4[1] by ALmoosa Specialist Hospital - مستشفى الموسى التخصصي







Global Health Magazine

ALMOOSA Hospital November 2010 Issue No4



4 







‫ﻭﻟﻜﻨﻪ ﻣﺤﺎﻭﻟﺔ ﻟﻠﻔﺮﺡ‬ ‫ﺑﺎﻟﺜﺒﺎﺕ ﻋﻠﻰ ﺍﻟﺘﻤﻴﺰ ﺩﺍﺋﻤﺎ‬                                

‫ﺍﻟﻤﺤـﺘﻮﻳـــــــــﺎﺕ‬



    

 

 



      









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

                            

‫ﺍﻟﻤﻮﺳﻰ ﻳﻄﻠﻖ ﺣﻤﻠﺘﻪ ﺍﻟﻮﺭﺩﻳـــــــــــــــــــــــــــــﺔ ﻟﻤﻜﺎﻓﺤﺔ ﺳﺮﻃﺎﻥ ﺍﻟﺜﺪﻱ‬                                                                 

                                   





  

                                                    











 



 

 



 



 

  



‫ﻻﺑﺘﺴﺎﻣﺔ ﻣﺸﺮﻗﺔ‬

‫ﻛﻴﻒ ﺗﻜﺴﺒﻴﻦ‬ ‫ﺻﺪﻳﻘﺔ ؟‬

‫ ﺟﺪﺩﻱ ﺟﻤﺎﻟﻚ‬:‫ﻓﻲ ﺍﻟﺮﺑﻴﻊ‬ 

   



                                          ""                            "pH"  " ”                         

   

                            

       

            



            



                                            

"‫"ﻻ ﻓﺎﺕ ﺍﻟﻔﻮﺕ ﻣﺎ ﻳﻨﻔﻊ ﺍﻟﺼﻮﺕ‬                                      



‫ﺳﺆﺍﻝ ﻭﺟﻮﺍﺏ‬

 

 

              





 

 

          



      

        

 

                                 

‫ﺍﻗﻠﺒﻲ ﺻﻔﺤﺔ ﺍﻟﻤﻌﺎﻧﺎﺓ‬ ‫ﻣﻦ ﺍﻻﻧﺘﻔﺎﺥ ﺍﻟﻨﺎﺗﺞ ﻋﻦ ﺍﻟﺪﻭﺭﺓ ﺍﻟﺸﻬﺮﻳﺔ‬  

     •

      •

                  •       EB 

    •

    •                           3   •                           C     

    •

   

     •

         

       •          

                                                       

  

‫ ﻋﺼﺒﻲ‬..‫ ﻋﺼﺒﻲ‬..‫ﻋﺼﺒﻲ‬

                                  

                                        –  

       – –   

    

‫ﺍﻟﻐﻴﺮﺓ ﺑﻴﻦ ﺍﻷﺑﻨﺎﺀ‬ 

                                                                           

                                                      

                   

‫ﻛﻴﻒ ﺗﻜﺴﺒﻴﻦ ﺣﻤﺎﺗﻚ‬

                                                                              

                        

             

        Lycopene

.. ‫ﺻﺤﻴﺔ ﻟﻄﻔﻠﻚ‬ ‫ ﺍﻧﻄﻼﻗﺔ ﹼ‬،‫ﺍﻟﻔﻄﻮﺭ‬

                          



                          ®

Lycopene     Prostate  •  •   •



AC    



      Lycopene              Lycopene      





‫ﺻﻴﺪﻟﻴﺔ ﺍﻟﻤﻨﺰﻝ‬

‫ﺍﻟﻜﺬﺏ ﻋﻨﺪ ﺍﻷﻃﻔﺎﻝ‬ 

 

        



      



             

                  

  

.. ‫ﺍﻷﻛﻞ ﻣﻦ ﻏﻴﺮ ﺳﺒﺐ‬

   " " •      " " •      •         •  

:‫ﺑﺮﻧﺎﻣﺞ ﻣﺘﺎﺑﻌﻪ ﺍﻟﺤﻤﻞ ﻭﺃﻫﻤﻴﺘﻪ‬  

                        

         " "

   Ecoli  

                            

!‫ﻋﻠﻴﻚ ﺑﺎﻷﻟﻴﺎﻑ‬...‫ﻟﻘﻮﺍﻡ ﺭﺷﻴﻖ‬

    –

                  



          •              •                       •                   •     

                                 ACTIFI       ProDigestion      BRASTM 

                  

