ndocrinology & Diabetes Clinic is staffed by a qualified and internationally Eexperienced team of Physicians offering a broad spectrum of specialized care in hormonal, metabolic, & nutritional disorders; obesity; diabetes; and pituitary/ adrenal gland problems both in outpatient and inpatient areas. The clinic also provides a multi-disciplinary & an integrated care for all those with diabetes including prevention, medical management, education, nutrition, foot & eye care, etc, all under one roof.

SHIFA ENDOCRINOLOGY & DIABETES CLINIC

Volume: 08 | Issue: 04 | November 2018Volume: 08 | Issue: 04 | November 2018Volume: 08 | Issue: 04 | November 2018

It's a matter of great pride for Department of Surgery, Shifa International Hospital to announce completion of 100 Gastric Bypass Surgeries (Roux-en-Y) on 30th October 2018, which are performed by Dr. Ghulam Siddiq (Chief of Surgery, Consultant Laparoscopic & Bariatric Surgeon). Gastric Bypass, also called Roux-en-Y is a unique type of weight-loss

& metabolic surgery which is helping morbidly obese patients globally by improving their quality of life by treating life threatening risk factors, i.e., Type II Diabetes, Blood Pressure, Sleep Apnea, Osteo-Arthritis, Heart/ Stroke Attack, Fatty Liver, etc. On the occasion, Dr. Ghulam Siddiq hosted a lunch

and thanked the hospital management, OR team, nurses, and fellow surgeons for their support in achieving this milestone.

By: Dr. Ghulam Siddiq Chief of Surgery, Consultant Laparoscopic & Bariatric Surgeon

Completion of

100 100 100 ROUX-EN-Y

Gastric Bypass Surgeries

A MOMENT OF Pride

WORLD

DIABETESDAY

14THNOV

A FewSymptoms

A FewComplications

Preventions

IMPORTANT FACTORS THAT CAN LEAD TO DIABETES

Excessive Thirst and Hunger

Weight Loss and Weight Gain

Numbness or Tingling in the hands/ feet

Frequent Urination Fatigue

Regular Exercise Quit Smoking Healthy Food

(High Fiber/ Low Carb)Control Your

Weight Avoid Sugary Drinks

& Choose Water instead

Wounds Heal Slowly Diabetic FootCoronary

Heart Disease Eye Damage Diabetic

Nephropathy

reast cancer is a major health risk to Pakistan women. Healthcare statistics show an alarming increase in incident and prevalence of B Breast Cancer globally and particularly in Pakistan. To mark the Pink Month (October), Shifa International Hospital launched a thorough breast cancer awareness campaign with a series of engagement and educational activities.

Shifa is lit up in Pink to commemorate breast cancer awareness month (October 2018). The objective of the campaign was to express solidarity w i t h b r e a s t c a n c e r patients and survivors & to further spread the d i s e a s e a w a r e n e s s . Selected parts of Shifa's building premises (H-8/4) were illuminated pink

th thfrom 15 to 17 October 2018.

A 2 day brand activation campaign was executed at the hospital premises by decorating lobbies and corridors with pink theme by exhibiting ribbons, balloons, and other visual material. Two information stalls were set-up at C1 & A0 to provide educational mater ia l and genera l counseling to patients and fami l i e s v i s i t ing the hospital.

