restore your smile

- Restore your ability to properly chew and speak

- Maintain the shape of your face

- Distribute the forces in your bite properly by replacing missing teeth

- Prevent remaining teeth from drifting out of position

- Maintain good oral hygiene

Who is a candidate for dental bridges?

If you have missing teeth and have good oral hygiene practices, you should discuss this procedure with your dentist. If spaces are left unfilled, they may cause the surrounding teeth to drift out of position. Additionally, spaces from missing teeth can cause your other teeth and your gums to become far more susceptible to tooth decay and gum disease.

How Do I Care for My Bridges?

It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Your dentist or dental hygienist can demonstrate how to properly brush and floss your teeth. Keeping a regular cleaning schedule will help diagnose problems at an early stage when treatment has a better prognosis. Selecting a balanced diet for proper nutrition is also important.

Further information, please contact www.PhuketHospital.com

eMail: info@phukethospital.com

EKC or Pinkeye

2008-06-12T08:59:00.002+07:00

Epidermic Keratoconjunctivitis (EKC) or the so-called “pinkeye” is an inflammation caused by adenovirus, infecting the transparent membrane (conjunctiva). It can be very easily transmitted to others by directly touching patients’ tear and then touch or rub your eyes.

Symptoms
After you have conjunctivitis, symptoms may include red eye, irritating, tearing, eye pain and inflammation of membrane (conjunctiva), which is easily notice on the white of your eyes, along with excessive eye excretion caused by a bacterial infection. Symptoms first appear in one eye and then spread to the other. You should be cautious to prevent the spread of the disease to the other eye. However, in most cases, the infection can easily spread from one eye to the other and you may develop a slight fever or body aches. These symptoms may last in 10-14 days

Complications
Complications may include intense irritating, eye unopened and corneal involvement. Symptoms are gradually resolved in three weeks. It may take up to one to two months for someone with conjunctivitis for the infection to clear up, causing blurred vision for a long time.

Treatments
The treatment of conjunctivitis depends on the condition, as the drug destroying this virus has not been discovered. Antibiotics eye drops can be applied if experience excessive eye excretion. Anti-inflammatory drugs can be applied in combination with antipyretic if you develop a fever or sore throat. Take proper care of yourself, have a proper rest and avoid using your eyes, especially if you develop a serious infection. Avoid working hard and have sufficient sleep. Avoid sharing handkerchiefs with patient. Wash your hands thoroughly after touching the infected eyes. Avoid using the swimming pool to prevent the spread of the disease through the water.

Preventions
For person who stays with patients, should avoid touch or rub your eyes, wash your hands with soap often, avoid sleeping in the same room with patients and do not use or share your things with others.

Further information about Bangkok Hospital Phuket's Eye Center, please visit www.PhuketHospital.com

eMail : info@phukethospital.com

Neck Pain

2008-06-04T16:38:00.003+07:00

Most people who never experience neck pain would not pay much attention to this part of the body. This is despite the fact that neck has the duty to protect and look after the spinal cord, cranial nerves, and brain arteries. Moreover, it also carries the weight of the skull and brain, the heaviest and most important organs of human body. Our neck is thus designed to be flexible and can rotate in several directions.

Common causes of neck pain
1. Bad posture habits, e.g. hunching your back, arching your abdomen, or overworking during the day
2. Mental stress
3. Stiff neck
4. Degenerative joints
5. Injury of the neck bones, e.g. from fallings
6. Arthritis, e.g. Rheumatoid arthritis
7. Herniated disc, or when part of your spine presses against a nerve

Treatment
1. If you have neck pain or abrupt stiff neck, your symptoms may result from bad posture or improper sleeping position. Try not to move your neck. Flatten yourself against the floor for a while. Apply ice pack or hot water on the pain area. If your pain does not get better, use painkiller.
2. If you have chronic neck pain, the symptom is usually not severe, though annoying. There may sometimes be difficulties when bowing, turning, or twisting your neck. You may have pain after work or your neck is stiff very often. Apply ice pack or warm water on the pain area. Use painkiller, or give your neck a proper massage.
3. Give your neck an exercise to strengthen and improve the flexibility of your muscles.
4. If the pain does not get better, consult your doctor for a proper diagnosis.

Prevention of neck pain
1. Mind your posture. Do not bend or bow your neck too much or too long.
2. When at work, you should take a break and change the position every hour.
3.Your seat, especially if you have to drive long hour, should have firm backrest or have neck support being the proper level.
4. Sleep on a firm mattress with your head level to it. Do not lie on your face while reading or watching television.