                    



 

‫ﺍﻟﺘﻐﺬﻳﺔ ﺍﻟﺴﻠﻴﻤﺔ‬ ‫ﻟﻤﺮﺿﻰ ﺍﻟﻐﺴﻴﻞ ﺍﻟﻜﻠﻮﻱ‬

             •                                               –                                                                      

                                 



         

              



                          

‫ﺍ‬ ‫ﺳ‬ ‫ﺄ‬ ‫ﻝ‬

     

Impotence

        

              

‫ﻃﺒﻴﺒﻚ‬



                                          

                 Venous Leak    Hyperprolactinemia              

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‫ ﻣﺸﺎﻛﻞ ﻭﺣﻠﻮﻝ‬..‫ﺑﻘﻊ ﺍﻟﻤﻼﺑﺲ‬              

                  

‫ﺍﻟﺴﻼﻣﺔ ﻓﻲ ﻣﻨﺰﻟﻚ‬ 

          

                                                                                                                                                                                  

          

                 





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Impotence

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                            

!‫ﻋﻠﻴﻚ ﺑﺎﻷﻟﻴﺎﻑ‬...‫ﻟﻘﻮﺍﻡ ﺭﺷﻴﻖ‬





‫ﺍﻟﺘﻐﺬﻳﺔ ﺍﻟﺴﻠﻴﻤﺔ‬ ‫ﻟﻤﺮﺿﻰ ﺍﻟﻐﺴﻴﻞ ﺍﻟﻜﻠﻮﻱ‬





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‫ﺍﻟﻜﺬﺏ ﻋﻨﺪ ﺍﻷﻃﻔﺎﻝ‬ 

 



      



             

.. ‫ﺍﻷﻛﻞ ﻣﻦ ﻏﻴﺮ ﺳﺒﺐ‬

:‫ﺑﺮﻧﺎﻣﺞ ﻣﺘﺎﺑﻌﻪ ﺍﻟﺤﻤﻞ ﻭﺃﻫﻤﻴﺘﻪ‬  

.. ‫ﺻﺤﻴﺔ ﻟﻄﻔﻠﻚ‬ ‫ ﺍﻧﻄﻼﻗﺔ ﹼ‬،‫ﺍﻟﻔﻄﻮﺭ‬



                            ®





      Lycopene              Lycopene      



       

       

       

      

.. ‫ﻭﺻﻔﺔ ﻟﻜﻞ ﺩﺍﺀ‬ 

     



         

  



        





       







!.. ‫ﺃﺳﺒﺎﺏ ﺗﺴﺎﻗﻂ ﺍﻟﺸﻌﺮ ﻟـــــــــــــــــــــــــــــــﺪﻯ ﺍﻟﺬﻛﻮﺭ ﻭﺍﻹﻧﺎﺙ‬ 

                                                                                  

                                                              

                    

                                  

                                                                                                           

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                                         MMEAD              ""         

‫ﺃﻧﻮﺍﻉ ﺍﻟﻤﺮﺍﻫﻘﺔ‬

                        

  

!!‫ﺗﻮﻗﻒ ﻋﻦ ﺍﻟﺘﺪﺧــــــــــﻴﻦ‬                                                              

   

! ‫ﻣﻌﻠﻮﻣﺎﺕ ﻏﺮﻳﺒﺔ ﻭﻣﻔﻴﺪﺓ‬







                               





  

                       V                          





                                







                  





‫ﺑﺮﻧﺎﻣﺞ ﻃﻤﻮﺡ ﻟﺰﻳﺎﺭﺓ ﻣﺪﺍﺭﺱ ﺍﻷﺣﺴﺎﺀ‬ ‫ﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺳﻰ‬       "    " 



"‫ﺍﻟﻤﻮﺳﻰ ﺍﻟﺮﺍﻋﻲ ﺍﻟﻄﺒﻲ ﺍﻟﺤﺼﺮﻱ ﻟﻤﻬﺮﺟﺎﻥ "ﺣﺴﺎﻧﺎ ﻓﻠﻪ‬ ""      



‫ﺍﻟﻤﻮﺳﻰ ﻳﺘﺒﻨﻰ ﻣﺴﺎﺑﻘﺔ ﺛﻘﺎﻓﻴﺔ ﻟﻄﻼﺏ ﻣﺪﺍﺭﺱ ﺍﻷﺣﺴﺎﺀ‬

      

  tumescent

‫ﺍﻟﻨﺼﺐ ﻭ ﺍﻻﺣﺘﻴﺎﻝ‬ !‫ﺑﺎﻟﺮﺟﻴﻢ‬        

                                                                          

technique

      

