What is Obstructive Sleep Apnea (OSA)

Good sleep is essential to ensure an efficient and effective performance of your daily activities. A normal adult requires an average of 8 hours of sleep per day. That is one third of our lifetime!


Sleep apnea is a condition characterized by multiple brief interruptions or cessation of breathing during sleep. It is increased with obesity and age and estimated to affect 5% of the adult population. The commonest form of obstructive sleep apnea (OSA).



Apnea can occur when excess tissue in the upper airway, such as abnormally large tonsils, blocks the airway during sleep. Apnea can also occur when the tongue or throat muscle relax too much leading to the collapse/closure of the upper airway.


  • Loud snoring
  • Cessation of breathing during sleep (apnea)
  • Choking, gasping, snorting during sleep
  • Restless sleep
  • Excessive daytime sleepiness (Epiworth Sleepiness Scale)
  • Morning headache
  • Dry mouth
  • Poor concentration and short term memory
  • Decreased libido


  • Hypertension
  • Stroke
  • Ischemic heart disease
  • Gastro esophageal reflux disease
  • Depression
  • Diabetes mellitus
  • Increased risk of motor vehicle accidents in drivers


  1. You need to undergo a physical examination and assessment by a physician
  2. You would then undergo an overnight sleep study (polysomnography [PSG]). This can be performed either at your home or at a hospital.
  3. The PSG would provide your doctor with details of your sleep pattern, breathing disturbances and blood oxygen level. Treatment will depend on the severity of the condition. Most patients will require the use of a Continuous Positive Airway Pressure (CPAP) machine during sleep to relieve the obstruction and symptoms.

The Epworth Sleepiness Scale is a simple way of accessing the degree of sleepiness. The higher the score (>10), the greater the likelihood of you suffering from sleep apnea.
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

Rate yourself in these situation. Chances of dozing from scale of 0-3

  1. Sitting & Reading
  2. Watching TV
  3. Sitting, inactive in public places
  4. As a passenger in a car for an hour without a break
  5. Lying down to rest in the afternoon when circumstances permit
  6. Sitting & talking to someone
  7. Sitting quietly after lunch without alcohol
  8. In a car, while stopping for a few minutes in the traffic

Note: Not all people with OSA experience daytime sleepiness. If you did not score in the higher ranges but you have concerns about your sleep, talk to our Specialist. Our Consultant Physician, Dr. Lau Wee Ming specialises in Sleep Study. She is available by appointment on Wednesday and Saturday. For more information, please call 603 – 6141 8533. 


Understanding the different types of diabetes

The number of people afflicted by diabetes has risen significantly in recent years. What is your understanding of diabetes?

THE main sugar in the body is blood glucose, which comes from consumed food and is also made in the liver and muscles.

After a meal, blood glucose level rises. The cells in the pancreas, which is an organ in the abdomen, are stimulated to release a hormone called insulin into the bloodstream.

The insulin then attaches to the body’s cells and signals them to absorb glucose from the blood and use it for energy.

Sometimes, the body does not produce enough insulin, or the insulin does not function as it should. When this happens, glucose remains in the blood and does not reach the body’s cells. Its level rises, causing diabetes mellitus, which is a lifelong condition.

Many people have blood glucose levels above the normal range, but not high enough to be diagnosed as diabetes. This is a condition called pre-diabetes.

If the blood glucose level gets above the normal range, the risk of developing full-blown diabetes is increased.

It is important that diabetes is diagnosed and treated as early as possible because it will only worsen with time. If untreated or treated inadequately, it will cause multiple health problems.

According to the National Health and Morbidity Survey (NHMS) IV in 2011, the overall prevalence of diabetes was 15.2%. The prevalence was highest among Indians (24.9%), followed by the Malays (16.9%) and Chinese (13.8%). There were no gender differences.

The overall prevalence of known diabetes was 7.2%, and undiagnosed diabetes 8.0%. The prevalence of impaired fasting blood glucose was 4.9%.

The overall prevalence of diabetes among adults above 30 years rose from 8.3% in NHMS II in 1996 to 14.9% in NHMS III in 2006. This has significant implications for the healthcare delivery system.

Types of diabetes

There are two types of diabetes: type 1 and type 2.

Type 1 diabetes is caused by attacks of the body’s immune system on the pancreatic cells that produce insulin. Since no insulin is produced, the blood glucose is raised.

