Better Health 28 ENG
The magazine for patients and friends of Bumrungrad International Hospital, Thailand.
The magazine for patients and friends of Bumrungrad International Hospital, Thailand.
- Page 2 and 3: W e l c o m e Welcome to , the maga
- Page 4 and 5: CEREBRAL ANEURYSM Cerebral Aneurysm
- Page 6 and 7: “ If ever you get a headache unl
- Page 8 and 9: WEIGHT MANAGEMENT Weight management
- Page 10 and 11: HEALTH BRIEFS Higher blood clot ris
W e l c o m e<br />
Welcome to<br />
, the magazine <br />
for patients and friends of Bumrungrad <br />
International Hospital.<br />
The brain is the body’s most important and<br />
omplex organ. It is responsible for every aspect <br />
and activity of everyday living. This issue of <br />
focuses special attention on the most<br />
serious threats to brain health. <br />
Brain disorders including dementia, Alzheimer’s<br />
disease, Parkinson’s disease and stroke cause <br />
tremendous loss of life and permanent disability. <br />
Becoming aware of one’s personal risk factors, <br />
and understanding the importance of earlier <br />
diagnosis and treatment, can help prevent brain <br />
disorders and reduce their severity if they occur. <br />
Beginning on page 4, our feature on dementia <br />
and Alzheimer’s updates readers on progress in <br />
diagnosing and treating these serious disorders, <br />
and offers expert advice for caregivers and loved <br />
ones providing critical support to patients. <br />
Stroke is among the world’s leading causes of <br />
death. Hemorrhagic stroke, also called cerebral <br />
aneurysm, is the type of stroke that causes bleeding<br />
in the brain. Our feature on page 8 briefs readers<br />
on what they should know to prevent them, and <br />
what to do if a stroke occurs. <br />
On page 22, we focus on Parkinson’s disease <br />
and recent progress in treating the widespread <br />
condition, and how the right kind of care is giving<br />
a major boost to patients’ quality of life.<br />
As always, we welcome your feedback, ideas <br />
and comments about<br />
. Please feel <br />
free to e-mail us at betterhealth@bumrungrad.com.<br />
We look forward to hearing from you, and here’s <br />
wishing you better health.<br />
<br />
<br />
<br />
<br />
Dr. Jitra Anuras<br />
Senior-Associate <br />
Medical Director<br />
C o n t e n t s<br />
4 Dementia & Alzheimer’s <br />
Helping patients and caregivers<br />
8 Cerebral Aneurysm<br />
What you should know about<br />
hemorrhagic stroke<br />
12 Q&A<br />
14 Epilepsy<br />
Helping parents & kids tackle <br />
the challenges of epilepsy<br />
18 <strong>Health</strong> Briefs<br />
20 M.D. Focus<br />
Get to know our doctors<br />
22 Parkinson’s Disease<br />
The case for earlier detection<br />
26 News from Bumrungrad International<br />
4 14 22<br />
<strong>Better</strong> <strong>Health</strong> magazine is published by Bumrungrad Hospital Public Company Limited and is produced <br />
for Bumrungrad Hospital Public Company Limited by Oakins and Stone Limited, 16 Asoke Court,<br />
Suite 2-A, Sukhumvit 21 Road (Asoke), Klongtoey-nua, Wattana, Bangkok 10110. Tel: +66 (0) 2261 1211<br />
Fax: +66 (0) 2261 1213. www.oakinsandstone.com<br />
No part of this magazine may be reproduced without the written permission of Bumrungrad Hospital <br />
Public Company Limited. 2013 by Bumrungrad Hospital Public Company Limited. All rights reserved. <br />
Publication of advertisements or sponsorships shall not constitute an endorsement by Bumrungrad <br />
Hospital Public Company Limited of the products or services promoted, of the company or organization,<br />
nor of the claims made.<br />
Telephone:<br />
Facsimile:<br />
Out-patient<br />
appointment:<br />
Website:<br />
66 (0) 2667 1000<br />