        

‫ﺇﺯﺍﻟﺔ ﺍﻟﺪﻫﻮﻥ ﺑﺄﺣﺪﺙ ﺗﻘﻨﻴﺎﺕ ﺍﻷﻣﻮﺍﺝ ﺍﻟﺼﻮﺗﻴﺔ‬     

                                      

                                        

          

            

                  

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‫ﺍﻟﻤﺮﺃﺓ ﺑﻴﻦ ﺍﻟﺠﺎﻫﻠﻴﺔ ﻭﺍﻹﺳﻼﻡ‬  " "   "   "  " "           "    "     " "     –         "  "–        – "   " "  " "  "   "         "                 

‫ﺍﻋﺘﻘﺎﺩﺍﺕ ﺻﺤﻴﺔ ﺧﺎﻃﺌﺔ‬      

  

 

       

  



   

                                      





                                 



          

  



                               –    

                     

!‫ﻬ ﻮ ﺓ‬

                     

‫ﻻ ﺕ ﻋﻠ ﻰ ﻓﻨﺠﺎﻥ ﻗ‬

8 ‫ﺗ‬ ‫ﺴ ﺎﺅ‬  –

     



      

            



          



   

    

   

 

‫ ﻋﻼﻗﺔ ﺗﻜﺎﻣﻠﻴﺔ ﺃﻛﺜﺮ ﻣﻦ ﻛﻮﻧﻬﺎ ﺗﻨﺎﻓﺴﻴﺔ‬..  

   



‫ﻭﺯﺍﺭﺓ ﺍﻟﺼﺤﺔ ﻣﻊ ﻣﻨﺸﺂﺕ ﺍﻟﻘﻄــــــﺎﻉ ﺍﻟﺨﺎﺹ‬          

    

      

                        " 

"             





   

  

  •  –  •   •  •   • 

   



  "                               

                             

    



‫ﻭﺣﺪﺓ ﺍﻟﻌﻨﺎﻳﺔ ﺍﻟﻤﺮﻛﺰﺓ ﺑﺎﻟﻤﻮﺳﻰ ﺍﻷﻛﺒﺮ ﻋــــــــــــــــــــــﻠﻰ ﻣﺴﺘﻮﻯ ﺍﻟﻤﻨﻄﻘﺔ‬

                               ""  ""            "        "       "                    

 •  – •  •  •   •   • 

 

 



‫ﻓﺮﺣﺎﻥ ﺍﻟﻌﻘﻴﻞ‬

‫ﻛﺎﺗﺐ ﻭﺇﻋﻼﻣﻲ‬

  " "            " " "  "                                         " "     

.. ‫ﻣﻦ ﺫﻛﺮﻳﺎﺕ ﺍﻟﺼﺤﺔ‬

Farhanalaqeel@yahoocom

            •                               •                            •                                                                                     ""                   •                     

‫ﻣﺎ ﻳﺠﺐ ﺍﻥ ﺗﻌﺮﻓﻪ ﻋﻦ ﺍﻟﺘﺨﺪﻳﺮ‬

                                                        



                          

                    



 



                            

 

   ""  



                   

           

     ""                                    

‫ﺍﺑﻦ ﺍﻟﻨﺎﻗﻮﺭﺓ ﻳﻌﺸﻖ ﺍﻷﺣﺴﺎﺀ‬ ‫ﻭﻳﺘﻤﻨﻰ ﺗﺤﺮﻳﺮ ﻭﻃﻨﻪ‬

    



                                                              





! ‫ ﻧﺠﺎﺣﺎ ﻳﺘﺠﺎﻭﺯ ﺍﻟﺘﻮﻗﻌﺎﺕ‬.. ‫ﻭﺣﺪﺓ ﺍﻟﻐﺴﻴﻞ ﺍﻟﻜﻠﻮﻱ‬  

                                                                           

Dialysis

                 

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             

                      



                                  

                       "  " ""



    

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

      

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

   

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

        

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       

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 ""

   

! ‫ﻟﺒﻨﺎﻧﻲ ﻳﺸﺠﻊ ﺍﻟﻬﻼﻝ ﻭﻳﺘﻔﻨﻦ ﻓﻲ ﻃﺒﺦ ﺍﻟﻤﻨﺪﻱ‬    

    





    

      

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

   

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

    

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

       

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    

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



     