I AM WITH HER I AM WITH HER I AM WITH HER LETS DEFEAT BREAST CANCER TOGETHER

BRAND ACTIVATION at Shifa Premises Shifa is Lit Up in Pink

Breast Cancer Awareness at ISLAMABAD CLUB

BREAST CANCER AWARENESS Seminar at FATIMA JINNAH WOMEN UNIVERSITY

Shifa International Hospital in collaboration with Fatima Jinnah Women University organized an awareness seminar on breast cancer at the university premises. The objective of the seminar was to educate the university students to further spread awareness on breast Cancer risk factors and early detection to their families and community. Dr. Shaheena Ayub Bhatti (Director, Women Research & Resource Center), faculty members and a large number of students attended the session.Dr. Saira Hassan (Consultant Oncologist) gave an in-depth overview of the causes, symptoms, treatment options and self-examination measures for breast cancer. She further emphasized the need to perform monthly breast self-exam to identify any abnormality at an early stage.On this occasion, Dr. Shaheena Ayub Bhatti (Director, WRRC) inaugurated 'Super Girl Volunteer Program' by registering students of FJWU to spread awareness to 10 female members by each volunteer. On completion of the voluntary task, Shifa Int. Hospital will award certificates to the program participants.

Shifa International Hospital & Islamabad Club organized an interactive session for female members at Multi-purpose hall, Islamabad Club, for breast cancer awareness. Dr. Saira Hassan (Consultant Oncologist) & Brig. ® Dr. Lubna Sohail (Administrator PED) educated the audience on risk factors and methods to detect breast cancer, followed by a thorough Q&A session.

Glimpses of BREAST CANCER AWARENESS

CAMPAIGN

Shifa International Hospital & Careem join hands to facilitate residents of Islamabad & Rawalpindi for breast cancer awareness and mammography screening. All patients visiting Shifa International Hospital Islamabad (H-8/4) were offered a special

th15% discount on all Careem rides from 10 stOctober to 31 October 2018.

COLLABORATION WITH

hifa International Hospital & Public Health Association (KPK & FATA) organized an awareness seminar at Shaheed Benazir Bhutto SWomen University (SBBWU), Peshawar. Dr. Hadi Muhammad Khan (Consultant Cancer Surgeon, SIH) & Dr. Yasser Rehman (Consultant Medical Oncologist, SIH) educated the audience on importance of an early detection in treating breast cancer successfully. Both of the technical speakers were also part of an expert panel discussion to identify social limitations and taboos limiting the diseases awareness in Pakistani society.Dr. Razia Sultana (VC, SBBWU), Dr. Shabina Raza (Ex DG Health KPK), Dr. Muhammad Riaz Tanoli (Project Director, Sehat Sahulat Program, KPK), Dr. Imad Malik (Administrator Allied Services, Shifa Int. Hospital), and Dr. Saima Abid (President, PHA) were among the notable speakers on the occassion. Dr. Imad Malik represented SIH to sign an MoU with PHA (KPK & FATA), & SBBWU to provide special screening discount to faculty and students of SBBWU at Shifa International Hospital.

Awareness Seminar at SBBWU, Peshawar

A breast cancer awareness session was organized for female students at Bahria University Islamabad. Dr. Uzma Qasim (Consultant Radiation Oncologist) presented the audience with guidelines on

detec t ing breas t cancer by se l f - examination and answered the questions raised by the students. Participants were also provided with educational material for better understanding the risk factors associated with the diseases.

Breast Cancer Awareness Session at Bahria Univdersity, Islamabad

MASTER CLASS IN RESPIRATORY THERAPY

Dr. Aamir Iftikhar Malik thanked the participants and PGME & CME departments for organizing the master class. Speakers for the day were Dr. Mobeen Iqbal, Dr. Matti Ur Rehman, Dr. Sohail Naseem, Dr. Atta Ullah Khan, Dr. Sohail Khan, Dr. Masooma Fatima, Dr. Zahid Saddiqe, Dr. Azmat Abdullah, and Dr. Kamran Munawar.