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66 (0) 2667 1555<br />
www.bumrungrad.com
BONE MYTHS & TRUTHS<br />
Busting the myths<br />
about bones and joints<br />
Many widely-held beliefs about bone and joint <br />
health turn out to be falsehoods or half-truths. <br />
Here’s a look at some of the popular myths, <br />
and the facts that prove them wrong.<br />
We live in an age of free-flowing information that <br />
comes at the click of a mouse. That’s a good thing <br />
for the most part, but it sometimes adds to the <br />
challenge of separating the truth from everything else. <br />
A look at the facts will demonstrate that some of the <br />
most widely-believed myths simply aren’t true. <br />
<br />
A bone fracture is less serious<br />
than a broken bone <br />
Many people believe that a bone fracture is a less <br />
serious event than a broken bone. In reality, the <br />
two are identical. Severe fractures can result in a <br />
bone breaking up into two or more separate pieces. Minor <br />
fractures involve a crack in a bone that remains intact, <br />
sometimes called a hairline fracture.<br />
The types and degrees of fractures are numerous, but<br />
each and every one involves a bone that has been broken<br />
and should be examined by a doctor to assess the damage<br />
and repair the break. <br />
<br />
After bones are fully developed,<br />
they don’t change<br />
The model skeletons that helped us learn as kids <br />
never changed, but for real fully-grown adults, <br />
bones have the capacity to change throughout <br />
our lives. Their ever-changing nature can be attributed to <br />
osteoblasts, the cells responsible for generating bone mass. <br />
Osteoblasts react when bones come under stress. They <br />
help boost bone strength to counter the stress, especially <br />
in and around the joints where the stress is concentrated. <br />
Weight-bearing exercise such as moderate jogging is an <br />
effective way to help stimulate bone production. This helps <br />
lower the risk of osteoporosis and promotes faster recovery<br />
for patients with osteoporosis-related problems.<br />
<br />
Osteoporosis is a painful<br />
bone condition<br />
Osteoporosis is a disease that causes loss of <br />
bone mass. But unless a bone has fractured, <br />
osteoporosis doesn’t cause pain. <br />
Osteoporosis can go undetected for years. Without causing<br />
any noticeable symptoms, it gradually eats away at bones. <br />
Detecting osteoporosis is done using a bone densitometry <br />
scan – a test advised for adults beginning at age 40. The <br />
scan is an important element in osteoporosis prevention <br />
and earlier detection. <br />
<br />
Arthritis is a disease for old people<br />
While our arthritis risk increases as we age, <br />
seniors don’t have a monopoly on the disease.<br />
This painful joint condition can strike children,<br />
teenagers and adults of all ages. <br />
It’s true that arthritis can result from the gradual deter-<br />
ioration of joints after years of over-use and wear-and-tear.<br />
But arthritis has many types and multiple causes –<br />
rheumatoid arthritis, gout, psoriatic arthritis, accidents,<br />
infections, etc. – none of which discriminate based on age.<br />
<br />
People with arthritis have<br />
to stop doing . . .<br />
Arthritis patients can encounter challenges<br />
carrying on some of their normal activities, but<br />
treating them as helpless or powerless is not<br />
the answer. <br />
The best way to care for someone with arthritis is give <br />
attentive care. Avoid being over-protective so as not to <br />
encourage the patient becoming too<br />
dependent – a situation that<br />
can affect the physical<br />
and mental well-<br />
being of patients<br />
and caretakers<br />
alike.