Type 1 diabetes is often called insulin-dependent diabetes. It usually develops before the age of 40 years, often when the sufferer is in the teens. Its incidence is a fraction of type 2 diabetes.

All type 1 diabetics require insulin for the rest of their lives. In addition, there has to be a healthy lifestyle to ensure that blood glucose remains within normal limits.

Type 2 diabetes is caused by insufficient production of insulin, or the failure of the body’s cells to respond to insulin. The latter is called insulin resistance. It usually develops after the age of 40 years and its incidence is about four to five times that of type 1 diabetes.

It is often associated with obesity. It is controlled by a healthy diet, regular exercise, and eventually, medicines – usually tablets. Medicines are often required at some stage because type 2 diabetes is a progressive condition.

Features of diabetes

The signs and symptoms of diabetes include feeling thirsty, hungry and/or tired; passing urine more often than usual, especially at night; weight loss without attempting to lose weight; loss of muscle bulk; feeling pins and needles in the feet; losing feeling in the feet; blurred vision; wounds that heal slowly; and itching around the genitalia or frequent fungal infections.

There may be no signs or symptoms in some people, or if there are symptoms, they are usually vague.

The only way to confirm a diagnosis of diabetes is to have a blood test.

There are two tests used to diagnose diabetes: fasting blood glucose and glucose tolerance test.

Fasting blood glucose is a reliable diagnostic test. A single blood sample is taken after an overnight fast. The normal levels are below 6.0 mmol/L. Levels above 7.0 mmol/L on two or more occasions is indicative of diabetes, and no other tests are needed.

A glucose tolerance test (GTT) is done after an overnight fast. Blood is taken for the fasting blood glucose, followed by consumption of 75g of glucose, with blood samples taken on two or four subsequent occasions within a period of up to two hours, to measure the blood glucose.

The levels rise and then fall rapidly in a non-diabetic. In a diabetic, it increases to a higher level than normal and does not fall as rapidly. The body’s response to a GTT may vary and requires interpretation by a doctor.

Blood tests are just part of the information required. The doctor will also consider the patient’s history and physical examination findings in planning the diabetic’s management.

Gestational diabetes

The placenta in a pregnant woman produces a hormone called human placental lactogen (HPL), which modifies maternal handling of carbohydrates and lipids as it makes the body less sensitive to insulin, thereby raising the mother’s blood glucose level.

HPL raises the blood glucose level so that the foetus gets enough nutrients from the extra glucose in the blood.

Another hormone, called human placental growth hormone, is also produced in pregnancy. It also ensures that the foetus gets enough nutrients by raising maternal blood glucose levels.

It is normal for maternal blood glucose levels to increase a bit during pregnancy because of the effect of the placental hormones.

However, sometimes, the increase is too high. This condition is called gestational diabetes. It usually develops between 14 and 28 weeks of pregnancy, and disappears after the baby is born.

Gestational diabetics are at increased risk of developing type 2 diabetes later in life.

It is more common in women who are above 25 years, overweight or obese, have a family history of diabetes, or who had gestational diabetes in a previous pregnancy.

Gestational diabetes could increase the risk of problems for the foetus, and also worsen type 1 diabetes. As such, it is important for a gestational diabetic to keep her blood glucose levels under control.

Dr Milton Lum is a member of the board of Medical Defence Malaysia. This article is not intended to replace, dictate or define evaluation by a qualified doctor. The views expressed do not represent that of any organisation the writer is associated with.

























既然连死你都不怕,又何必担心那些区区的治疗。妻子一针见血,当头棒喝:如果不治疗等于死亡,那就来场show hand,我们至少还有六成的机会。






如果您对以上的状况有任何疑问请咨询我们的手术专科医生, Dr Chong Shun Siang. 请拨电 03-61418533 以做预约。

Stones in the Bladder

Yes, stones can form in the bladder, too.

BLADDER stones (calculi) are common, particularly in tropical climates. Bladder calculi are less common than kidney calculi. The former are usually a consequence of urinary tract conditions, in which there is stasis of urine, e.g. urinary tract infections, especially recurrent ones, bladder diverticulum, enlarged prostate and conditions of the nervous system, although they can also occur in healthy people.

The presence of calculi in the kidneys and ureters does not necessarily mean that the risk of bladder calculi is increased.

Most bladder calculi occur in adult males. However they can also occur in children. The materials that comprise bladder calculi in adults include uric acid, calcium and ammonium compounds. It is not uncommon to find that the core of a calculus is of one particular chemical surrounded by layers of different chemicals around it.

