Cardiology

Cardiology is a sub-specialty of Internal Medicine dealing with diseases of the heart and its associated major blood vessels.
Normah offers a cardiology service, backed up by advanced technology for the investigation and treatment of patients with cardiovascular disease. Cardiology service divides into Invasive Cardiac Lab and Non-Invasive Cardiac Lab.

Procedures in the Invasive Cardiac Lab :
Cardiac Catheterization – is a procedure in which a thin , flexible tube (catherter) is guided through a blood vessel to the heart to diagnose or threat certain heart conditions, such as clogged arteries or irregular heartbeats. These arteries lie on the surface of the heart and carry blood and oxygen to the heart muscle. Other tests performed at the same time include measuring pressures within the heart chambers, checking function of some of the valves and checking how well the heart muscle is pumping into the chambers of the heart, and into the coronary arteries.

Coronary angioplasty (also called as percutaneous coronary intervention) – is a procedure used to open clogged heart arteries. Angioplasty uses a tiny balloon catheter that is inserted in a blocked blood vessel to help widen it and improve blood flow to the heart.

Other Invasive procedures available :

Balloon Angioplasty and stent implantation, Rotablator, Fractional flow reserve (FFR), Intravascular Ultrasound (Intrasight) Permanent Pacemaker Implantation.

Procedures in the Non-Invasive Cardiac Lab :

Treadmill test (also called as exercise stress test) – shows how your heart works during physical activity. Because exercise makes your heart pump harder and faster, an exercise stress test can reveal problems with blood flow within your heart.

Echocardiography test – uses sound waves to produce images of your heart. This test allows to see heart beating and pumping blood, detect any problems with the valves or chambers of your heart. Its also to check problems are the cause of symptoms such as shortness of breath or chest pain. This test also enable to detect congenital heart defects before birth (fetal echocardiogram). In addition, trans-oesophageal echocardiography (TOE or echo) allows real time imaging of the heart before and during open-heart surgery.

Holter – where 24 hour ECG recording enables the cardiologists to pick up abnormal heart rhythm in patients with palpitations.

Ambulatory 24 hour blood pressure monitoring – is a method to measure blood pressure on a continuous basis. Your BP is measured even as you sleep. The ongoing data helps your doctor get a more accurate picture of your blood pressure numbers.

 
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Nephrology is a medical subspecialty that takes care of patients with medical kidney diseases. In our Kidney Centre, we provide diagnosis, treatment and support for patients with kidneys problem ranging from simple urinary tract infection to complicated care of kidney transplantation. We provide evaluation for patient who presents with haematuria (blood in the urine) and proteinuria (protein in the urine). We provide acute and chronic management of patients with all forms of glomerulonephritis (inflammation of the kidneys), pyelonephritis (kidney infection), and hereditary kidney diseases such as polycystic kidney disease. We also provide care for patients with diabetic and hypertensive kidney diseases, which are the number one and two causes of kidney failure in the world respectively. Kidney biopsy is offered to patients for diagnosis of the underlying kidney diseases.

For the unfortunate patients who have reached end-stage kidney failure, we offer the services of kidney replacement therapy in the form of haemodialysis or peritoneal dialysis. Our Kidney Centre is located right next to the Haemodialysis Unit. We have a total of eleven haemodialysis machines and an automatic dialyzer-reprocessing unit. We provide physical isolation for patients with hepatitis B. A group of professional staffs with special training provides services to our dialysis patients. In addition to haemodialysis, we also provide service for end-stage kidney patients who choose to have peritoneal dialysis. Both continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) are supported. For suitable end-stage kidney failure patients who wish to have kidney transplant, we provide donor and recipient kidney transplant evaluation.

We work closely with the surgical subspecialty of Urology. Patients with kidney stone are frequently managed together by the combined effort of the nephrologist and urologist. Our urological colleagues provide the acute management of kidney stone disease and the nephrologist provides the necessary medical workup to prevent or reduce future kidney stone formation. In addition, dialysis access placement for haemodialysis and peritoneal dialysis are provided by our urological colleagues.

Click here to see our list of Nephrologist

Paediatrics

Paediatric service covers all aspects of children’s health, from newborn to 14 years of age. A spectrum of services is provided, from the normal-born baby check to babies who require intensive care. Sicker children can receive inpatient care, with the well-equipped ICU providing vital intensive care for the critically ill child.

Our highly skilled paediatric specialists are known for outstanding quality of care and vast experience in treating children with all types of diseases and disorders, including complex and rare diseases.

The needs of our patients come first. Our paediatric specialist focus on one child and family at a time. We treat each child and family with individualized care.


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Psychiatry

Comprehensive mental health assessments, counseling and treatment are provided by our psychiatrists. Our wide range of inpatient and outpatient programs deliver personalized care which are catered to help every individuals meet their needs. Our treatment plan are designed to address even the most complex issues with compassion, respect, dignity, sensitivity, and understanding. Every patient's case is treated with utmost confidentiality.

Do you need help?

Adults exhibiting any combination of the following could benefit from our services:

• Feelings of depression.
• Inability to handle stresses at home or work.
• Anxiety disorder.
• Struggling with Obsessive-Compulsive disorder (OCD).
• Having bipolar disorder / mood swings.
• Being angry much of the time.
• Unexplained fearfulness.
• Suffering from disruption in thinking or perception.
• Decrease in emotional expression / loss of normal functions to conduct daily activities well.
• Unpredictable and changing behaviours.
• Suffering from audiotory or visual or olfactory hallucinations.