CEREBRAL ANEURYSM<br />
Cerebral Aneurysm: What you should<br />
know about hemorrhagic stroke<br />
Each year, cerebral aneurysms cause death and permanent damage to <br />
millions around the world. Here’s what you should know about the<br />
causes of hemorrhagic stroke, and what to do when a stroke occurs.<br />
It’s difficult to overstate the magnitude of the global threat:<br />
According to the World Stroke Organization (WSO), <br />
nearly 15 million people worldwide suffered a stroke <br />
last year, and half of them didn’t survive. Stroke and other <br />
types of cerebrovascular disease continue to rank at or near<br />
the top of the world’s leading causes of death and disability.<br />
Most people have a basic understanding of strokes,<br />
and many have lost loved ones to stroke. Fortunately,<br />
significant progress has been made in stroke diagnosis,<br />
treatment and prevention; patients now have a better<br />
chance of surviving a stroke, and there are better <br />
ways to limits its damaging effects.<br />
Unlike the more common ischemic stroke, which <br />
involves a clot or blockage, hemorrhagic stroke – also<br />
called cerebral aneurysm or brain aneurysm – results<br />
from the dilation or thinning of the wall of an artery <br />
or blood vessel in the brain that eventually tears or <br />
ruptures, allowing blood to flow into the brain. <br />
<br />
The nature of the threat <br />
Cerebral aneurysms are caused by an abnormal <br />
thinning of the wall of a blood vessel or artery carrying<br />
blood to the brain. The normal flow of blood through<br />
the body’s circulatory system exerts constant pressure<br />
on blood vessels – even more so when the patient <br />
has high blood pressure or hypertension. A blood <br />
vessel already weakened by thinning of its wall is<br />
at risk of developing a <br />
balloon-like bulge susceptible <br />
to tearing or rupturing,<br />
an event that can cause<br />
severe brain damage<br />
or even death. <br />
<br />
“We can try to identity a probable cause for a cerebral <br />
aneurysm, but it’s difficult to know precisely why some <br />
areas of the arterial wall are thinner than others,” explains<br />
Dr. Somkiet Siriwimonmas, a neuroradiologist at Bumrungrad.<br />
“It can be due to a congenital abnormality or the consequence<br />
of another disease. While Thailand doesn’t compile statistics<br />
on cerebral aneurysm, it is estimated that the condition is <br />
present in about two percent of the population.”<br />
According to Dr. Somkiet, there are a number of aspects<br />
“ It’s impossible to <br />
determine when the <br />
aneurysm might rupture;<br />
there won’t be any <br />
symptoms to alert the <br />
patient of the potential <br />
threat.”<br />
Dr. Somkiet Siriwimonmas<br />
that add to the medical challenges of dealing with cerebral <br />
aneurysm: It’s impossible to determine when the aneurysm<br />
might rupture; most patients don’t know that they have an <br />
aneurysm; and so long as the blood vessel or artery doesn’t<br />
rupture, there won’t be any symptoms to alert the patient <br />
of the potential threat. <br />
<br />
Accidental detection<br />
Detecting the presence of an aneurysm is often a case of <br />
coincidence or chance. “Detection tends to occur in one of<br />
three scenarios,” notes Dr. Somkiet. “The aneurysm may be<br />
spotted by coincidence when a patient undergoes a CT scan<br />
or MRI while being diagnosed for an unrelated condition; <br />
sometimes it’s found after a patient experiences symptoms <br />
resulting from the aneurysm causing compression of certain<br />
areas of the brain; or it is discovered when the patient has <br />
been admitted after suffering an actual stroke.”<br />
The threat of cerebral aneurysm can feel especially <br />
ominous due to the reality that it cannot be prevented.<br />
Dr. Somkiet points out that while the danger has been <br />
described as a time bomb ticking away inside the
p9 Ad La Roche
“ If ever you get a <br />
headache unlike any <br />
you’ve had before,<br />
get to a doctor <br />
immediately.”<br />
Dr. Roekchai Tulyapronchote<br />
head, “there’s no widely-used screening test to detect the <br />
condition, and the methods that are capable of aneurysm <br />
detection require expensive equipment, making their <br />
widespread use impractical. Even with advanced testing, <br />
it’s not possible to predict if or when an aneurysm will <br />
eventually rupture,” Dr. Somkiet adds. “Not all aneurysms <br />
