Having IBD? Be Sure if You Need a Colorectal Specialist or Gastroenterologist

If you are a Singaporean and have inflammatory bowel disease (IBD), it becomes challenging to decide who to call for Crohn’s disease or ulcerative colitis. Some people go to Colorectal Surgeons many times more than they see Gastroenterologists and the reverse trend is also true.

In case this is a post-operative problem, it is better to see a Colorectal Surgeon. It is also necessary for assessing if the condition can be better managed by surgical procedures. Moreover, if there are complications like an abscess, fistula, etc; a Colorectal Surgeon can only help because of their proficiency in treating colon and rectal diseases.

The Gastroenterologists are the primary physicians to see for bowel problems. They specialize in diagnosing, managing, and treating different diseases of the gastrointestinal tract. People can also get primary care and medication for managing IBD and extra-intestinal manifestations. Both of them can perform colonoscopy and endoscopic procedures based on their expertise.

The article by Amber J. Tresca throws light on the subject.  Read more here!

Why colorectal cancer is common in Singaporeans?

The Singaporeans wakes up every morning with approximately 5 new incidences of colorectal cancer!

Colorectal cancer is ranked as one of the 3 leading cancer in a report of the Singapore Cancer Registry.

It develops in the colon or rectum and its symptoms include many things like abdominal pain, constipation, diarrhea, blood in the stool. Even unexplained weight loss can also signify the disease that starts mostly with polyps.

There are many contributing factors. Singaporeans are heavier and more obese than their ancestors. Other than this, the increasing percentage of smokers, per-capita alcohol consumption, overeating, and the prevalence of diabetes are responsible for the situation.

It is always better to minimize the risks of developing colorectal cancer than to consult a colorectal specialist. Lifestyle changes like quitting smoking, cutting down on alcohol, eating a balanced diet, and doing some exercises are needed to live a healthy life.

The article reviewed by Dr. Chong Chee Keong discusses the causes, symptoms, and how to minimize the risks. Read more here!

You must ask the Cancer Care team these questions

Having colorectal cancer is scary. It is also somewhat embarrassing as it involves a hidden part of the body that most people do not like to talk about. Although colon cancer is common among the Singaporeans, the irony is that, in many cases, the disease gets detected in an advanced stage only. As such, it becomes imperative to discuss everything with the colorectal specialist in detail for making informed decisions about treatment and life.

One should know the location, spread, and stage of the disease, further tests needed, and also for help in getting insurance coverage on the first information of the disease. The patient should also ask about the treatment options, the doctor’s expertise, if a second opinion is necessary, side effects, recovery time, follow up needed chances of recurrence, etc. And speaking with the team helps the successful management of the condition.

The article by The American Cancer Society medical and editorial content team dwells on the issue elaborately. Read more here!

Why Do You Need to Visit a Colorectal Clinic?

Colorectal treatment covers all bowel problems. The method includes special surgical procedures for various conditions of the colon, rectum, and anus and also removes any obstruction in the area.

The incidence of colorectal diseases, especially colorectal cancer, is dramatically increasing in Singapore over the past three decades. But, despite this, progress in the percentage of survival has also been achieved due to the excellent performance of the colorectal clinics.

These clinics offer comprehensive and integrated management of various colorectal problems and provide a one-stop solution to detect, diagnose, and treat different conditions. Moreover, they also provide emergency services for all colorectal and anal diseases and conditions.

In most of the cases, they follow minimum invasive procedures for colorectal surgeries. This ensures minimum pain, minimizes the chances of infection and also helps a speedy recovery. If done at an earlier stage it increases the chances of recovery to a great extent.

The article by SingHealth reveals insights into the details of the procedures and treatments followed by them.  Read more here!

A guide to colorectal surgery for the best benefits

Like any other disease, getting the right treatment is essential for colorectal diseases. As it involves problems in the colon, rectum, and anus, the patients suffering from colorectal conditions need to visit a colorectal clinic for management and ultimate alleviation of the condition. Colorectal diseases include a wide array of conditions and these require a cluster of surgical procedures for treating the different varieties.

In Singapore, colorectal surgeries are performed either by traditional open surgical procedures or following the minimally invasive laparoscopic procedures. The surgeon notes down the medical history of the patient. He also enquires about family history when the incidence of colorectal cancer is suspected. Physical and rectal examination is also done for the assessment of the condition.