Click here to see our list of Psychiatric Specialist

Ophthalmology 

We provide specialist eye care, prevention, diagnostics and treatment options for a wide spectrum of eye conditions - from the routine to the complex. These include:

Eye Surgery for

1. Small incision cataract surgery (phacoemulsification) and foldable implant
2. Squint surgery
3. Vitreo-retinal surgery
4. Glaucoma surgery
5. Eyelid surgery
6. Lacrimal surgery
7. Retinal Detachment surgery

Eye Examination for

1. Glaucoma
2. Diabetic Eye Disease
3. Cornea Disease

Click here to see our list of Ophthalmologist

Orthopaedic Surgery

Orthopaedic deals mainly with deformities / conditions of the musculoskeletal system in all age groups.

There is a wide scope of Orthopaedics. With our expert understanding of the anatomy and biomechanics, well-equipped with instrumentation, most conditions can be treated with less trauma to normal tissue. The aim is to return function of the bone and joints to normal as fast as possible.

Better internal fixation methods, implants and prosthesis allow bone and joint mechanics to be restored as closed to normal as possible. Arthroscopy and image guided surgery reduce the surgical trauma to normal tissue.

Some of the conditions commonly treated by our orthopaedic surgeons are trauma (fractures, dislocation, ligamentous injuries), degenerative disorders (osteoarthritis, degenerative disc disease), deformities and tumours.

Click here to see our list of Orthopaedic Specialist

Cardiothoracic surgery is a sub-specialty in cardiology which involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart, lungs, and other pleural or mediastinal structures.

The most common cardiothoracic surgery is the Coronary Artery Bypass Grafting (CABG). In CABG, the surgeon takes a healthy artery or vein from elsewhere in your body and connects it to supply blood past the blocked coronary artery. 

There is a difference between cardiology and cardiothoracic surgery. A cardiothoracic surgeon generally perform surgery of the heart and chest. While a cardiologist work with the cardiothoracic surgeon to manage patients and determine whether the patient needs surgery. They might also work together to treat irregular heart beat problems. Patients who needs a heart surgery would normally need to see a cardiologist first, prior to the surgery procedure. A cardiothoracic surgeon do not see patients directly for consultation or assessment.


Click here to see our list of Cardiothoracic Surgeon

General Surgery

General surgery includes surgical procedures of the abdomen and digestive tracts, breasts, skin, esophagus, thyroid gland, endocrine system, gastrointestinal tract, colon, liver, pancreas, rectum and vascular system and subcutaneous tissue.

Our common surgical procedures includes :

1. Upper and lower digestive tract surgery : oesophagus, stomach, piles, stomach ulcers, endoscopy.
2. Hepatobiliary and pancreatic surgery : Liver, gallbladder, bile ducts and pancreas, gallstones (keyhole surgery), appendix and bile ducts, cancers.
3. Gastrectomy : abdominal wall defects, inguinal, umbilical hernias, ulcers, undescended testes in adults and children.
4. Small and large intestines : colonoscopy, anus, colorectal cancer, bowel.
5. Laparoscopic : colic
6. Breast surgery : breast lumps and tumours, lumpectomy, mastectomy, cancers.
7. Endocrine : thyroid, parathyroid surgery, goitres, neck lumps, cancers.
8. Skin and subcutaneous tissue : skin lumps and bumps, lipoma, burns, cancers, in-growing toenails, circumcision.
9. Post-operative care : After surgery, you will be monitored closely until the anesthesia wears off and our team will decide when you are ready to be transported to the ward or day recovery room.

Click here to see our list of General Surgeons

Obstetrics & Gynaecology

Outpatient services include antenatal care, Pap smear screening, colposcopy, pelvic ultrasound scanning, Pipette endometrial sampling and urodynamic studies.

Maternity services include 24 hours cover for normal as well as emergency Caesarean deliveries, and epidural (pain-free delivery) services. A Special Care Baby Unit is available for premature babies.

Common gynaecological operations performed include dilatation and curettage, hysterectomy, vaginal repair, sterilization, myomectomy, ovarian cystectomy, Burch’s colposuspension and laparoscopic procedures.

Basic and second level infertility services are available at Normah. When assisted reproductive techniques (IVF, ICSI) are required, referral to a visiting consultant would be arranged.

Otorhinolaryngologic
Treats ear, nose and throat disorders in both adult and children. We provide the following diagnostic services and treatment:

Diagnostic

1. Endoscopic evaluation of the nose, throat and larynx
2. Hearing

Treatment

1. Endoscopic surgery for chronic sinus disease
2. Removal of head and neck tumours
3. Ear surgery

Urologic Surgery

The Urology Centre is well equipped and staffed to investigate and manage a range of urological conditions. The team of professional staff works together with related specialties to provide services also in lithotripsy, urodynamics, dialysis and nephrology. ESWL, extracorporeal shockwave lithotripsy and endoscopic lithotripsy with stone removal allow most stones to be treated without open surgery. ESWL is done with a Dornier Compact Delta machine with a resident urologist. For the man who needs assessment of the prostate or lower urinary tract symptoms, the range of diagnostic services are available within the Centre and this includes DRE (digital rectal examination), urine flow rate, TRUS (transrectal ultrasound of the prostate) and if necessary, ultrasound guided prostate biopsy. For patients with blood in the urine or pain on passing urine, urine test and endoscopy can also be done so as to arrive at a definitive diagnosis.

For patients who have problems in passing urine or urinary incontinence, urodynamics is performed using a Dantec machine. Various modalities (including the safe use of Viagra) are available for the treatment of sexual dysfunction. Assessment and surgery for male subfertility is also available. Together with the resident paediatricians, all forms of paediatric urological abnormalities (e.g. hypospadias, undescended testis) are managed. Together with the nephrologist’s service, surgery for dialysis (AVF, arteriovenous fistula and peritoneal dialysis catheter) are prepared. Although Normah does not have a kidney transplantation program, we look after many patients both before and after transplantation.