The idea of arranging a master class in respiratory therapy was conceived by Dr. Aamir Iftikhar Malik, Director Critical Care Services and Dr. Aftab Akhtar, Section Head Pulmonology & Critical Care. The session was held on October 26, 2018 at C-0 auditorium, being part of National Respiratory Care week from October 20 – 25, 2018. The objective of the master class was to educate and update the medical staff on latest developments in Pulmonology and Critical care.Dr. Monette Barrento- Brombuela, Chief of Nursing SIH welcomed the participants with her opening remarks. She appreciated the dedication of Mr. M. Shoukat, Sr. Supervisor Respiratory Therapy, SIH towards teaching and training of therapists and nursing teams.Dr. Manzoor H. Qazi, CEO SIH was the event chief guest. While addressing the

staudience, Dr. M.H. Qazi said that being the 1 Bronchial /Respiratory Therapist at Shifa International Hospital, he was part of the team which started this journey 25 years back. He further added that it is a matter of delight for him to see a whole new generation of experts contributing to the field by working in a more conducive and structured environment today by assuming roles of being therapists, clinicians, and advocates of patients.

A 1-Day Cardiac Surgery clinic was arranged under supervision of Dr. Syed Shahkar Ahmad Shah (Consultant Cardiothoracic Surgeon) at Shifa Medical Center, Peshawar on 19th October, 2018The aim of conducting the clinic was to facilitate patients from Peshawar and adjoining areas to get an expert's advice with an ease and convenience.

CARDIAC SURGERY CLINIC At Peshawar

Breast Cancer Awareness on HUM News

With relevance to the Pink Month, Dr. Hadi Muhammad Khan (Consultant Cancer Surgeon) appeared in a live program “Subho sey Agey” on Hum News Network.Dr. Hadi informed the viewers on different aspects re lated to p r eva l ence , d i agnos i s , and treatment of breast cancer.

Shifa International Hospital & Public Health Association (KPK/FATA) join hands for Breast Cancer awareness and organized an awareness seminar at Shaheed Benazir Bhutto Women University (SBBWU), Peshawar. Dr. Razia Sultana (VC, SBBWU), Dr. Shabina Raza (Ex DG Health KPK), Dr. Muhammad Riaz Tanoli (Project Director, Sehat Sahulat Program, KPK), Dr. Imad Malik (Shifa Int. Hospital), and Dr. Saima Abid (President, PHA) were the notable speakers for the occasion. While Dr. Hadi Muhammad Khan (Consultant Cancer Surgeon, SIH) & Dr. Yasser Rehman (Consultant Medical Oncologist, SIH) educated the seminar participants on risk factors and early detection of breast cancer. SIH, PHA (KPK/FATA), & SBBWU mutually signed an MOU to provide Mammography screening at Shifa Int. Hospital at 80% Discount to students and families of SBBWU.

BREAST CANCER Awareness Seminar AT PESHAWARSHIFA SPORTS CHAMPIONSHIP 2018

As part of its employee engagement initiatives, Human Resource department organized a mega sports event; Shifa Sports Championship 2018 in the month of October. The objective of the event was to inculcate sportsmanship in employees to promote and encourage team work and physical fitness. More than 1,500 employees participated in the event in 8 different games categories; cricket, football, volleyball, table tennis, badminton, carom, & chess. The 20 days of absolute excitement and team spirit were concluded by a colorful sports championship closing ceremony on 23rd October, 2018. Final matches of football, tug of war & cricket were also played on the closing day. Pakistani fast bowler Muhammad Amir also graced the event & encouraged the participants, players & organizers for arranging such a vibrant event. Mr. Aziz A. Jan, Chief Operating Officer SIH presented the trophies, medals and certificates amongst winners, runner ups, game managers and organizers.

hifa International Hospital proudly announces General Practice update series Sfor the general practitioners. The first specialty to be talked on was infectious diseases during a CME session held on October 07, 2018 under the leadership of Dr. Ejaz A. Khan, Chairman Infectious Diseases Committee. The field of infectious diseases is constantly changing, posing challenges for front-line healthcare providers in the clinic and hospital settings. The CME activity provided up to date, concise and evidence-based presentations to keep the participants on top of the infectious disease challenges.Dr. Amjad Mahboob, Dr. Javid Bhutta, Dr. Nasim Akhtar, Dr. Mumtaz Ali Khan, Mrs. Komal Fizza, Dr. M. Mukhtar, Dr. Bilal Firdaus, and Dr. M. Usman were the CME speakers.