end up causing strokes.” <br />
<br />
When to treat?<br />
Dr. Somkiet notes the distinction between patients who <br />
have suffered a ruptured cerebral aneurysm and those whose<br />
aneurysm has not yet ruptured. “If a cerebral aneurysm <br />
ruptures, it’s critical for the patient to get medical attention<br />
as quickly as possible,” he explains. “For patients who have<br />
an aneurysm that has been detected by coincidence but <br />
hasn’t ruptured, doctors must determine if there is a high <br />
risk of rupture, and whether the aneurysm is located in an <br />
area prone to more severe damage if a rupture occurred.”<br />
Dr. Somkiet continues: “The size of the aneurysm also<br />
must be considered; those larger than seven millimeters are<br />
classified as high risk. We typically recommend treatment <br />
for high-risk situations, while low-risk patients would <br />
typically be monitored frequently for changes in the shape <br />
or size of the aneurysm. In deciding whether to proceed <br />
with treatment, patients should thoroughly consider and <br />
compare the risks of having the treatment versus the inherent<br />
risk of not receiving any type of treatment.”<br />
There are several treatment methods that doctors consider<br />
for patients with cerebral aneurysms. One method employs<br />
a surgical technique to locate the aneurysm and attach a <br />
clip to the affected area. Another surgical treatment option <br />
involves the insertion of a catheter through the femoral <br />
artery into the aneurysm, followed by the packing of coils<br />
onto the affected site. Both methods share the<br />
same objective: to prevent the weakened area<br />
of the arterial wall from growing larger in size,<br />
thereby reducing the risk of a dangerous rupture. <br />
The suitability of each treatment depends<br />
on a number of factors that can vary from<br />
one patient to another. Every aneurysm<br />
has a unique set of disease characteristics. <br />
“Treatment recommendations must consider <br />
the aneurysm’s size and location, and the <br />
patient’s overall physical health must be <br />
factored into the decision,” says Dr. Somkiet. <br />
“Doctors must carefully consider each <br />
situation on a case-by-case basis.” <br />
<br />
Whether or not to treat<br />
One of the more vexing questions that arises<br />
after detection of a cerebral aneurysm is: If no<br />
one can know with certainty whether the aneurysm will <br />
actually rupture or not, is treatment truly necessary? <br />
To help find an answer,<br />
turned to Dr. Roekchai<br />
Tulyapronchote, a neurologist specializing in neurovascular<br />
diseases. “The treatment of cerebral aneurysm aims to <br />
reduce the chances of a future stroke because there is no <br />
Artery<br />
Catheter<br />
Balloon<br />
Stent Angioplasty<br />
Plaque<br />
Closed stent<br />
Expanded stent<br />
Stent<br />
Compressed plaque<br />
Different symptoms, same danger<br />
Not all strokes produce symptoms such as severe headaches, dizziness or loss of <br />
consciousness. Some stroke patients experience only a severe headache which <br />
eventually goes away – but the stroke was real. Twenty-five percent of first-time <br />
strokes are deadly; for second-time strokes, the fatality rate is significantly higher. <br />
10
way of knowing exactly when a stroke will occur, or what <br />
its effects will be,” says Dr. Roekchai. “Data from clinical <br />
research indicates that aneurysms larger than 7mm have<br />
a high probability of rupturing at any time, while those <br />
smaller than 7mm have a less than one percent chance of <br />
rupture – a very insignificant risk. <br />
“But doctors must be mindful of the fact that when <br />
aneurysms rupture, patient mortality rates are as high as <br />
50 percent. Even if they survive, they may face severe<br />
paresis or paralysis for life if treatment isn’t administered <br />
in a timely manner. Personally, I think those patients who <br />
know they have a cerebral aneurysm are fortunate and <br />
should seriously weigh the risks before deciding whether <br />
to undergo treatment or not.”<br />
Dr. Roekchai continues to treat numerous Thai and foreign<br />
patients with cerebral aneurysms and is constantly reminded<br />
of the serious impact that stroke has on a patient’s life. “No <br />
one can predict with certainty whether an aneurysm will <br />
rupture,” he notes, “or how severe the impact will be when <br />
a rupture occurs. For me personally, if I am fully aware of <br />