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  

       

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

      

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

     

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

"" ""



   

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

     

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

   

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





‫ﺟﺮﺍﺣﺔ ﻧﺎﺟﺤﺔ‬ 

                                                                                                                          

! .. ‫ﻧﺤﻮ ﺇﻋــــــﻼﻡ ﺻـــــﺤﻲ ﻣﺘـــــــﺨﺼﺺ‬

"‫ﻟﻌﻼﺝ "ﻏﺮﻏﺮﻳﻨﺎ‬ ‫ﻟﻠﻌﻢ ﻣﺒﺎﺭﻙ‬

 

 

                                      

! ‫ ﻛﻨﺘﺮﻭﻝ ﺍﻟﻤﻮﺍﻗﻒ‬.. ‫ﺃﺣﻤﺪ‬          



‫ﺍﻟﺰﺍﻣﻞ ﻳﺸﻴﺪ ﺑﺮﺳﺎﻟﺔ ﺍﻟﻤﻮﺳﻰ‬     

‫ﺍﻟﻤﻮﺳﻰ ﻳﺸﺎﺭﻙ ﻣﺮﺍﺟﻌﻴﻪ ﺫﻛﺮﻯ ﺍﻟﻴﻮﻡ ﺍﻟﻮﻃﻨﻲ‬    

‫ﻣﻮﻇﻔﻴﻦ ﻣﻦ ﻣﻮﺍﻟﻴﺪ ﺷﻬﺮ ﺍﻛﺘﻮﺑﺮ ﻳﺤﺘﻔﻠﻮﻥ ﺑﻌﻴﺪ ﻣﻴﻼﺩﻫﻢ‬







‫ﻭﺯﻥ ﺍﻟﻤﺮﺃﺓ ﺍﻟﺨﻠﻴﺠﻴﺔ ﻳﺰﺩﺍﺩ ﺑﺸﻜﻞ ﺃﻛﺒﺮ ﻣﻦ ﺍﻟﻤﺘﻮﻗﻊ‬ ! ‫ ﻛﻴﻠﻮ ﺟﺮﺍﻣﴼ‬20 ‫ﺃﺛﻨﺎﺀ ﺍﻟﺤﻤﻞ ﺑﻮﺍﻗﻊ‬         



‫ﻻ ﺗﻜﺘﻤﻞ ﺍﻟﺼﺤﺔ ﺑﺪﻭﻥ ﺍﻟﺼﺤﺔ ﺍﻟﻨﻔﺴﻴﺔ‬             

                                                           

                                                                            

  

                    "        "                      

              •              •    •   •  • 



!! ‫ﺍﻟﺒﺪﺍﻧﺔ ﺑﻴﻦ ﺍﻟﺮﺟﺎﻝ ﺍﻟﺴﻌﻮﺩﻳﻴﻦ‬ It includes lectures and informative tours about the hospital departments

An ambitious program for Al-Hasa schools to visit Al-Moosa Hospital Health Education Programs are an important part of the role AlMoosa Hospi tal is offeringAlMoosa GenHospital has accredited School Visits Program that aims to introduce the hospital’s different departments This tour included a visit to a number of departments such as Emergency Department RadiologyLaboratoryOutpa tient Clinics Elderly Care Center Pediatrics Department and Dentistry Department The visitors got to know all the services including the medical ones the hospital offersMeanwhilea presentation was given about different medical apparatuses and their role in diagnosing different medical conditions We can’t deny the fact that the development of the levels of the devices conse quently helped in the field of diagnosing and treatmentDuring one of the schools visita medical lecture was demonstrated in the lecturing room in the hospital It was presented by Dr Tamer Abdul Hameed PediatricianThe lecture was entitled“Healthy Brain in Healthy Body”DrTamer explained that the medi cal lectures are presented to the students in those visits according to their academic level and age He mentioned that those lectures are usually presented by the hospital’s doctors from different departments such as PediatricsInternal Medicine and Dentistry

On occasion of International Health Day

Al-Moosa adopts an educative contest for the students of Al-Hasa schools AlMoosa GenHospital led the process of organizing an educative and cultural contest that aimed the students of AlHasa governmental and private schools Mohamed Eid the manager of marketing and developing businessesmentioned that the contest was entitled “Infection ControlResponsibility of All”This contest was organized as a reminder of Health International Day anniversaryApril 7Eid added; the hospital will sponsor the contest in cooperation with the Education Administration in AlHasa As a result a joint organizing commission will be formedThe contest will include all school stages and grades in the fields of artphotograph ingpoetry and essay writingThe commission will be in charge of evaluating the work and organizing a closing ceremony that takes account of a gallery of the participating and winning worksThe studentstheir families the supervisors and the principals will attend the ceremony Meanwhile valuable prizes will be given to the winning students and will be honored by the presence of the general manager of Girls Education of AlHasa ProvinceThis contest will be generously honored by His Royal Highness the governor of AlHasa Province