GENERAL PRACTICE UPDATE SERIES

GUEST LECTURES

Everyone should have sufficient nutritious food to take care of their needs. The reality is that the world produces enough food, however many people still suffer from hunger. The latest FAO report indicates that more than 815

million people are suffering chronic undernourishment. These causes for the widespread hunger are all man-made, and include conflict, extreme weather events linked to climate change, economic slowdown and rapidly increasing overweight and obesity levels. Every year, World Food Day is celebrated annually on October 16th. The 2018 theme is: “Our Actions are our Future. A #ZeroHunger World by 2030 is possible”. In order to get to Zero Hunger, food is not enough. Providing food assistance can save lives, but the right nutrition at the right time can also help change lives and break the cycle of poverty. The experts on food & diet in our society are the Dietitian Nutritionists (DN). Dietitian Nutritionists can change consumers behavior towards a healthier diet and more sustainable eating and food pattern. Dietitian Nutritionists (DN) have a significant role to play in food sustainability and the preservation of the planet, and they are uniquely equipped to provide lifestyle therapy as the standard first line treatment to prevent and manage chronic diseases. It is the most economical and effective pathway to good health when delivered by qualified food and nutrition practitioners. Indeed, Dietitian Nutritionists (DNs) provide Medical Nutrition Therapy MNT for optimizing nutritional status as a cornerstone in the maintenance of health, well-being, disease management strategy that reduces chronic disease risk. MNT delays disease progression, enhances the efficacy of medical/surgical treatment, reduces medication use, and improves patient outcomes including quality of life. Most developed countries have a central authority that validates that a Dietitian Nutritionists is qualified to dispense dietary advice and is up to date with modern practices. Pakistan does not have this mechanism in place, and thus there are many unqualified 'so-called' nutritionist/dietitians in our society who spread inaccurate information that can damage your health. To overcome this, Pakistan needs to establish a that can National Nutrition Council manage policy and standards and ensure that only HEC approved dietitian nutritionist are hired in key posts. Without this, instead of reliable evidence-based studies being used for the education of stakeholders, dangerous diet fads and unverified practices will be relied on, which can damage the health of those who listen to the wrong sources.In addition to the establishment of a standards setting and enforcement body (the National Nutrition Council), I would strongly advocate that insurance companies reimbursement for services should adopt policies to provide of DNs. These services include "healthy diet counseling”, "obesity screening and counseling" and “medical nutrition therapy”, and by preventing dread diseases early, can not only improve the quality of life of their customers, but can also reduce the total medical bill that the insurance company would have to foot otherwise. Medical Nutrition Therapyinsurance coverage has a beneficial effect for society as it encourages clients who would otherwise not be able to afford it to seek early diet and lifestyle counseling and health screening. This can prevent serious medical conditions such as diabetes and under-nutrition related deficiency diseases. Doctors will be more interested in referring clients to DNs when they know their services are accepted by insurance. It provides a chance to help those who do not want or have the means to pay out-of-pocket costs, grow the DNs practice and brings much required dietary help within the reach of more people. The reality is that we must adopt a more sustainable lifestyle, work with others, share our knowledge and be willing to help to reach the #ZeroHunger goal. While millions go hungry, 672 million people globally suffer from obesity, and a further 1.3 billion are overweight. We can, and must, change this.

Food as the BEST PREVENTATIVE MEDICINE (An Article By Dr. Rezzan Khan, Consultant Nutritionist)

1. Shifa International Hospital organized a guest lecture on Top Ten Pediatric Dermatology Diseases & Pediatric Derma Quiz by Dr. M. Amjad Khan, Consultant Pediatric Dermatologist & Clinical Lead for Dermatology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK on October 08, 2018.

