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Bladder Bother

Figure 1. Staging of bladder cancer, based on depth of invasion into the muscular wall of the bladder

New advances in the treatment of muscle-invasive bladder cancer

The bladder is a hollow muscular organ whose twin functions are to store and empty urine produced by the kidneys. Bladder cancer refers to the uncontrolled growth of cells in the lining of the bladder wall. It occurs most commonly[...]

Serious and Dangerous

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Effective management of Hepatitis B

Hepatitis B is an endemic disease in Asia. It is transmitted either vertically or horizontally. Vertical transmission refers to transmission from mother to newborn during childbirth. Horizontal transmission is the transmission via blood transfusion with contaminated blood or sexual intercourse[...]

Joy Overcast

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Dealing with pregnancy-associated breast cancer

Lynette had just gotten over the worst of her morning sickness when she felt the somewhat bony lump in her left breast. Her breasts were still sore and tender, and she couldn’t be sure if it were the hormones or[...]

Fetal Problems

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Congenital abnormalities of the kidney and urinary tract

“Doctor, will she have a normal life?” the heavily pregnant lady looked at me with a little frown on her forehead, while her husband waited intensely for my reply. Obviously, this is a question that has been in their minds[...]

Is Your Child a Gamer?

Kids addicted to the game

Four ways to protect your child from video game addictions

Whether it is on the MRT or during Chinese New Year visitations, one cannot help but encounter children, youth, and adults fiddling with their mobile devices. While some of them might be socialising electronically through the popular Facebook or WhatsApp[...]

Amid Hot Flushes

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Menopause and healthy sex life

Menopause occurs when the ovaries have no more eggs to ovulate and stop producing female sexual hormones. The woman is considered to have reached menopause when she does not get her period for more than a year. Typically, blood test[...]

Not Dazed about the Haze

As hazy conditions return to Singapore, we answer your burning questions about this phenomenon

Haze results from the accumulation of dust and smoke particles in relatively dry air. The haze in Singapore is often due to northeasterly winds bringing in smoke from the forest fires in Sumatra, Indonesia. Haze particles carry air pollutants such[...]

Retirement Plans

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Invest in your eye health to enjoy the golden years!

Many of us make plans to ensure that we can look forward to enjoying our golden years. While most of us concentrate on our financial plans, looking for investments and savings opportunities to provide us the dividends needed to sustain[...]

Hearing Loss Solutions

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Medical breakthroughs in the treatment of hearing loss

The ability to hear sounds can be partially or completely impaired, resulting in hearing loss. It is one of the most common conditions affecting the elderly. There are three different types of hearing loss, depending on which part of the[...]

It’s Not Just About Pain Relief

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Managing knee osteoarthritis

Our knees are one of the most important joints in our body, playing a critical role in all movements that carry our body weight. They are absolutely essential in enabling us to walk, run, jump or stand up from a[...]

Colorectal Cancer Screening

Why you need to do it now!

Colorectal cancer (CRC) is the most common cancer in males and second to breast cancer in females in Singapore. However, when combined, it is undisputedly the most common cancer in the country. More worrying is the rising trend not just[...]

Dealing with Migraines

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When it’s more than just a headache

In 400 BC, Hippocrates, the father of medicine, described the visual aura that may precede migraine and how vomiting seemed to relieve it. Aretaeus of Cappadocia, in the second century, “discovered” migraine due to his description of a one-sided headache[...]

Suffering from Sinusitis Often?

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It may not be just a simple case of infection of the paranasal sinuses

Sinustis is a common complaint which patients present to the physician. A “sinus” literally means a “cavity”.  When applied to the nose, these “sinuses” are, in fact, air cavities around the nose that communicate with, or rather, drain into the[...]

Newborn Screening

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Screening tests your baby will have shortly after birth

Newborn screening was launched in 1963 in the United States, and 2013 marked the 50th year anniversary since the inception of the programme. The newborn screening programme has expanded to countries around the world, with different panels of disorders screened[...]

Chickenpox in Babies

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Although rare, varicella infection in babies can be extremely serious

Chickenpox, also known as varicella, is a common and highly infectious disease, affecting individuals mainly during childhood, especially between two and eight years old. But all ages can contract the varicella virus. Chickenpox is rare in babies. However, when it[...]

Are You Sleep Deprived?

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Management of sleep disorders in the elderly

Normal sleep consists of cycles of non-rapid eye movement (NREM) sleep alternating with rapid eye movement (REM) sleep. NREM sleep consists of light sleep and deep sleep. Stages 1 and 2 constitute light sleep, and stages 3 and 4 are[...]

Kidney Pebbles

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New approaches to the treatment of kidney and urinary stones

Urine is produced by the two kidneys situated high in the abdominal cavity, and comprises water associated with waste products of the body. It passes down narrow tubes called the ureters into the bladder, which stores urine until a convenient[...]

Beyond the ‘Baby Blues’

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Managing postpartum depression

Postpartum depression is a disorder that arises shortly in a mother after childbirth. Overseas studies have suggested that up to 15% of new mothers are affected; the rate in Singapore has been estimated to be 6.8%. Women may lack awareness[...]

Preterm Labour

Warning signs and prevention of premature labour and delivery

Preterm labour with attendant premature delivery of a baby is a frightening and traumatic experience that no mother would like to experience. Having an experienced and empathetic obstetrician is very reassuring for mothers-to-be, as they can discuss the possibility and[...]

Less Is More

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Surgical advances in breast cancer treatment

Advances in the surgical treatment of breast cancer over the past two decades have been influenced by two factors – the impact of breast cancer screening and greater emphasis on the quality of survivorship as a result of improved survival.[...]

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