Most important!
- Give your neck an exercise every day and try to reduce the pain from your daily life by doing exercise for a healthy body.
- Nowadays, neck pain is becoming a common illness because of the stress of your neck muscles. This may result from a long day work, brain overuse, frustration, car accidents, or sport activities.
- If you overly or improperly use your neck, you will experience different symptoms, e.g. neck weakness or stiffness, shoulders pain, throbbing pain in your head or arms, numbness down your fingers, nausea and vomiting, or dizziness.

Further information about Bangkok Hospital Phuket's Bone & Joint Center, please visit www.PhuketHospital.com

eMail : info@PhuketHospital.com

Cataract

2008-05-27T14:42:00.002+07:00

A cataract is a clouding of the normally clear and transparent lens of the eyes, similar to a frosted window. When the fogging of the lens develops, it can be caused the limited vision of your eyes without pain.

Cause and Risk Factors of Cataracts : Factors that may contribute to cataract development include:
- Age related: Most cataracts are related to aging, especially, in patients over 65 years old.
- Hereditary: A family may have a history of developing cataract which can be cause from the unusual Galactose. During development: A mother may transmit cataracts to her baby during pregnancy, such as rubella (German measles).
- Accident or Traumatic: Cataracts may follow an injury to the eye, either quickly or years later.
- Health problems: Cataracts may be related to health problems, such as diabetes, long-term use of corticosteroids, and other inflammatory and metabolic disorders.

Other causes: Cataracts may follow radiation exposure and excessive exposure to UV light (sunlight), smoke, or alcohol.

Symptoms indicating Cataract :

The condition tends to develop slowly, so vision worsens gradually as the cataract develops. If the symptoms are not treated, complications as acute glaucoma, uveitis will develop.

Treatment Of Cataracts : The treatment of cataract can be done under surgery only. A cataract should be removed when vision loss interferes with your daily activities Surgery consists of removing the lens and replacing them with artificial ones, which are life long.

There are 2 ways removing cataract : Two different types of standard cataract surgery can be used. Your ophthalmologist will discuss these surgical options with you. Together, you will decide which type of lens replacement is best.

1. Extracapsular surgery
This procedure is suitable for the worst cataract, which cannot be able to destroy with the ultrasound wave. It consists of surgically removing the lens by making around 10 mm. incision on the side of the cornea but leaving intact the back half of capsule (the outer covering of the lens) to replace with the artificial lens.

2. Phacoemulsification (Surgery with Ultrasound Wave)
Today, most favorable used technique, also called small incision cataract surgery or ‘Phaco’ surgery. There are compared advantages as follows :
- The surgery can be performed with the early stage of the cataract symptom.
- No-stitch surgery requires only 3.2 – 4.2 mm. incision.
- The faster healing, which makes hospitalisation, is not necessary for the postoperative care.
- The clear and steady vision after surgery more rapidly improves.
- With short postoperative care, you can go back to every work earlier compared to Extracapsular surgery.

For further information, please contact : www.phukethospital.com

Osteoporosis

2008-05-24T15:15:00.001+07:00

Osteoporosis is a condition that features loss of bone mass or the normal density of bone as well as deteriorates bone micro architecture. As a result, bone becomes fragile and prone to fracture.

Risk Factors for Osteoporosis

- Menopausal women or older age.

- Family history of osteoporosis or osteoporosis- related fracture such as in mother or siblings.

- Thin and small body frames.

- Low diet in calcium-rich foods.

- High diet in protein and in salt.

- Lack of exercise.

- Excessive alcohol consumption, cigarette smoking or regular consumption of more than 2 cups

of coffee.

- Long-term use of certain medications such as corticosteroids, anticonvulsant and thyroid

hormone.

- Chronic illness.

Osteoporosis—The Silent Threat

The osteoporosis condition can progress silently without any symptoms until a bone fracture. When fractures occur, it can cause height loss of more than one cm per year, muscle emaciation, spine malformations such as a stooped or hunched posture or severe back pain, which can sometimes appear and disappear spontaneously. Fifty percent of patients suffering a hip fracture result in deaths. Another fifty percent experiences long-term disability. Therefore, patients are not being aware of their osteoporosis until they start to suffer some deformities.

Prevention and Treatment of Osteoporosis

- Consume a healthy and well-balanced diet.

- Consume a balanced diet with adequate calcium.

- Exercise regularly.

- Avoid risk factors that increase your likelihood of developing the disease.

- Prevent fall among elderly people that can result in fractures.

- If you are at high risk of developing the disease, consult your physician for recommendations.

- Take medications that slow or stop bone loss and breakdown under physician supervision.

For further information please contact : www.PhuketHospital.com