What is a Stroke?
什么是中风?

A stroke occurs when an area of the brain is damaged following interruption to its blood supply. This results in deterioration of the mental and physical functions controlled by that particular area.

WHAT IS THE CAUSE OF STROKE? 中风的原因

There are 3 main stroke causes:

  • Thrombosis: a clot forming in the artery to the area
  • Embolus: a small clot from elsewhere blocking the artery
  • Haemorrhage: bleeding into the brain, unlike others where the artery is blocked

Some common underlying causes are high blood pressure and hardening of the arteries, atherosclerosis.

WHAT ARE THE SYMPTOMS OF STROKE? 中风的症状

The stroke symptoms depend on the area of the brain affected and the cause. A haemorrhage usually has a sudden onset and a less favourable outlook. Sometimes a stroke is mild and the effects pass off in a day or so.

Signs of a stroke include:

  • Unconsciousness
  • Confusion
  • Loss of power of speech
  • Loss of movement of part of the body, example is on one side of the body
  • Double or blurred vision
  • Difficulty understanding questions
  • Dizziness
  • Difficulty walking or using arms
  • Numbness on one side of the body

WHAT IS A TRANSIENT ISCHAEMIC ATTACK?

This is a transient loss of function due to a temporary blockage in the artery. It is usually caused by a small embolus and the patient recovers in a period ranging from a few minutes to 24 hours, average time 5 minutes. It can be a warning of an impending stroke, and so it needs urgent medical attention.

HOW COMMON ARE STROKES?

They are very common, especially in people over 65 years and more so in males. In western countries they are the third commonest cause of death and after heart attacks the second commonest cause of death. Those at special risk are those with high blood pressure, diabetes or high blood cholesterol and heavy smokers.

WHAT IS THE OUTCOME OF STROKES?

About 1/ 3 recover almost completely, one third have some permanent disability and 1/ 3 will die.

HOW CAN STROKES BE PREVENTED? 如何预防中风?

The risk factors need to be checked, especially high blood pressure, which must be kept under control. Other things to do are avoid smoking, avoid excessive alcohol intake, eat a low-fat healthy diet, keep to ideal weight and have regular exercises.

If you have been found to have hardening of the arteries to the brain, you may be advised to have tablets to prevent blood clots forming. Aspirin can do this, and only a small dose is needed. Garlic tablets are reported to help prevent clots, and special blood- thinning tablets called anticoagulants can be prescribed.

SURGERY

If a person has partially clogged arteries to the brain, the carotids, it may be possible to clean them out rather like a brush cleaning out a chimney. This is a good option in some patients, especially in those who have had transient ischaemic attacks.

WHAT IS THE TREATMENT FOR STROKE?

Once the stroke has occurred, the brain tissue will not heal normally. Even though the person has survived, it is important to still attend to the risk factors, especially checking the blood pressure. Intense rehabilitation to get limbs and speech working again will begin. This involves a team approach with the physiotherapist being the key person. The results are usually a pleasant surprise to all concerned, with a gradual improvement occurring over at least 2 years.


Heart Health - Coronary Heart Disease, Learn what is Angina and Stroke, as well as How to Lower Cholesterol


Reducing Stroke Risk 降低中风风险

Here are some pro-active actions you can take to safeguard your health and reduce your risk of cardiovascular complications.

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.


Health Assessment & Screening Packages


Jill Bolte Taylor's stroke of insight

Neuroanatomist Jill Bolte Taylor had an opportunity few brain scientists would wish for: One morning, she realized she was having a massive stroke. As it happened -- as she felt her brain functions slip away one by one, speech, movement, understanding -- she studied and remembered every moment. This is a powerful story about how our brains define us and connect us to the world and to one another.

Hypertension Symptoms & Treatment, Blood Pressure monitoring, BP Chart


Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / PCR COVID Testing / Serology Tests for Travellers & Serology Testing to Certify Vaccination status. Make your Appointment at Tel: 6694 1661


Pain Relief Management & Treatment, Vaccinations, Health Screening, COVID & Allergy Testing, Dermatology Treatments, Minor Surgical Procedures


COVID-19 Sinopharm Vaccine & Booster

Sinopharm COVID-19 Vaccine is available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

Effects of COVID-19 on the Brain

COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

Singapore Ministry of Health Recommendation:

  • For persons who have already completed their Primary series with mRNA vaccines and are recommended to get a booster, but are unable to take another dose of mRNA vaccines for medical reasons, they may boost using one dose of Sinopharm vaccine. The booster should be taken six months after mRNA dose 2 (M-M-S).

  • For persons who are unable to take the 2nd dose of mRNA vaccines for medical reasons, they may complete their vaccination with the Sinopharm vaccine. 2 doses of the Sinopharm vaccine is recommended to complete the Primary series. The 2nd Sinopharm dose should be taken 28 days after the 1st Sinopharm dose (M-S-S).