The factors associated with bladder calculi in children include bladder diverticulum, infant feeding with breast milk and polished rice, high intake of animal proteins, and spinal cord conditions.

Most bladder calculi arise from the bladder itself. However, some calculi are initially formed in the kidney and are then passed into the bladder when additional deposits lead to an increase in the size of the calculi. The renal calculi which are tiny enough to traverse the ureters to reach the bladder are also tiny enough to be passed out when bladder function is normal and there is no obstruction in the channel that leads from the bladder to the exterior (urethra).

Bladder calculi can be single or multiple and are of various sizes. Although most bladder calculi are mobile, there are some which are adherent to the bladder.

Clinical features

Some people with bladder calculi have no symptoms.

For those with symptoms, these arise from the calculus irritating the bladder or obstructing the flow of urine from the bladder.

The common symptoms include lower abdominal pain or pressure, pain on passing urine (dysuria), frequent passing of urine (frequency), passing urine at night (nocturia), interruption of urine flow (hesitancy) and retention of urine.

Other common symptoms include blood in the urine (haematuria), urge to pass urine (urgency), sudden stopping when passing urine associated with pain at the tip of the penis, scrotum or back, and inability to pass urine except when in certain positions. There may also be incontinence and fever.

There may be a history of previous pelvic surgery.

The common findings on physical examination include lower abdominal tenderness above the pubic bone and a palpable bladder if there is urinary retention. Rectal examination may reveal an enlarged prostate. There will be signs of neurological dysfunction if there is a disorder of the nervous system.

Children with bladder calculi may have persistent erection of the penis, which is unrelated to any stimulation and/or occasional involuntary passage of urine at night (nocturnal enuresis), the latter resulting in bedwetting.

The complications of untreated or inadequately treated bladder calculi include obstruction of the upper urinary tract, urinary tract infection, incontinence of urine, urinary retention, recurrence of the calculi and permanent damage to the bladder and/or kidneys.


Laboratory and imaging tests may be done. They will provide information about the presence of calculi, their nature, and associated or causative conditions.

An abdominal or pelvic x-ray will reveal radio-opaque calculi. However, uric acid calculi are radiolucent and may not be seen on the x-rays if they are not coated with calcium. Bladder calculi are also commonly diagnosed by computerised x-ray tomography (CT scan) and ultrasound.

Microscopic examination of the urine may reveal the presence of an infection, blood or crystals. Culture of a mid-stream specimen of the urine may reveal a urinary tract infection.

Many people get rid of the bladder calculi by themselves, i.e. they pass out the calculi when urinating. This often happens with small calculi.

Cystoscopy is a procedure in which a telescope-like instrument is inserted through the urethra under anaesthesia to visualise the inside of the bladder and its contents, if any. It is a common method used to diagnose bladder calculi.

After the calculus or calculi has been visualised, it is broken up into fragments with an energy source, which include mechanical, ultrasonic and laser. The fragments are then removed through the cystoscope.

The miniaturisation of these instruments has made it possible for the use of the treatment modalities in selected children, whose urethral diameter is usually smaller than that of adults. Complications are few and usually minor in nature. They include urinary tract infection, fever, perforation of the bladder, and bleeding.

In general, the majority of bladder calculi are surgically removed through the cystoscope. However, there are situations in which the calculi are too large or hard or when access to the bladder is limited by a narrow urethra, e.g. in children. In such situations, the percutaneous or open suprapubic surgical approach is used.

The percutaneous approach involves approaching the bladder through the skin above the pubic bone. This is the main approach in children. It permits the use of larger diameter and shorter endoscopic equipment to rapidly break up the calculi, which are then removed. It is not uncommon that the urethral and percutaneous approaches are used together to stabilise the calculi; break it up followed by removal of the fragmented debris.

Open suprapubic cystotomy is an operation in which the bladder is surgically opened and the calculi removed. This method is used when the calculi are large and/or hard and when open prostatectomy and/or removal of bladder diverticula is done.

The advantages of this method are the easy and rapid removal of several calculi at a time, the removal of large calculi, and the removal of calculi that are stuck to the bladder surface. Its disadvantages include longer hospital stay, post-operative pain and longer bladder catheterisation times.

Other procedures may be done at the same time as removal of the bladder calculi, e.g. removal of an enlarged prostate.