the risks for myself and have the opportunity to reduce <br />
those risks, I would make that choice, as I have already <br />
been witness to many very serious cases.”<br />
<br />
Final points to ponder<br />
When an aneurysm ruptures, time is critical. “If patients <br />
get medical attention quickly, the potential damage to the <br />
brain can be minimized,” Dr. Roekchai explains, “and the <br />
risk of a stroke recurring is reduced.”<br />
Dr. Roekchai stresses the critical lesson that his many<br />
years’ as a doctor has taught him about stroke: “If ever<br />
you get a headache unlike any you’ve had before, get to a<br />
doctor immediately. We still see too many stroke patients<br />
who, because they looked and acted normally, neglected to<br />
seek medical treatment. Without being properly examined<br />
by a doctor, these patients have put themselves in greater<br />
danger of a second stroke, which is more deadly.” While <br />
that severe headache may turn out to be a harmless event <br />
and not a sign of stroke, the danger of a severe headache <br />
signifying stroke is too great to dismiss without having a <br />
doctor take a look just to be sure.<br />
These symptoms require urgent <br />
medical attention<br />
<br />
Severe headache unlike any before: Everyone has <br />
headaches from time to time. But the onset of a <br />
sudden severe headache unlike previous headaches <br />
requires urgent medical help. <br />
Other signs and symptoms: The simultaneous onset <br />
of a headache together with weakness of the limbs is <br />
a sign of a possible stroke. Urgent medical attention <br />
is necessary, even if the patient appears fine and is <br />
able to walk and talk normally.<br />
p11 Ad Gold Gear
WEIGHT MANAGEMENT<br />
Weight management<br />
key to avoiding<br />
obesity’s heavy toll<br />
As obesity rates continue rising, so does the number of people<br />
afflicted with health problems. Successful weight control<br />
requires a comprehensive weight management approach.<br />
The number of overweight and obese Thais is growing <br />
at an alarming rate. According to the latest figures <br />
from the Ministry of Public <strong>Health</strong>, in 2011 obesity grew <br />
at the fastest rate in a decade. <br />
Among Asia Pacific nations, Thailand now has the fifth<br />
highest obesity rate among people age 15 or older. If the <br />
current pace continues, the number of overweight and obese<br />
Thais – currently around 17 million – will grow by an <br />
additional four million every year. <br />
<br />
A complex issue<br />
Losing excess weight and maintaining a healthy weight<br />
involve much more than the numbers on a scale. The sheer<br />
volume of conflicting information and misinformation, <br />
aggressive marketing tactics, and people’s natural desire<br />
for fast, painless solutions, make it even more difficult to <br />
achieve a healthy body weight. <br />
To get a clearer understanding of the complex issues<br />
involved in weight loss and weight control,<br />
turned to a team of doctors from Bumrungrad’s Weight<br />
Management Center. <br />
<br />
The role of fat<br />
Dr. Chulaporn Roongpisuthipong, a US-board certified<br />
specialist in clinical nutrition,<br />
says the danger from obesity<br />
is related to the excessive<br />
amount of fat that accumulates<br />
over time. “Our weight comes<br />
from bones, muscle and fat;<br />
our health is threatened by<br />
the accumulation of body <br />
fat, especially around the<br />
stomach or belly.” she says <br />
Obesity is typically<br />
determined by the Body Mass<br />
Index (BMI), a calculation<br />
derived from a person’s<br />
height and weight. Over-<br />
weight is defined as a BMI<br />
Dr. Chulaporn Roongpisuthipong above 25, while obesity is a<br />
BMI above 30.<br />
But BMI’s utility also has limitations. “It’s true that BMI <br />
can be used to classify obese people with excessive levels <br />
of fat. But BMI will also classify bodybuilders, athletes <br />
and well-muscled people as being obese even though they <br />
have little fat and aren’t in danger of suffering any obesity-<br />
related health problems.”<br />
Dr. Chulaporn adds that BMI will be less useful for people<br />
with low levels of muscle mass but high levels of body<br />
fat – a group that would receive a normal BMI score yet <br />
be prone to obesity-related health problems. “These people<br />
don’t appear to be obese, and their poor health often comes<br />