While a colorectal surgery is reasonably safe, it also has some associated risks and complications like other surgeries. The rectal examination involves a few minutes only and it is not painful though some feel it a bit uncomfortable.

You may browse the article by docdoc for the details.  Read more here!

How colorectal surgeries are done in Singapore?

Colorectal is a special medical field that deals with the different issues a patient may have in the anus, colon, and rectum. When someone suffers from some disorders in these organs, he or she needs to visit a colorectal clinic and find a colorectal surgeon to take care of the issues.

Colorectal diseases can have many symptoms from abdominal pain, to unexplained diarrhea, constipation, irritable bowel syndrome, and the most dreading colon cancer. Singapore has a few specialized hospitals where the best colorectal surgeons offer specialized treatment.

Colorectal cancer is very much prevalent in Singapore. The technicians in the specialized clinics evaluate human feces for detecting the first signs of the disease. If positive, the patient is subjected to further examination for diagnosing the extent of the condition and surgery is performed for correcting the condition. In most cases, this is done by the laparoscopic method for a quick recovery. Laser technology is also applied if required. Browse the treatment.com article for details. Read more here!

Shoulder Dislocation Treatment in Singapore

Shoulder dislocation is a common injury. If your shoulder is wrenched upward or backward, it may be dislocated from the socket. This can be incredibly painful and incapacitating. Most shoulder dislocations happen at the lower front of the shoulder. This is because the shoulder blade is shallow, and is supported on all sides by ligaments called the joint capsule, and covered by the rotatory cuff.

Most dislocations are anterior, where the upper arm bone detaches completely from the shoulder can be partial, which means socket and pushes forward. If you are a Singaporean, here is everything that you need to know about shoulder dislocation surgery and treatment.

What Are Some Common Signs of a Dislocated Shoulder?

The main symptom of a shoulder dislocation is excruciating pain at the shoulder joint. You will have difficulty making any movement with the injured arm. Your shoulder will feel loose and may experience numbness and tingling. If the injury is severe, your arm may experience swelling.

If you suspect you have a dislocation, its best to seek medical attention immediately. Waiting will only prolong your misery, and at worst could end up damaging tendons, muscles, and nerves.

Treatment of a Shoulder Dislocation

Your doctor will prescribe painkillers to lessen your pain and do an x-ray to figure the extent of your injury. Most people with shoulder dislocation will have it set back in the emergency department, but some injuries may require surgery.

There are many techniques for relocating the dislocated shoulder. Your doctor may try more than one procedure to find one that suits your condition.

Here are some treatments that your doctor may recommend:

Closed Reduction

Your doctor may try some gentle movements to help your shoulder bone move back to its proper position. Depending on the pain level, you may need a sedative or general anesthetic before any manipulation is done. When the bone is back in place, the pain and movement will improve immediately.


If the shoulder injury is severe, you may need surgery to repair torn ligaments and blood vessels. Surgery will be the last resort if you have a weak shoulder joint or and when you have recurring shoulder dislocation that strengthening and rehabilitation can’t treat the ailing shoulder.


Your doctor will put a sling around the injured arm for a few weeks to keep your shoulder from moving. You may need to wear the sling for a more extended period until your shoulder heals.


Your doctor may might prescribe a pain reliever or a muscle relaxant to keep you comfortable while your shoulder heals.


After your shoulder splint or sling is removed, you will begin a gradual rehabilitation program designed to restore range of motion, strength, and stability to your shoulder joint. Most hospitals in Singapore have a rehabilitation center with qualified staff to guide you.


After your dislocation is treated, it’s critical you take it easy for a couple of months. Resuming activity too soon after shoulder dislocation may cause you to injure your shoulder joint or to dislocate it again. Bear in mind that chances of dislocating the shoulder again are high, so caution is needed when doing high impact sports or work.

The Diagnosis and Treatment of Trigger Finger

When you start experiencing unexpected pain at the base of your finger or on your palm, taking pain medication will only mask the pain. You need to know the signs and symptoms of trigger finger so that you can easily identify it should you experience it. Once you start feeling stiffness in your finger, look out for other symptoms such as tenderness, swelling, and the clicking of your finger. It is vital for you to visit a doctor for a proper diagnosis and treatment for trigger finger.

In the following article in pennmedicine.org, the author discusses the importance of the right diagnosis and treatment of trigger finger.

