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Archive for March 2011

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2nd Bedside Teaching for GP's at Hospital Seberang Jaya

Dr.Gnanasegaran Xaxier is having a Teaching Session at Hospital Seberang Jaya on the following date:

2nd Bedside Teaching for GP's at Hospital Seberang Jaya

Date : 09/04/2011 ~ Saturday

Time : 5.00 - 7.00 pm

Venue : Bilik Syarahan Beside Socso room, Hospital Seberang Jaya

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Harder Days Ahead For Doctors In Private Practice

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Eat Fat to Lower Body Fat by Dr Yen Ang

7 March 2011

A Weekly Wellness Note

Eat Fat to Lower Body Fat?

No, this is not a typo error. You can eat fat to lower your body fat“---but the right kind of fat

All of us store fat. The kind of fat stored in our body is called triglycerides. When your triglycerides are high, your risk of getting diabetes and heart disease increases.

To reduce this storage fat (triglycerides), first and foremost, lose some weight.

Next, watch your diet. Eat the right type of fat, and cut down on the wrong type of fat.

Numerous research and clinical experience have provided evidence that one class of dietary fat—namely omega 3 helps reduce our body fat storage called triglycerides.

Eat your fish 2 to 3 times a week Eat nuts, all kinds, especially walnuts, everyday Put some flaxseed in your bread or cereal Enjoy your tofu the way your grandma cooks and eats Go for some Japanese seaweed Don’t forget your greens such as broccoli, kang-kong, cooked with a dash of olive oil

Stay away from palm oil, coconut oil, and animal fat.

All our Weight Matters participants lost weight. One gal lost 6.3kg in just 14 days. Did they eat fat? You bet.

Eat fat—the right kind—to lose fat; and to keep yourself healthy, and happy.

The next time some one—including dietician and doctor, tells you “fat is bad for you,” or “fat causes hear attack”—ask again, what kind of fat.

I wish you well.

Yours in wellness,

Dr Yen Ang DrPH( USA), MSc(S'pore), MPH (USA), RD, ACSM Lifestyle Intervention Consultant

New Website Features for PMPS Members

Dear PMPS Members,

The PMPS Committee is pleased to inform you of the upgrade of the PMPS website (www.penangpmps.org) and the incorporation of new features to the website.

Features of the website to highlight are:

  • "Members login" that enables members to access personal information, check subscription payments and access certain sections of the website
  • Albums featuring photos from PMPS events
  • PMPS newsletters
  • "Medical Legal Care of Patients", "Lifestyle Intervention" and "CPR Update" sections
  • Advertising portal

The “Lifestyle Intervention” section features articles from Dr. Yen Ang who is a nutritionist and a lifestyle intervention consultant (DrPH, MSc, MPH, RD, ACSM). She will contribute regular articles that may be useful for you and your patients in living a healthier lifestyle.

The “Medical Legal Care of Patients” section will feature medical-legal aspects of patient care. Some of the articles that appear in this section are posted with permission from the Medical Protection Society. Dr. Patrick Tan, who holds a master degree in Medical law (LLM, UK), will be coordinating this section.

PMPS members are invited to submit articles (including non-medical articles), recipes or jokes for the “Laughter is the Best Medicine” section. Please note that submissions should be original to avoid copyright concerns.

The advertising portal will allow members to advertise within the confines of the law. Members will be given free advertising space for a short period after which a reasonable fee will be charged if members wish to continue using the facility.

The PMPS Committee reserves the right to review all information and articles posted on the website, and only information and articles deemed suitable will be posted.

Members are also invited to use the “Contact Us” form to share information, ask questions or provide feedback. We extend our thanks to the sub-committee in charge of the website upgrade for their efforts.

Yours truly,

Dato’ Dr.Lim Huat Bee
President, PMPS

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Handling of Complaints from Patients

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Good Medical Practice: Consent for Treatment

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Changes in Cardio-pulmonary Resuscitation

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Article: Don’t pinch, it’s real

Don’t pinch, it’s real
By Dr Yen Ang

In April 2010, Mr Lim (not his real name) received his most dreaded news in the doctor’s clinic. He must be on insulin pump right away, at 100 units a day. That’s $18,000RM (for the pump), plus $1000RM (for insulin etc) every month.

You see, Mr Lim has been diabetic for 14 years. All oral medications and even injections had failed him; his blood sugar was totally out of whack.

At over 40 kg overweight, and constantly short of breath, Mr Lim thought he was going to die, literally.

In Oct 6, 2010, he came to my clinic. Right way, he enrolled in our 10-week Weight Matters Program—a non-pharmacological intervention that focuses on lifestyle factors that contribute to disease development.

In Oct 24 (exactly 2 weeks after the program), he discontinued his insulin pump—with a little trepidation. People have been telling him he might get into a coma if he did so. Nevertheless he decided to try: he unplugged the machine that he carried 24/7. He passed the day with no signs of trouble. Second day and third day passed with no problem. Then a week passed, he was perfectly FINE without insulin pump.

How did he do it—normalised blood sugar, lowered blood cholesterol, lowered uric acid, lost weight, all without medication? Eating food the way our body is designed to eat, moving the body it is supposed to move. A diet and exercise regime based on research evidence, not hocus pocus.

The 5-foot-9-inch big man walked into my clinic.

Almost jumping, “I am off insulin pump” came the declaration.

For the first time in 14 years, Mr Lim experiences no more shortness of breathe, his blood sugar is beautifully normal. What’s more, he is 18 Kgs (40 lbs) lighter, in just 10 weeks!

Mr Lim has to constantly pinch himself to make sure he is not in a dream.

“Don’t pinch, this is real,” I assure him.

Yours in wellness,
Dr Yen Ang
DrPH( USA), MSc(S'pore), MPH (USA), RD, ACSM
Lifestyle Intervention Consultant

About Dr Yen Ang

Yen Ang has two master degrees: one in nutrition (from United States), one in Exercise Science (from Nanyang Technological University Singapore), and a doctorate training in Preventive Care from Loma Linda University, USA—the one and only university in the world offering a graduate program that studies diseases at their root, namely: lifestyle.

She is also a registered dietitian (RD) from the United States and a certified fitness specialist from the American College of Sports Medicine (ACSM).

She is currently practicing as a Lifestyle Intervention Consultant in a private hospital in Penang where she created a whole new series of lifestyle intervention programs targeting at chronic diseases such as diabetes, heart disease and obesity.

In addition to her clinical practice, Yen is an adjunct professor and fellow researcher with the School of Public Health, Loma Linda University—the university that engages in one of the world’s largest and most renowned epidemiological studies that examined the association between nutrition and disease patterns, namely the Adventist Health Study.

Some of the research work she is currently working on are: soy and breast cancer, omega 3, vitamin D and depression and mental health.