as a surprise,” says Dr. Chulaporn. <br />
<br />
<strong>Health</strong>ier weight loss <br />
Dr. Nopawan Kittivat, a specialist in endocrinology, notes<br />
that obesity and overweight are chronic conditions that<br />
should be managed using an integrated approach. Such<br />
an approach would include modifications to diet and <br />
exercise habits. <br />
Doctors also need to consider the option of medication<br />
should diet and exercise fall short of achieving the desired<br />
results. “Lifestyle modification requires motivation and<br />
determination, but it pays off in long-term, lasting effective<br />
ness,” says Dr. Nopawan. “A person can lose a good amount<br />
of weight just by fasting for a<br />
couple days, but the results <br />
are merely temporary and the <br />
weight usually comes back.”<br />
That’s because the initial <br />
weight loss comes mainly from<br />
water and muscles. “In the<br />
long run,” Dr. Nopawan<br />
explains, “the patient will find<br />
it even harder to lose weight<br />
because they have less muscle<br />
than before.”<br />
<br />
Medication’s role<br />
Dr. Nopawan has spent many<br />
years helping obese patients<br />
who also have metabolic<br />
Dr. Nopawan Kittivat<br />
conditions like diabetes and<br />
hypertension. “When a patient’s obesity leads to health<br />
complications, a doctor would typically recommend<br />
medication to promote faster weight loss without causing<br />
additional harm to overall health,” he notes. “Changing<br />
habits sometimes isn’t always effective enough for these<br />
patients, and exercise will be more difficult as the obesity<br />
may be causing joint problems. Medication, therefore, is<br />
an important option to consider.” <br />
16
For these patients, close monitoring by their doctors is<br />
an essential element to prevent complications or side effects.<br />
“Treatment advances and new medical options may be<br />
introduced over the course of time,” Dr. Nopawan explains,<br />
“so it’s important for medical professionals to monitor<br />
developments closely as better treatment options become<br />
available.” <br />
<br />
Surgical treatments<br />
For patients having BMIs above 40 (i.e. those classified <br />
as morbidly obese), and for obese patients having serious <br />
health complications, faster weight loss is better weight loss. <br />
For this group in particular, if they don’t achieve the <br />
desire results from lifestyle modifications and prescription <br />
medication, the next step is to consider surgical treatment <br />
options including bariatric surgery and other weight-loss <br />
procedures. <br />
Bariatric surgery is a highly effective procedure with an <br />
impressive track record for reducing a morbidly-obese <br />
patient’s risk for future obesity-related health problems. <br />
“In deciding whether to recommend bariatric surgery, the <br />
main factors considered by the doctor are the patient’s BMI<br />
and his overall health condition,” explains Dr. Theerapol<br />
Angkoolpakdeekul, a laparoscopic surgery specialist. <br />
“Westerners with BMIs above 40 are classified as<br />
morbidly obese and are likely to benefit from bariatric<br />
surgery.” he says. “Surgery may be also be an option for a <br />
patient whose BMI is around 35, especially if the patient <br />
also has a chronic condition such as GERD, obstructive <br />
sleep apnea, diabetes or heart disease, or has a family <br />
history of coronary artery disease.” <br />
There are two main types of bariatric surgery. The first<br />
involves a surgical reduction in the size of the stomach that<br />
causes the patient to reduce the amount of food consumed.<br />
Stomach size is reduced through the use of gastric banding<br />
or by removing a portion of the stomach. <br />
The other type of bariatric surgery involves a combination<br />
of stomach resizing and restricting the amount of food <br />
The 5 rules for healthy<br />
weight control<br />
1. Choose healthier foods and maintain control over<br />
portion size.<br />
2. Make exercise a built-in part of your schedule.<br />
3. Maintain emotional balance and reduce stress<br />
and anxiety. <br />
4. Stay determined to change unhealthy habits.<br />
5. Make getting enough sleep a high priority.<br />
Did you know…?<br />
S<br />
ome fats are more dangerous than others. <br />
Among the most hazardous to health is <br />
visceral fat, the type that accumulates below <br />
the muscular layer around the belly and<br />
abdominal cavity, an area which includes the <br />