The conditions which are contraindications to the surgical removal of bladder calculi are few. These include pregnancy and poor general health of the patient.

Medicines are sometimes used in the management of bladder calculi. The only potentially effective medicine is the alkalinisation of urine to dissolve uric acid stones. However, excessive alkalinisation may result in phosphate deposits on the uric acid calculi surface, thereby rendering ineffective any further medical treatment.


Bladder calculi can be prevented by prompt and effective treatment of urinary tract infections and treatment of conditions affecting the lower urinary tract. Drinking sufficient fluids daily would also help in preventing bladder calculi formation and facilitating the expulsion of the calculi from the body.

Dr Milton Lum – is a member of the board of Medical Defence Malaysia. This article is not intended to replace, dictate or define evaluation by a qualified doctor. The views expressed do not represent that of any organisation the writer is associated with.

Disclaimer: Nothing on this blog should be considered or used as a substitute for medical advice, diagnosis or treatment. Blog visitors with personal health or medical questions should consult their health care provider.

Platelet Rich Plasma (PRP) Injection available at Alpha Specialist Centre

Platelet rich plasma injections (PRP injections) can be used in the treatment of many musculoskeletal injuries including that of tendons, muscles and joints.

PRP can be injected into:

  • Tennis elbow (common extensor tendinosis)
  • Golfer’s elbow (medial epicondylitis)
  • Jumper’s knee (patellar tendinosis)
  • Achilles tendinosis
  • Plantar fasciitis
  • Hamstring tendons
  • Adductor tendons
  • Gluteal tendons
  • PRP can also be used in:
  • Trochanteric bursitis
  • Knee MCL tears
  • Knee osteoarthritis
  • Hip Osteoarthritis

Benefits of PRP

Pain Relieve and Healing

Packed with growth and healing factors, platelets initiate the repair process and attract the critical assistance of stem cells to intensify the body’s effort to heal. PRP injection stimulates the wound healing process and reduces the pain duration much faster.

Safe, effective and lasting

Because your own body is used, there is no risk of transmittable infection and allergic reaction. PRP resolves pain through healing; the results gradually increase as the healing progresses more than 1 – 2 years.

The earlier the treatment, the better the outcome

PRP can be very effective in treating osteoarthritis, especially in earlier stages. PRP may stimulate cartilage regeneration, which could potentially slow down the deteriorating effect of age and the progression of arthritis.

PRP injection is available now in Alpha Hand Surgery Centre. Prior consultation with a specialist is required. Our Consultant Hand & Microsurgeon, Dr. Terence Tay is available to discuss further about the treatment options with PRP. For more information, please call 03 – 6141 8533. 





















如果您对以上的状况有任何疑问请咨询我们的手术专科医生, Dr Chong Shun Siang. 请拨电 03-61418533 以做预约。

Acid reflux or Heartburn

Acid reflux is also known as heartburn or acid indigestion. It creates a burning pain in the lower chest area and often after eating. Acid reflux is often associated with our lifestyle and eating habits.  Eating frequent but smaller meals can help reduce your risk of heartburn and acid reflux diseases. Reduced consumption of carbonated drinks and alcohol along with exercise may help to reduce the symptoms.

Symptoms to note:

  • Hard to swallow food down your throat
  • Indigestion for 3 weeks or more
  • Sudden weight loss
  • Frequent burping or trapped wind
  • Nausea or vomiting
  • Pain in the upper stomach area

People who suffer from persistent heartburn for more than 3 weeks should seek help from doctor or a Gastroenterologist as it may lead to stomach and oesophageal cancers or other medical conditions.


1. What are gallstones?

Gallstones are stones found within the gallbladder, a small bag-like organ which is attached to the lower surface of the liver. The stones are composed of different materials (chemicals) such as cholesterol or bile pigments. They vary in size from about 1 millimeter to a few centimeters. Symptoms are not related to size of stones. Rather, it is their location within the bile drainage system which is crucial. In fact, small stones have the risk of dropping into the bile duct, thereby causing blockage of flow of bile from the liver to the duodenum. The result is jaundice, a yellow discolouration of the skin and whites of the eyes – a potentially serious complication.

Before the modern era of surgery, many famous figures have suffered or died from gallstones. Anthony Eden, a British prime minister during the Suez Crisis of 1956, was one such tragic victim. Surgery was delayed as it was deemed to be too dangerous. When it was eventually done, he remained very ill and required heavy medication which caused exhaustion and possibly impaired judgment. It is often speculated whether the outcome of history might have been drastically different if only he could have had timely removal of the offending gallstone.