      –      – –    

        

‫ﺍﻟﺰﻭﺝ ﺍﻟﻤﺜﺎﻟﻲ ﻳﺒﺪﻱ ﺣﺴﻨﺎﺕ ﺯﻭﺟﺘﻪ‬                             

                                         

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in house faces NAME  KAREN SSERRANO JOB TITLE MedicalAdministrative Secretary Age  26 years old Nationality Filipino Marital Status Single Years of Experience in AMGH 5 years

I started working in AMGH on September 282005 as a Nursing and Administrative Secretary then appointed as Medical Director Secretary Working in AMGH is a great opportunity because I was able to develop my skills and thanks for the administration for the continuous support I spend my free time in surfing the net and listening to music I am looking forward to have a family of my own someday and a few years more working in this hospital

Name Job title Age Nationality Marital status Newly Hire

Jacky Lou Afifi nursing secretary 30 years Filipino Married

Hi I’m Jacky LouI’m from PhilippinesI’m married and have a daughter her name’s Sarah Although I have recently joint the crew working in Al Moosa HospitalI feel as if I have been here for agesSo I now consider this hospital my spiritual family as the first is my biological familyHere allow me to add my personal point of view about how hospitals must beI think that such a feeling like the one I feel today towards doctorssisters nurses and workersIn this hospital is the first step towards the domains of sisterhood and brotherhood Finally I would like to say that I’m so grateful to be one of the staff working in such a hospital Like Al Moosa Hospital

NAME  REEMA SOMAN JOB TITLE Nursing Supervisor Age  48 years old Nationality Indian Marital Status Married Years of Experience in AMGH11 years

I started working in AMGH on March 282000 as a Nursing SupervisorMarried and blessed with two kids both femaleI’m also a BLCS InstructorAl Moosa General Hospital with its trade name gives me a place to be comfortable and feels like my homeWith my 11 years of experi ence lots of changes was made and I thank the administration for the unending support that was given to me as a proof that until now I am still here working with dignity and loyalty

in house faces NAME BAHIYA AL MATAR JOB TITLE NURSING ASSISTANT NATIONALITY SAUDI AGE 37 YEARS OLD YEARS OF EXPERIENCE 11 YEARS

Bahiya joined AMGH in 1999 as Nursing Assistant in Female Surgical Wardand since then has contributed to her unit by showing her dedication to work as proven by her long years of service  Even working with nurses of different nationalities she has proven that she can get along very well with everyonewhile performing her duties diligently

NameMelania Mauti Age27 years old NationalityFilipino Marital Status Single Job Title OPD Nurse Years of experience in AMGH3 years

I joined AMGH on August 2007 as a staff nurse in OPD I was very happy when I came because the staffs were friendly and helpful to me But I had a hard time adjusting to Arab culture as well as working with different nationalities Now I am comfortable and well adjusted working with them and with my colleagues also I spend my free time surfing the internetcooking and watching TVI am looking forward working in AMGH for more years

Name Asmaa Ahmed Job title Hemodialysis Charge Nurse Nationality Egyptian Marital Status Married with 2 children Years of experience in AMGH 4 years

I joined in Al Moosa general Hospital on January 112007 as a staff nurse in HDU and after one year I worked as a charge nurse of the unitI found it difficult to live away from my family but later on I was able to adjust because the Al Moosa staff became my familyI found support from my DONdoctors and my colleaguesAs of now I enjoyed working here and my experience is worthy of all the sacrifices that I have

NameFahmida Naqvi Job TitleHead nurse Male ward Age39 years old NationalityPakistani Marital Status  Married Years of Experience in AMGH 10 years

In her 16 years of working in Saudi Arabia10 years of it was spent in AMGHShe worked in different areas until she was appointed Head nurse of Male Ward She loved the challenges of working with different nationalities She always strive to help her colleagues especially in giving quality care to their patientsShe recently got married and she is looking forward to build her own family