liver, kidneys and intestines. <br />
Excessive visceral fat is more likely to lead to <br />
health problems than subcutaneous fat, a type <br />
of fat that accumulates below the skin surface, <br />
especially around the hips and thighs.<br />
that’s digested. This surgery involves surgical removal of <br />
the stomach combined with a bypass procedure. <br />
“Years ago, bariatric surgery was a highly-invasive<br />
procedure that resulted in significant changes to a patient’s<br />
digestive system structure, and<br />
there were number of potential<br />
complications,” Dr. Theerapol<br />
explains. “The newer generation<br />
of procedures incorporates<br />
less-invasive laparoscopic<br />
technology, which causes less<br />
physical trauma and allows<br />
for a faster recovery.” <br />
<br />
Lasting success<br />
Post-surgery complications <br />
are minimal compared to the <br />
previous generation of surgeries.<br />
“Most patients go home after<br />
just a few days in the hospital,”<br />
notes Dr. Theerapol. “Research Dr. Theerapol Angkoolpakdeekul<br />
has shown that obese patients <br />
who undergo the weight-loss surgery are better able to <br />
control their weight over the long term.” <br />
Obesity is not an issue of aesthetics or physical appearance.<br />
It’s a medical condition and a ticking time bomb that lurks<br />
quietly and patiently before it eventually strikes hard. Getting<br />
your weight under control takes motivation and action. It<br />
also requires a doctor’s close supervision to ensure you lose<br />
the weight in a healthy way, and with the best chance for <br />
life-long success.<br />
18
HEALTH BRIEFS<br />
Higher blood clot risk for<br />
rheumatoid arthritis patients<br />
The findings of a Swedish research study suggest that <br />
patients with rheumatoid arthritis have a greater risk <br />
of blood clots during the decade after the disease is<br />
diagnosed. <br />
Results of the study, published recently in the Journal <br />
of the American Medical Association, are consistent with <br />
earlier studies showing rheumatoid arthritis patients <br />
were at higher risk of blood clots in <br />
the legs, a condition known as <br />
deep vein thrombosis (DVT) <br />
or economy class syndrome. <br />
These and other types of <br />
clots can cause strokes and <br />
heart attacks. <br />
The onset of rheumatoid <br />
arthritis typically occurs in <br />
adults between 25 and 55 <br />
years of age. The disease <br />
causes joint inflammation as <br />
well as painful, stiff, swollen <br />
joints with impaired functioning. <br />
The study tracked 45,000 <br />
Swedish adults with rheumatoid <br />
arthritis and a control <br />
group. The group with <br />
rheumatoid arthritis <br />
experienced blood clots at nearly double the rate of those <br />
who didn’t have the disease.<br />
While it’s not clear that rheumatoid arthritis actually <br />
causes blood clots, researchers suggested that the inflam-<br />
mation resulting from rheumatoid arthritis, or its treatment,<br />
may lead to the higher blood clot risk.<br />
Lack of sleep may be<br />
putting bone health at risk<br />
A<br />
new US study of the relationship between <br />
sleep and bone health shows the dangers of <br />
chronic lack of sleep: Laboratory rats that were<br />
deprived of sleep suffered significant bone health <br />
impairment. <br />
The results of study, published in the journal<br />
Experimental Biology and Medicine, reported that <br />
a chronic lack of sleep harmed bone formation,<br />
affected marrow generation and had a harmful <br />
impact on marrow plasticity. <br />
Researchers believe that, if the effects on laboratory<br />
rats are similar to humans, the lack of sleep may <br />
diminish the body’s ability to ward off bone-related <br />
diseases such as osteoporosis, reduce the body’s <br />
ability to self-repair damage to bones, and may lead<br />
to an increase in the overall rate of bone disease.<br />
Expanding waistlines helping gout<br />
make a painful comeback<br />
You don’t need to be obese to have a higher risk for gout, a form of <br />
arthritis resulting from a build-up of uric acid crystals that leads<br />
to joint redness and painful swelling, especially affecting the big toe as<br />
well as feet, ankles, wrists and hands. Obesity, diabetes, high pressure<br />
and kidney disease are known to increase uric acid production and/or <br />
impair the body’s ability to flush uric acid from the body. <br />