2. What are the symptoms?
Gallstones are usually asymptomatic (clinically silent) – the patient feels perfectly well. They are detected during routine ultrasound scans of the abdomen, such as in pregnancy or during health check-ups. Common symptoms are gallstone colic (upper abdominal pain), abdominal discomfort and bloating, especially after heavy or oily meals. The pain will usually subside after about 3 to 4 hours. Occasionally, it may be so severe as to require injection medication. Complications of gallstones are acute cholecystitis (inflammation of the gallbladder) which causes continuous, unremitting severe pain; bile duct obstruction resulting in jaundice; and pancreatitis (inflammation of the pancreas). The latter two conditions may be fatal if treatment is delayed.

It should be noted that gallstone colic is often mistakenly attributed to gastric ulcer.

3. How are gallstones diagnosed?
Diagnosis is made from a good clinical history obtained by a trained specialist (surgeon or gastroenterologist). Confirmation is via radiological scanning, either with ultrasound or computed tomography (CT, “CAT”) of the abdomen


4. What treatment is available?
Asymptomatic gallstones can be left alone. Treatment is recommended only if there are symptoms or complications. The risk of these events happening is about 1 to 2 % per year. However, once symptoms develop, the patient will invariably suffer further attacks and treatment is strongly advised. The gold standard of treatment is laparoscopic cholecystectomy, which is removal of the gallbladder via key-hole surgery. The main advantage of this method is that it is minimally invasive: the scar is small; post-operative pain is minimal; and hospital stay is consequently reduced. In about 5 to 10 % of cases, the operation has to be converted to the open technique involving a surgical incision of 8 to 10 cm. The usual reasons are either inflammation which renders it difficult to identify key anatomical structures, or complications such as bleeding.

The symptoms of gallstones will be relieved permanently after surgery.

5. More about laparoscopic cholecystectomy.
The patient is admitted to hospital for one or two days. The operation is performed under general anaesthesia. It takes about one hour. Four small holes (5 to 12 mm in diameter) are made in the abdomen. The surgeon places laparoscopy instruments into the abdominal cavity through these holes (ports) to perform the operation. Titanium clips are placed on two vital structures (cystic duct and cystic artery) which have to be cut during the operation. These clips are specifically designed for this operation and will remain in the body; they do not produce any side effects. The entire gallbladder, including the stones it contains, is removed (“delivered”) through one of the ports. The procedure is recorded and the patient can have a hard copy such as on DVD.

6. What are the complications of laparoscopic surgery?
The main complication is bile duct injury, which happens in about 1 to 2 % of operations. Treatment depends on the extent of injury and whether the injury is recognized immediately during the surgery or delayed post-operatively. Options range from stenting the bile duct (by placing a temporary plastic tube) for minor injuries, to major surgical reconstruction of the bile duct for complicated injuries, a difficult and hazardous process.

Obviously, such complications are best avoided. The risk is related to previous scarring in the abdomen and the operative experience of the surgeon.

7. What are the long-term effects of laparoscopic cholecystectomy?
Patients will lead normal lives after the operation. No more dietary restrictions! Long-term follow-up is not required.

Dr Milton Lum – is a member of the board of Medical Defence Malaysia. This article is not intended to replace, dictate or define evaluation by a qualified doctor. The views expressed do not represent that of any organisation the writer is associated with.

Disclaimer: Nothing on this blog should be considered or used as a substitute for medical advice, diagnosis or treatment. Blog visitors with personal health or medical questions should consult their health care provider.

Hand Surgery Centre, Kuala Lumpur Malaysia

Who We Are?

Hand CentreOur hand centre is a state-of-the-art facility conveniently located in Alpha Specialist Centre, Kota Damansara, Petaling Jaya, providing all forms of treatment and evaluation of the hand, wrist and upper extremity. Our values of compassion and concern for your particular needs are complemented by the professional expertise of our highly-skilled, board certified orthopedic surgeon. At Alpha Hand Surgery Centre, we know your hands are your livelihood and that’s the reason why we take particular care in providing the best, thorough treatment that will allow you to recover as quickly and confidently as possible.