Hemorrhoidectomy for hemorrhoids Hemorrhoidectomy is surgery to remove hemorrhoids You will be given general anesthesia or spinal anesthesia so that you will not feel pain Incisions are made in the tissue around the hemorrhoidThe swollen vein inside the hemorrhoid is tied off to prevent bleeding and the hemorrhoid is removed The surgical area may be sewn closed or left open Medicated gauze covers the wound Surgery can be done with a knife scalpela tool that uses electricity cautery pencilor a laser The operation is usually done in a surgery centerYou will most likely go home the same day outpatient There is a procedure that uses a circular stapling device to remove hemorrhoidal tissue and close the woundNo incision is madeIn this procedurethe hemorrhoid is lifted and then "stapled" back into place in the anal canal

What to Expect After Surgery Recovery takes about 2 to 3 weeks Going home after surgery Before the surgeryyou will be given a longacting local anestheticIt should

last 6 to 12 hours to provide pain relief after surgeryIf you are not going to stay overnight in the hospital after surgery you will leave only after the anesthesia wears off and you have urinated Inability to urinate urinary retentionsometimes occurs because of swelling edemain the tissues or a spasm of the pelvic muscles

Care after surgery • You can expect some pain after surgeryIf your doctor gave you a prescription medicine for paintake it as prescribedAsk your doctor what overthecounter medicines are safe for you • Some bleeding is normalespecially with the first bowel movement after surgery • You may apply numbing medicines before and after bowel movements to relieve pain • Ice packs applied to the anal area may reduce swelling and pain • Frequent soaks in warm water sitz bathshelp relieve pain and muscle spasms • Some doctors may recommend that you take an antibiotic such as metronidazoleafter surgery to prevent infection and reduce pain • Health professionals recommend that you take stool softeners that contain fiber to help make your bowel movements smoothStraining during bowel movements can cause hemorrhoids to come back • Followup exams with the surgeon usually are done 2 to 3 weeks after surgery to check for problems

How to Prevent a Sore Throat from Progressing to a Cold How you can stand a good chance of preventing a cold from developing

As soon as you experience that soretickly feeling in your throat that precedes a fullblown coldgargle with warm salt water And when I say gargle I mean really gargle; take in a mouthful of warm salt water look up at the ceiling and gargle aggressively You may want to tap at your throat the Adams apple region with your fingers while you gargle to encourage the warm salt water to trickle deeply into your throat Gargle like this several times with a glass of warm salt waterand repeat as often as possible throughout the day Warm salt water can remove viruses from the tonsils and adenoids that line the back of your throat region Viruses that cause colds and flus typically get caught by your tonsils and adenoids before they spread through your bodyYour tonsils and adenoids are important parts of your immune system because they are located near the entrance of your breathing passagesand they serve as a first line of defense against undesirable airborne microorganisms and substances This by the way is why it is best not to remove tonsils and adenoids from your throat region Chronic swelling of tonsils and adenoids is best addressed by reducing sugar intake adopting a minimally processed diet that is rich in fresh plant foodsand supporting immune system health by getting plenty of restexerciseand exposure to sunlight and fresh air Cold salt water may also help to remove viruses from your tonsils and adenoids but warm salt water tends to be more effective Warm water may help to melt the fatty coating that protects viruses that cause the cold and flu What if you gargle for all youre worth but still end up developing a fullblown cold? Get lots of rest drink plenty of fluidsand take comfort in knowing that countless viruses are at work destroying your weakest cells And dont forget to blow your nose as often as it runs; help your body get rid of what it wants to get rid of

What is Multiple Sclerosis Dr.Sayed Bdawy

Consultant neurologist

An unpredictable disease of the central nervous system multiple sclerosis MS can range from relatively benign to somewhat disabling to devastatingas communication between the brain and other parts of the body is disruptedMany investigators believe MS to be an autoim mune disease one in which the bodythrough its immune system launches a defensive attack against its own tissues In the case of MS it is the nerveinsulating myelin that comes under assault Such assaults may be linked to an unknown environmental triggerperhaps a virus Most people experience their first symptoms of MS between the ages of 20 and 40; the initial symptom of MS is often blurred or double vision redgreen color distortion or even blindness in one eyeMost MS patients experience muscle weakness in their extremities and difficulty with coordination and balanceThese symptoms may be severe enough to impair walking or even standing In the worst casesMS can produce partial or complete paralysisMost people with MS also exhibit paresthesiastransitory abnor mal sensory feelings such as numbnesspricklingor "pins and needles" sensationsSome may also experience pain  Speech impediments tremors and dizziness are other frequent com plaintsOccasionallypeople with MS have hearing lossApproximately half of all people with MS experience cognitive impairments such as difficulties with concentration attention memory and poor judgment but such symptoms are usually mild and are frequently over lookedDepression is another common feature of MS

Is there any treatment?