For recovered persons who had not completed a primary series before infection:

  • For persons who have recovered from a COVID-19 infection but received 1 dose or none of COVID-19 vaccination prior, they may receive 2 doses of the Sinopharm vaccine (28 days interval between doses), 3 months after the date of infection to complete a primary vaccination series (Recovered-S-S or S-Recovered-S-S or M-Recovered-S-S).

  • For persons who have recovered from a COVID-19 infection and had received 2 doses of Sinovac or Sinopharm vaccines prior, they may receive 1 dose of Sinopharm after 3 months from the date of infection to complete a primary vaccination series (S-S-Recovered-S).

Learn what is Cancer, Skin Cancer-Types, Causes & Prevention, Melanomas Explained & Detecting Skin Cancer with Dermoscopy.


Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella)

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).


Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications


  • 高血压
  • 糖尿病
  • 脑血管疾病
  • 心血管疾病
  • 慢性肺部疾病
  • 慢性肾病
  • 哮喘
  • 失智
  • 慢性神经系统疾病
  • 癌症
  • 风湿病
  • 肥胖
  • 抽烟
  • 慢性血液系统疾病/血红蛋白血液疾病
  • 肝病/乙型肝炎感染
  • 营养不良
  • 免疫缺陷/免疫功能低下,例如 HIV AIDS
  • 65岁及以上的人

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020


Co-infection of COVID-19 with other infectious diseases is possible

Reduce your risk of getting sick with COVID-19

  • Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against Influenza and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  • Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
  • Continue your medications and do not change your treatment plan without talking to your doctor.
  • Make sure that you have at least a two-week supply of your chronic disease medications.
  • Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Latest Influenza Vaccine

Asymptomatic patients may display no symptoms of illness. Vulnerable people should get vaccinated against Influenza which protects susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Importance of Keeping your Vaccinations Up-to-date

NAIS & NCIS - Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).



MD International Medical Centre

Medical Services available:

  • General Practice Family Medicine - Illnesses & Infections
  • Minor Surgical Procedures
  • IV Infusion of Medications
  • Respiratory Medicine - Influenza, Colds, Cough, Upper Respiratory Tract Infections (URTI), Acute Respiratory Infections (ARI), Sinus Infection
  • Treatment of Gastric issues, Stomach aches, Irritable Bowel Syndrome, Heartburn
  • Infectious diseases & Virology - COVID-19, Dengue, Flu, Hepatitis B etc
  • Dermatology - Skin Problems (Eczema, Acne, Rash, Boils, Dermatitis, Pigmented or Dry Skin, Moles /Skin Tags /Wart Removal)
  • Dermoscopy - Non-invasive Detection of Skin Cancer, Pubic lice & Scabies
  • Treatment of Insect Bites & Stings
  • Look Younger - Botox injections
  • Eye Health / Ophthalmology - Conjunctivitis, Foreign body in the Eye etc
  • Respiratory Medicine - Cough, Wheezing, Shortness of breath
  • Ear, Nose & Throat (ENT) - Ear Wax Removal, Ear Otitis Enterna, Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Audiogram (Hearing test)
  • Pain Management, Treatment & Therapy - Arthritis, Back & Joint Pain, Migraine, Gout
  • Sports Medicine - Treatment of Sports Injuries
  • Vaccinations / Immunization - Latest Flu vaccine, Sinopharm COVID Vaccine & Booster
  • Travel Health - Travel Vaccinations & Health checks, Travellers' Diarrhoea
  • Allergy tests / Allergic Rhinitis / Asthma Management
  • Health Screening / Blood tests
  • Management of Chronic Diseases - Treating Prediabetes, Diabetes & Insulin Resistance / Hypertension
  • Heart Health - ECG Heart monitoring / High Cholesterol management / Chest pains
  • Executive Health Assessment - Pre-Employment check-up / Work Permit / Employment Pass / Employment Pass
  • Student Pass / Driving License Check-up
  • Personal Health Management - Preventative Medicine & Disease Prevention
  • Elderly / Senior Health
  • Men's Health - Erectile Dysfunction medications etc
  • Women's Health- Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors
  • Child Health & Nutrition / Paediatrics
  • Obesity / Weight control & Safe Weight loss / Nutrition & Diet
  • Depression / Anxiety / Insomnia & Stress Management
  • Erectile Dysfunction medications / Sexually transmitted diseases (STD)

Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International Medical Centre / MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

_________

休診のおしらせ

12月23日(金)

12月24日(土)

ご不便、ご迷惑をおかけいたしますが、よろしくお願いいたします。

__________

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese, English & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

Please make an appointment for the following at Tel: 6694 1661:

* Minor Surgical Procedure

* Health Screening / Blood Test

* Dermatology Treatment

* Allergy Testing

* Pain Treatment & Therapy

* Vaccination

* Pre-Departure PCR Swab Test / Serology Testing

  • 小型外科手术
  • 健康检查/验血
  • 皮肤科治疗
  • 过敏测试
  • 疼痛管理与治疗
  • 疫苗接种
  • 出发前 PCR 拭子检测
  • 血清学检测

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist


MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud


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