2. Shifa International Hospital organized Guest Lecture on “Perinatal Depression Globally: Myths and Realities - Maternal depression” by Prof. Atif Rahman, Professor of Child Psychiatry, Psychological Sciences, University of Liverpool, UK on October 17, 2018.

Five myths were discussed by Dr. Atif Rahman. - Myth 01: Maternal depression is rare. - Myth 02: Maternal depression affects the mother only. - Myth 03: Only specialists can treat maternal depression. - Myth 04: It is not possible to integrate maternal mental health care into MCH programs. - Myth 05: It is not possible to scale-up such programs to a population level.

Medical Staff Affairs (MSA) organized a Grand Round on “Advancements in Colorectal Cancer & Role of Surgical Oncologist” by Dr. Hadi Muhammad Khan, Consultant Surgical Oncologist, SIH, on October 13, 2018.

GRAND ROUND

We would love to hear from youIf you have any questions, comments or any suggestions as to what can be included in this newsletter, please write to us at: media@shifa.com.pk or call at 051 8463804/3106

r. Maimoona Siddiqui, HOD & Consultant Neurologist at Shifa International Hospital (SIH), on Doccasion of World stroke Day said that around 80 million people living in the world today have experienced a stroke and as a result, over 50 million survivors live with some form of permanent disability. While for many, life after stroke won't be quite the same but right care and support helps them in living a meaningful life. For millions of stroke survivors, it is possible to get #UpAgainAfterStroke. While the impact of stroke will be different for everyone, self-resilience and strong determination are the key factors which unite stroke survivors and caregivers to keep going on the recovery journey.

A cake cutting ceremony was held at Rehabilitation Department, Shifa International Hospital to mark World Occupational Therapy Day, aiming to raise public awareness about the role and importance of occupational therapy. The day is obser ved annual ly on October 27. The theme for 2018 was 'Celebrating Our Global Community'.

WORLD OCCUPATIONAL THERAPY DAY

hifa International Hospital organized an awareness seminar to mark Global SHand Washing Day. The event aimed to promote hand washing with soap, raise awareness about the importance of hand washing as a routine ritual and habit, provide education on the importance of hand washing, and motivate people to wash their hands to ensure a healthy living.

Stroke is the second most common cause of death globally, causing around 6.7 million deaths each year and taking a life every five seconds. The burden of stroke due to illness, disability and early death it causes, is set to double worldwide within the next 15 years. Almost 1 in 8 deaths worldwide are caused by stroke. The theme of this year is To Support, that we are with stroke survivors and their families in their journey back to an independent life. She further stressed the need to know about personal risk factors and to focus controlling high blood pressure, doing moderate exercise 5 times a week, eating a healthy and balanced diet, reducing cholesterol, maintaining a healthy BMI or waist to hip ratio, quitting smoking, identifying and treating atrial fibrillation, reducing the risk from diabetes, etc. and consulting a doctor to get to know more on stroke.

PEDIATRIC LUNG ULTRASOUND WORKSHOP

A Pediatric Lung Ultrasound workshop was designed and arranged in consultation with faculty of Aga Khan University on October 24, 2018. The workshop covered general, emergency and critical care applications of ultrasound specific to the needs of children to educate the participants with little or no prior ultrasound experience.

World Stroke DayWorld Stroke Day

Almost 1 in 8 DEATHS worldwide are caused by STROKEAlmost 1 in 8 DEATHS worldwide are caused by STROKEWorld Stroke Day

Almost 1 in 8 DEATHS worldwide are caused by STROKE

Stroke is a Stroke is a LEADING CAUSE of DEATH LEADING CAUSE of DEATH

and disability globallyand disability globally

Stroke is a LEADING CAUSE of DEATH

and disability globally

Dr. Maimoona Siddiqui (Consultant Neurologist, SIH) was appeared in a live program “Subho thsey Agey” on Hum News Network on 29 Oct (World Stroke Day). Dr. Maimoona presented

data on stroke prevalence in Pakistan along with highlighting stroke types, associated risk factors and preventive measures.