Medical Conditions that May Lead to Trigger Finger

If you have trigger finger, our surgeons can help you find the right treatment. Penn Integrated Hand Program surgeons provide comprehensive non-surgical and surgical treatment options to effectively treat trigger finger.

The Penn Integrated Hand Program offers a team of specialists including orthopaedic surgeons, plastic surgeons, hand therapists and others who use the latest minimally invasive techniques to get your hand back to normal and your pain under control. Read more here

If you have rheumatoid arthritis, diabetes, alcohol use disorder, and repetitive trauma, you are at risk of developing trigger finger. You need to get the right treatment to reduce the risk of you getting trigger finger. It is critical for you to discuss with your doctor the risks associated with your ailment, and how you can avoid having trigger finger.

In this article at health.harvard.edu, the writer analyzes why women are more likely to have trigger finger than men.

Why Women are more Likely to Get Trigger Finger

Our hands connect us with the world. We work with our hands and communicate with our hands. The wear and tear from all that use can sometimes cause painful conditions, and women are particularly prone to develop two of these: de Quervain’s (pronounced deh-KWER-vins) tenosynovitis and stenosing tenosynovitis (or trigger finger). Both de Quervain’s tenosynovitis and trigger finger involve the tendons of the hand.

In the hand, tendons connect the muscles of the forearm and wrist to the bones of the fingers and thumb, allowing us to bend our wrists and hand joints and move our fingers and thumbs. Read more here

Although there are several causes to trigger finger, women are more likely to be affected because they are often involved in activities that include repetitive gripping movements. These activities include folding clothes, taking care of babies, and cleaning. Women who take part in recreational activities that involve gripping are also likely to experience trigger finger. Clerical jobs also require repetitive use of the fingers regularly. Women undertake most of the administrative tasks.  

In the following article on arthritis-health.com, the writer discusses medical and hand activities that cause trigger finger.

Medical and Hand Activities that Lead to Trigger Finger

Trigger finger is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. The condition is also known as “stenosing tenosynovitis.” The ring finger and thumb are most often affected by trigger finger, but it can occur in the other fingers, as well. When the thumb is involved, the condition is called “trigger thumb.”

The flexor tendons are long cord-like structures that attach the muscles of the forearm to the bones of the fingers. When the muscles contract, the flexor tendons allow the fingers to bend. Read more here


When you visit your doctor with a trigger finger, he will try to determine what caused it. The cause will help doctors to determine the best remedy. For example, if two patients come in with a trigger finger, the first patient’s was caused by repetitive gripping, while the other was due to rheumatoid arthritis. The doctor is likely to advise his first patient to rest his fingers, while the second may receive an alternative remedy. You need to inform your doctor of the possible causes so that you can get the right treatment.

Procedure for Treating a Dislocated Shoulder in Singapore

If you are a Singaporean and have suffered a dislocated shoulder, then waste no time and visit a nearby clinic as soon as possible! We cannot emphasize on this more. Just like any other injuries, the longer you stay untreated, the worse the situation becomes. Likewise, the earlier you are treated, the quicker and smoother the recovery process. Shoulder dislocation treatment is available

Diagnosing a Dislocated Shoulder

Once in the clinic, your physiotherapist will examine your shoulder and let you know of the next steps. He will look for any signs of instability, history of injuries and shoulder symptoms. The diagnosis can either be done at the clinic or the field of play (location of the occurrence of the injury).

The doctor may request for image tests to assist in confirming your diagnosis as well as identifying any other problems that might be present. These imaging tests are inclusive of X-rays, Magnetic Resonance Arthrogram (MRA), or Magnetic Resonance Imaging (MRI).

Treating Your Dislocated Shoulder

Acute shoulder dislocations are initially treated using a non-operative rehabilitation as guided by your doctor. If exercise-based treatments fail, then a stabilization surgery will be considered. Here are the processes followed

Joint Reduction

The initial and very important step is to check that the blood supply and nerves aren’t compromised. If it was a full dislocation and the shoulder didn’t slip back naturally, then it is important to go to a clinic for an X-ray. Emergency doctors will then have the shoulder reduced back to its normal position.

Relieving Pain

The next phase is to manage your pain. Be sure to expect extreme pains in the early days. You should avoid overstretching the injured tissues for the first six weeks. The doctor will prescribe you with a shoulder sling to immobilize and support your shoulder. Have loads of rest.

The physiotherapist will use treatment tools to help in reducing the pain. These tools are inclusive of ice, acupuncture, electrotherapy, soft tissue massage and de-loading tapes among others.