There is as yet no cure for MS Many patients do well with no therapy at all especially since many medications have serious side effects and some carry significant risks  However three forms of beta interferon AvonexBetaseronand Rebifhave

now been approved by the Food and Drug Adminis tration for treatment of relapsingremitting MS Beta interferon has been shown to reduce the number of exacerbations and may slow the progres sion of physical disability When attacks do occur

they tend to be shorter and less severe  The FDA also has approved a synthetic form of myelin basic protein called copolymer I Copaxone for the treatment of relapsingremitting MS Copolymer I has few side effects and studies indicate that the agent can reduce the relapse rate by almost one thirdAn immunosuppressant treatmentNovantrone mitoxantrone is approved by the FDA for the treatment of advanced or chronic MSThe FDA has also approved dalfampridine Ampyra to improve walking in individuals with MS One monoclonal antibody natalizumab Tysabri was shown in clinical trials to significantly reduce the frequency of attacks in people with relapsing forms of MS and was approved for marketing by the USFood and Drug Administration FDA in 2004  However in 2005 the drug’s manufacturer voluntarilysuspended marketing of the drug after several reports of signifi cant adverse eventsIn 2006the FDA again approved sale of the drug for MS but under strict treatment guide lines involving infusion centers where patients can be monitored by specially trained physicians  While steroids do not affect the course of MS over time they can reduce the duration and severity of attacks in some patientsSpasticitywhich can occur either as a sustained stiffness caused by increased muscle tone or as spasms that come and gois usually treated with muscle relaxants and tranquilizers such as baclofen tizanidine diazepam clonazepam and dantrolene Physical therapy and exercise can help preserve remain ing functionand patients may find that various aids  such as foot braces canes and walkers  can help them remain independent and mobile  Avoiding excessive activity and avoiding heat are probably the most important meas ures patients can take to counter physiological fatigueIf psychologi cal symptoms of fatigue such as depression or apathy are evident antidepressant medications may helpOther drugs that may reduce fatigue in somebut not allpatients

include amantadine Symmetrelpemoline Cylert and the stillexperimental drug aminopyridine Although improvement of optic symptoms usually occurs even without treatment a short course of treatment with intravenous methylprednisolone SoluMedrol followed by treatment with oral steroids is sometimes used

What is the prognosis?

A physician may diagnose MS in some patients soon after the onset of the illness In others howeverdoctors may not be able to readily identify the cause of the symptomsleading to years of uncer tainty and multiple diagnoses punctuated by baffling symptoms that mysteriously wax and wane The vast majority of patients are mildly affectedbut in the worst casesMS can render a person unable to writespeakor walkMS is a disease with a natural tendency to remit spontaneouslyfor which there is no universally effective treatment

What research is being done?

The National Institute of Neurological Disorders and Stroke NINDS and other institutes of the National Institutes of Health NIH conduct research in laboratories at the NIH and also support additional research through grants to major medi cal institutions across the country  Scientists continue their extensive efforts to create new and better therapies for MSOne of the most promising MS research areas involves naturally occurring antiviral proteins known as interferons Beta interferon has been shown to reduce the number of exacerbations and may slow the progression of physical disability When attacks do occurthey tend to be shorter and less severeIn additionthere are a number of treatments under investigation that may curtail attacks or improve function Over a dozen clinical trials testing potential therapies are underway and additional new treatments are being devised and tested in animal models

Al-Moosa Intensive Care Unit is the biggest all over the region

Intensive Care Unit (ICU) includes 17 beds equipped with the most up to date devices on the international level

DrKamel Othman

Consultant intensivist & Head of the Intensive Care Unit

• Consultant and the head of Intensive Care Unit in Al-Moosa Gen. Hospital. • MD in Critical Care Medicine – Cairo University • A member of the European Society for Critical Care Medicine. • A member of the Saudi Society for Critical Care Medicine. • Holding the prize of “Best Scientiﬁc Research” from Critical Care Medicine conference in Brussels 2004. • 15 years experience in Critical Care Medicine including 5 years in King Fahad Armed Forces Hospital in Jeddah.