Our Services

  • Comprehensive hand care

We are dedicated to provide comprehensive care for all conditions related to hand and upper extremity. Our hand team is made up of fellowship-trained doctor, operating theatre and clinic nurses, certified physiotherapist with extensive knowledge and experience in hand reconstructive surgery, microsurgery, congenital hand problem, and upper limb prosthesis.

  • Ambulatory day care surgery

Our operating theatre is fully equipped to handle any complex hand cases under local anaesthesia, regional or general anaesthesia. Most of the hand surgery does not require an overnight hospital stay, therefore patients may go home after the procedure.

  • In clinic fluoroscopy

This is a low radiation X-ray machine which allows imaging of the hand and upper extremity in the fastest and convenient way.

  • Doctor-assisted hand therapy

The essential aspect of hand care involves guided rehabilitation of hand patients and the usage of specific splints for quicker recovery. Our hand surgeon will personally takes care of the rehabilitation of their patients and you will be referred to therapists when needed.

  • Dedicated occupational therapist

An experienced occupational therapist who has more than 30 years of clinical experience, including having a comprehensive knowledge of advanced clinical skills and theory in upper limb rehabilitation.

Why Hand Surgery?


Hand surgery is the field of medicine that deals with problems of the hand, wrist, and forearm. Hand surgeons are specially trained to take care of these problems with or without surgery.
Why visit a hand surgeon?
If you have problem in your fingers, hand or wrist, or have any other upper extremity related concerns, you may want to consult a hand surgeon. Because hand surgeons are specialists in hand care, they are very meticulous in examining, diagnosing and treating any condition of the hand.
Not every visit to a hand surgeon results in hand surgery.
Hand surgeons often recommend conservative treatment options, including hand therapy, a combination of physical and occupational therapy to reduce or eliminate pain and restore movement of the hand. If non surgical treatment fails, only surgery is advocated.

Conditions We Treat


Carpal Tunnel Syndrome

Carpal tunnel syndrome is a disorder of the hand caused by pressure of the nerve that run through the wrist. Symptoms include numbness, pins and needles, and pain around the fingers. These sensations are often more pronounced at night and can awaken people from sleep.

Chronic carpal tunnel syndrome can also lead to wasting (atrophy) of the hand muscles and frequent dropping of objects from the hand due to reduced in grip strength.

Trigger Finger

Trigger finger, trigger thumb, or trigger digit  is a common disorder characterized by catching, snapping or locking of the involved finger, associated with pain. Stiffness and catching tend to be worse after inactivity, such as when you wake in the morning.

De Quervain Tenosynovitis 

De Quervain’s disease is a painful inflammation of tendons in the thumb that extend the wrist.The typical symptom is pain over your wrist at the base of your thumb that is made worse by activity and relieved by rest. It is commonly seen in women carrying their babies after delivery and repetitive activities requiring movement of the wrist while gripping the thumb (eg. Hammering, assembly line jobs).

Ganglion cyst

A ganglion cyst is a fluid-filled swelling that develops near a joint or a tendon. The cyst can range from the size of a pea to the size of a golf ball. It is most frequently located around the wrist and on the fingers.

Hand arthritis

The wear-and-tear process can affect most joints in the body, including the hand and wrist. Osteoarthritis normally causes no symptoms in many patients. However, some patients may experience symptoms like local pain, stiffness, tenderness, and occasionally swelling in the affected joints.

Hand fractures

Fractures of the hand can occur in either the small bones of the fingers (phalanges) or the long bones (metacarpals). They can result from a direct injury, a fall, a crush injury, work injury or during sports. Careful diagnosis and early treatment is important to avoid pain, deformity or finger growth disturbance especially in growing child.


Nerve or Vascular Injuries

Nerves and blood vessels of the hand and fingers usually are quite delicate and some are really small. Optimal repair of injuries often requires the microsurgical expertise of a hand surgeon.

Sports Hand Injuries

There are a variety of common sports injuries of the hand and wrist. These include mallet finger, skier thumb, golfer elbow, tennis elbow, wrist sprain and tendinitis.

 For more information, please visit www.alphahandcentre.com or call us at 03 6141 8533 for appointment. 

Cushing Syndrome


我看着她圆圆肉团一般的脸,尽量放缓:这是<库欣综合症>,Cushing Syndrome。。。





















为。。因为。。我笑了笑:“an apple a day, keep the doctor away

如果您对以上的状况有任何疑问请咨询我们的手术专科医生, Dr. Chong Shun Siang. 请拨电 03-6141 8533 以做预约。