Maintaining and Restoring Muscle Strength and Control

Restoring your muscle strength and control constitute the next phase. Research has shown that the rotator cuff muscles assist to stabilize the shoulder joint. Stability is important since the scapular is the platform that connects your arm to your chest wall. This is an important part, and if it isn’t functioning well, then the shoulder base will be forced to slide into a position that would compromise you to frequent future dislocations.

Treatment at this stage include mobilizing the joint through alignment techniques, muscle stretches, neurodynamic exercises and massages among others. Your physiotherapist is an expert and will advice on the best techniques for you and the ones to avoid.

Restoring a Full Function

Last stage is restoring your full function. This stage aims at restoring you back to your normal activities. The nature of your work will determine your treatment goals. Some may require little works such as carrying shopping, playing games or intense ones like physical labor. Your rehabilitation will be tailored to meet your specific goals.


Having a dislocated shoulder doesn’t imply the end of things. This treatment is aimed at restoring you to your normal condition in no time. The specific duration ranges between two and six months depending on the person and nature of the injury. Stick to the treatment and all will be good with you. 

Tips to help you integrate ITIL into your organization

ITIL is a popular and efficient tool for optimizing the working model of an organization. The ITIL certification is held in high regard among the customers as well as the companies. The benefits of implementing ITIL at the organization is really helpful for the better future of the organization on the long run. In this article we shall look at some tips to help you implement the ITIL in your organisation or company.

An IT wide strategy approach

The ITIL implementation is not an isolated process, it affects all the processes across the IT and impacts important functions. The basic idea of implementing the ITIL is to make the organization efficient as a whole, meaning all the processes will be affected. Since it affects all the processes there might occur few restraints, to avoid this ITIL must be aligned to all the programmes global and regional. Portfolio management can help understand the processes affected and the benefits of the implementation.

Looking at the post implementation period

The implementation of ITIL can change the current working procedures and will require addition of roles and functions. This is a challenging effect of the implementation of the ITIL. A sudden change in the existing system can be discomforting to the employees. This is why the post ITIL implementation period is so important for the company. The planning to avoid this discomfort should be done before implementing the ITIL because it can help you be better prepared. Most of the times people ignore this important step which makes it difficult to utilize the ITIL certification to its maximum potential .

Communication is the key

ITIL implementation will affect all levels of the organization and its function. Such a sudden change can be discomforting to the employees. The implementation leads to new functions and roles, which can be confusing for the employees. In order to avoid this hiccup in the functioning of the organization, communication on a continuous basis is very important. The management should make sure that the changes are relayed to the employees and time to time communication with them in helping the employees understand their new roles is important.

The ITIL certification is an important step for the organization as it will lead to a lot of changes to the existing system to make it more efficient. The companies can look forward t successful time with the implementation of the ITIL.

Benefits of project management certification

You will agree that getting a project management certification of any kind is not a piece of cake. While there is a pre-defined criterion which you should meet, you also have to put in a lot of man hours to work on projects for the certification and eventually clear tests. Putting in so much efforts and investing so many hours does make the project management worth it.

Let’s quickly glance through some of these benefits which will give that perfect kick to your adrenaline:

* Competition is increasing in every sector and there is a need to differentiate and to stand out of the crowd. Having a certification earned and listed on your resume definitely gives you an edge over other candidates in any interview. Certifications also help in better salary negotiations.

* Most of the job requirements posted these days specify that an additional certification will be a plus point or the candidate is likely to have a desirable profile which may suit the requirement.

* You will get opportunities to create network with other candidates. When you go for any certifications, you get the opportunity to meet other candidates which in turn enhances your connections.

* Once you clear the exam or the course and have the certificate in your hand, you will have that feeling of pride in yourself which bolsters your confidence. This confidence in turn cascades in your personal and professional life as well.

* Sometimes, the problem around us is of such a nature that it takes time or effort to get resolved. Certifications help give you some tools which you can use and apply to reduce the turn-around time and sort out these issues effectively.

* When you undergo any certification, you meet different people from different industries and get to know their ideas and their ways of working. Additionally, any certification course will make you think outside the box and also expose you to new ideas. All these blend nicely to develop the leader in you.

* Certifications help you in mentorship. Mentoring someone does not necessarily mean that a hands on experience should be required. The academia of certification courses is strong enough to enable you to coach someone.