While obese people have the highest rate of gout, a new US study<br />
shows that simply being overweight raises a person’s gout risk. In the<br />
US, the most recent statistics from 2007 through 2010 showed the <br />
incidence of gout was up nearly 50 percent compared to the average gout <br />
rate from 1968 to 1994, with obese adults over three times more likely to <br />
have gout than adults of normal weight. <br />
Researchers estimate that a person’s gout risk increases five percent<br />
for every 3.2kg/7 pounds of additional weight.<br />
Uric acid crystals<br />
20
NEWS FROM BUMRUNGRAD INTERNATIONAL<br />
2nd charity art auction helps<br />
heal young hearts<br />
B<br />
umrungrad International and the Bumrungrad Hospital <br />
Foundation joined forces with the Cardiac Children Foundation<br />
of Thailand and the National <strong>Health</strong> Security Office (NHSO) for <br />
the second charity art exhibition and auction held recently at <br />
Bumrungrad. <br />
A group of Bumrungrad physicians and executives created <br />
more than 200 paintings for the charity auction. Proceeds from <br />
the event are used to provide free heart surgeries at Bumrungrad<br />
for underprivileged Thai children and adults.<br />
Pictured (left to right): Pawarisa Pencharti (Whan Whan); Dr. Num<br />
Tanthuwanit, Medical Director; Dr. Pornpis Petchmunee, Bumrungrad<br />
physician artist; Dr. Sinn Anuras, Group Medical Director; Dr. Winai<br />
Sawasdivorn, Secretary-General, National <strong>Health</strong> Security Office <br />
(NHSO); and Mr. Mack Banner, Hospital CEO.<br />
Conservation efforts boosted by<br />
“Love the Earth…Love Water”<br />
volunteers<br />
A<br />
volunteer force of over 150 executives and staff from Bangkok<br />
Insurance, Bangkok Life Assurance and Bumrungrad Inter-<br />
national Hospital travelled to Ratchaburi province in support of <br />
the B-happy3 “Love the Earth…Love Water” CSR initiative. <br />
The group participated in activities for enhancing conservation<br />
efforts for the area’s wildlife and natural resources, including <br />
brick-making for area homes, assembling salt licks and taking <br />
part in tasks to improve the local water supply. <br />
Bumrungrad medical staff set up a clinic to offer free medical <br />
care for wildlife sanctuary officers, their family members and <br />
community residents of the Phachi River Wildlife Sanctuary.<br />
Pictured: Mr. Voravit Rojrapitada (6th from left) Director & Company<br />
Secretary, Bangkok Insurance PCL.; Mr. Chone Sophonpanich (7th from<br />
left) President of Bangkok Life Assurance PCL.; and Mr. Mack Banner <br />
(8th from left) Bumrungrad Hospital CEO.<br />
Helping to heal hearts in need<br />
B<br />
umrungrad’s Rak Jai Thai charity program was created <br />
by the Bumrungrad Hospital Foundation, in conjunction <br />
with Bumrungrad International, the Cardiac Children<br />
Foundation of Thailand and Thailand’s National <strong>Health</strong> <br />
Security Office (NHSO) to heal hearts in need. <br />
Since the program’s inception, Bumrungrad surgeons and<br />
medical staff have donated their time and medical supplies <br />
to provide free surgeries for needy Thai children and adults <br />
suffering from congenital heart defects and valvular heart <br />
disease who lack access to much-needed surgical treatments. <br />
So far, the program has provided<br />
free surgeries to more than 660 <br />
patients. A typical heart <br />
operation would normally <br />
cost around Baht 500,000. <br />
The program welcomes<br />
donations from the public in<br />
support of its efforts. Donations<br />
can be made via the following<br />
channels:<br />
Online at www.bumrungrad.com/onlinedonation or<br />
By bank transfer to the Bumrungrad Hospital Foundation <br />
(Bangkok Bank savings account # 197-0-111157,<br />
Nana Nua branch). <br />
Please submit a copy of your bank transfer confirmation<br />
receipt to Bumrungrad’s accounting department located<br />
on the hospital’s 4th floor, or you may fax a copy to<br />
0 2667 2031.<br />
Bumrungrad International among Top<br />
50 companies for CSR activities<br />
B<br />
umrungrad International was honored as <br />
one of Thailand’s 50 leading companies for<br />
Corporate Social Responsibility (CSR) practices. <br />
The companies were selected by the Thaipat<br />
Institute. More details can be found in the “CSR<br />
Thailand: 50 Good Practices in 2012” report <br />
published by the Thai Listed Companies <br />
Association (TLCA) CSR Club.<br />
22