AlMoosa Gen Hospital Intensive care unit ICU Critical Care Unit is known as the biggest on the level of the region for it includes the largest number of equipped beds with the most modern devices and assisting equipment to offer an incredibly highlevel care for such critical conditions that require a lot of effort and capabilitiesThe intensive care unit is supervised by a group of consultants and specialists in the field of intensive care medicineIt is regarded as the only unit in the region which is supervised by consultants who hold MD in critical care medi ture of the private health services in the region cinefor this major is very rareIn additionthis  Dr Kamel Othman Consultant intensivist and step is regarded as a unique addition to the struc Head of the Intensive Care Unit says I am so

proud to work in AlMoosa Hospital’s Intensive Care Unit for it has amazingly high level capabili ties and equipment which are equivalent to the best and most distinguished intensive care units all over the worldAs a matter of factAlMoosa Inten sive Care Unit includes 17 completely well furnished beds as separate units It includes two beds for isolation and 5 beds for intermediate care however the rest of beds are devoted to serve the critical conditions that come to the hospital from inside or outside the province DrOthman addsAlMoosa Hospital’s Intensive Care Unit is equipped with the most modern devices and equipment all over the world which are produced by the most famous and well known companies in the field of medical equip mentRecentlythe hospital added CRRT to help people suffering from renal failure with critical conditionsThis device is produced by “Gambro” an American Company We’ve also added “BiPap” machine It is a device that helps in pumping the air to the lung as it is more advanced than the traditional ventilator The device is responsible for pumping the air to the lung and thatconsequentlyallows oxygen to enter the lung more efficiently This device is produced by “Philips” the international company AlMoosa has recently added 4 ventilators As a result the total number of apparatus available in the intensive care unit is 12 devices DrKamel adds“our plan to improve and update the intensive care unit in AlMoosa Hospital didn’t stop at updating the medical equipment and adding new machines but it extended to include a vital improvement of the human resources through establishing daily workshops

and lectures to discuss all the conditions admitted to the unit aiming to follow each condition precisely and continuously In addition we have supported the unit with new intensivist whose main specialty is intensive care medicine At the same timeDrMahmoud MustafaInter nal Medicine and Endocrinology Consultant and AlMoosa Hospital Medical Director mentioned that we do pay great attention to the intensive care unit as it is the first destination for the patients from different sectors whether governmental or private such as Saudi Aramco Co and General Organization for Social Insur ance and many other cases transferred by the Ministry of Health in AlHasa aside from the cooperation between the unit and the private sector hospital in the province

Issue Cover

General Manager

Abdalaziz Abdulah Almoosa General Supervisor

Malik Abdalaziz Almoosa Editing Director

Ahmed Algohary

Design & production of

Tareq Mahmoud

Narcotics

61 The beauty of nature in AlAhsa

Not Just a Ceremony

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It is a way to celebrate… the stability of Excellence

In my point of view celebrating the pass of 15 years since the opening of AlMoosa Gen Hospital isn’t just a ceremonyit is but a proof of stability on excellence and obtaining the highest international medical levels of performanceAs a matter of factthe hospitalsince its establish mentwas up to date with the international advancements in the field of medicine and medical careAt the same timethe hospital made sure to hire the most efficient and specialized medical staff In addition to that the administration paid great attention to provide the hospital with the recent and modern devices and apparatuses available and provided the staff with enough training to get along with the machines easilyeffectively and professionally For the importance of the human factor the hospital provided their staff with high profile training and improvement that goes with the new international improvementsThison the other handgave them a great experience which is considered as one of the main and direct reasons for the hospital to have the International Accreditation Certificate for including and applying the international standards of excellence and the quality of integrated health care and services In factwe don’t claim the overwhelming of knowledge or superhero powerbut we believe that hand in hand dares impossibilities and establishes lofty edificeAccordinglywe are about to start a new and important qualitative and expansive step for the record of the private medical services on the level of AlHasa regionAs a resultthe family of AlMoosa GenHospital has the absolute right to be proud of the achievements fulfilled during the last 15 years During which the hospital has moved great steps from a hospital for gynecology only to reach what it is up to right now as a general hospital that includes all the medical specialties in addition to its uniqueness of having accurate sub specialties and specialized units with the highest standard of performancequality and efficiencyNo doubt thatour main concern is to provide AlHasa Society with the superior and highranking medical services 

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General Manager

Abdul Aziz Bin Abdullah AlMoosa

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Global Health Magazine

ALMOOSA Hospital November 2010 Issue No4

4 Read in this Issue :

Intensive Care Unit (ICU) includes 17 beds equipped with the most up to date devices on the international level