* If you plan to change your career route, these certifications can help you a lot in any plan.

Overall, certifications add something positive to your candidature which is appreciated not only in current job and role but also offers a red carpet platform for future propositions.

Health and safety risks involved in hospitality industry

Hospitality industry is one of the largest industries across world employing a large number of people around the world. It is important to identify risks and workplace hazards so that these can be minimized or eliminated. These hazards may pose risks to human life hence timely action needs to be implemented for each of these. Let us quickly take a look at the health and safety dangers involved in this industry:

* Moving fixtures and furniture – Many accidents in hotels and motels occur due when shifting furniture. To safeguard from this risk, it is advisable to balance yourself when moving furniture, bend knees, adjust the fulcrum so that the weight is appropriately distributed and your back does not get twisted.

* Burns – A lot of accidents in hotels occur due to burns or when coming in contact with heated objects or liquid spills. To ensure safety against burns, ensure that the food and cooking items are dry before they are come in contact with hot oil. Handles of utensils should not stick out from stove as someone can knock against them and these can fall. Wearing and using protective clothes like mittens and cotton base aprons is recommended.

* Wet and slippery floors – Cleaning and maintaining hygiene is a very important part of the hotel industry however wet floors pose the risk of accidents due to falls. Injuries caused due to wet floors can be prevented by using footwear which does not slip, keeping grease away from spilling, cleaning spills very often, using mats having rubber base and avoiding wax and polish application on floors.

* Sprains – Handling equipment manually is the main cause of strained muscles and sprains in body. These can be easily prevented by ensuring that the items are stacked neatly so nothing falls down suddenly and causes any jerk. Use of ladder is advised to get something off from high shelves. Employees working regularly in such areas should be trained on techniques to lift heavy loads.

* Laundry – Employees who tidy rooms in hotels can come across cloths which could be soiled by blood or body fluids. Exposure to these cane cause health risks however, this can be avoided by using rubber gloves which protect hands at all times. Garbage bags which are meant to sore such materials should be used and appropriately labeled.

* Bathroom cleaning – Employees who clean bathrooms and washrooms in hotels are likely to come in contact with fluids like blood, feces or vomit. These employees should be trained to use disposable gloves and towel rolls. These items once used for cleaning should be disposed of in garbage bag specially designed for this purpose. The entire area should be cleaned with disinfectants and bleach. Garbage compression is not recommended as the individual handling this is likely to come in contact with garbage.

It is best to enroll your employees in a WSH training course to make them more prepared.

Cost of ITIL Certification: Is It Worth Spending?

ITIL certification is gaining popularity in Singapore with the boom in the IT industry. Before an argument on the importance and worthiness of an ITIL certification is made, the concept must be understood. A certification process is a documented validation of a professional’s understanding and expertise in a certain field within an organization and the ability to implement the same. As with any exam, the lure of passing with a commendable score leads many to read without understanding. In such cases, there is no implementation or real world application. Many recruiters express a similar concern when they hire based on a certification only to be disappointed with the lack of basic understanding.

On the other hand, an ITIL certification isn’t like any other specific job related skills. Clearing this exam doesn’t hint at your ability to program or knowledge of the company infrastructure. An ITIL certification is but a foundation course that teaches the fundamental vocabulary and its application in the lifecycle of a service in the Foundation level. The intermediate level answers the why’s and what’s. The Capability level shows the candidate’s competency in the how’s and when’s.

The pre-requisite of a company that adopts ITIL is staff with a basic understanding of the IT Service Lifestyle, the pillar of ITIL. Buy-ins backed up by a reasonable clarity on the essence of ITIL is required at every tier of the organization.

Is ITIL certification worth spending on?

What a better way to explain the importance of ITIL certification than with an example? Citing here in this article is a first- hand account of an IT consultant who worked in senior managerial contract level. A job which he handled required the organization to outsource a significant portion to make up for the lack of required facilities and skills. The client was unhappy with the outsourced company and there was a lot of blame game. There were discussions on calling off the project due to the lack of a streamlined approach. On examining, the source of ambiguity between the two parties was their language. Technical communications are invariably associated with a certain degree of vagueness. This is where an ITIL certification comes in handy. It bridges the language gorge and simplifies understanding.

The verdict: Yes, most companies agree that an ITIL certification is handy when dealing with off-site and outsourced projects. There is reduced confusion which translates to increased profits.