dr franicis seow choen | Grace Gawler Media

How Surgeons can Help you Navigate the Colorectal Cancer Maze | Dr Francis Seow Choen with Grace Gawler

Dr Francis Seow Choen is himself a medical miracle. As a 7 year old he recovered from major surgery for a cancer in his small intestine after facing a horrendous 6 months of radiation treatment and chemotherapy back in 1964 when treatments were harsh. He survived! Dr. Seow-Choen graduated from the National University of Singapore in 1981 & obtained his higher surgical qualifications in 1987. He sub-specialised in colorectal surgery in 1989 where he worked with the world-class surgeons of St Marks’ Hospital in London. He is a remarkable CR surgeon.

Part 2 – How Surgeons can Help you Navigate the Colorectal Cancer Maze

Dr Francis Seow Choen MBBS (Spore), FRCS (Edin), FAMS

Dr Francis Seow Choen Fortis Surgical Hospital Singapore

Dr Francis Seow Choen is himself a medical miracle. As a 7 year old he recovered from major surgery for a cancer in his small intestine after facing a horrendous 6 months of radiation treatment and chemotherapy back in 1964 when treatments were harsh. He survived! Interview CLICK HERE

Dr. Seow-Choen graduated from the National University of Singapore in 1981 & obtained his higher surgical qualifications in 1987. He sub-specialised in colorectal surgery in 1989 where he worked with the world-class surgeons of St Marks’ Hospital in London. He is a remarkable CR surgeon.

I have interviewed Dr Francis Seow Choen previously on my internet radio show Navigating the Cancer Maze at Voice America. This time however, we touch on more details about the surgical techniques available for anyone dealing with colorectal cancer today.

As well, speaking as CR surgeon and recovered patient; he had a powerful message to cancer patients. Listen to this short excerpt from his interview: Select the icon below right to hear Dr Seow Choen’s message.

A personal message to cancer patients from Dr Francis Seow Choen

I have tremendous respect for the art and science of surgery. My own introduction to surgery came when I was 15 years of age. I began working in a veterinary clinic after school, then during holidays and for while as permanent staff. I was fortunate that the owner took me on as an apprentice as he knew my passion was to become a veterinarian. So, not only did I learn “hands-on” surgery at an early age – I also was involved in co-performing post postmortems on animals which has served as a treasured learning field for understanding anatomy, physiology and pathology – many older dogs and cats who succumbed to an advanced and previously undiagnosed cancer that became a postmortem exercise; allowed me to see a wide range of cancers in vivo.

On the other hand, I was also impressed in how quickly animals responded to surgery for cancer and that for a high percentage of our animal clients – of those caught early in diagnosis; few had a recurrence. There were also cases where enormous tumour loads were surgically removed, and the dog lived a long life afterwards! It was here that I developed a tremendous respect for surgical skills and the associated healing potential and regenerative powers that along with our animal friends, we all possess. However, surgery has come a long way since those days when robotic surgery entered the arena a few years ago.

You will find today’s interview with Dr Seow Choen informative, especially regarding the techniques using the new DaVinci Robotic surgery technology. You can read more about this technique as well as listening to the interview with Dr Seow Choen at: http://www.voiceamerica.com/episode/80875/how-surgeons-can-help-you-navigate-the-colorectal-cancer-maze-part-2

Singapore Fortis surgical Hospital da-Vinci-Robotic-Surgery equipment

Dr. Seow-Choen helped establish the first colorectal surgery department in Asia at Singapore General Hospital (SGH) and is considered a leader in the development in CR surgery and approaches to treatment.

In this interview with Dr Seow Choen he also comments on diet and nutrition for cancer patients from the viewpoint of an experienced CR surgeon.

You may be surprised what he says……

In the last segment of today’s show, I provide an overview on treatments available for CR cancer in 2014. A not to be missed show!

Resources:

Contact: www.fortissurgicalhospital.com to learn more…..

Or visit Dr Seow Choen’s website:

http://www.colorectalcentre.com/eng/index.html

Don’t miss reading the informative medical media articles at……….

http://www.colorectalcentre.com/eng/media_articles.html

If you missed last weeks interview with Dr Seow Choen’s colleague Dr Lim Jit Fong –

CLICK HERE TO LISTEN

Remember all interviews on Navigating the Cancer Maze are free to air (on live streaming and available from the archives anytime) and can be downloaded for free on itunes.

The show is not copyright and is available to distribute in the interest of cancer education and public awareness.

The show is available globally and is sponsored by donations to the Grace Gawler Institute a registered NFP Health Promotion Charity with DGR status based in Australia with a global outreach.

How Surgeons Can Help You Navigate the Colorectal Treatment Maze| with Grace Gawler

Discussion around Pelvic floor dysfunction and its consequences has suffered from the elephant in the living room syndrome for far too long. Today’s interviews with Dr Lim Jit Fong and Dr Francis Seow Choen on Naviagting the Cancer Maze, have a broader reach to anyone interested in their healthcare.

How Surgeons Can Help You Navigate the Colorectal Treatment Maze

Discussion around Pelvic floor dysfunction and its consequences has suffered from the elephant in the living room syndrome for far too long.

Today’s interviews with Dr Lim Jit Fong and Dr Francis Seow Choen have broader reach to anyone interested in their healthcare. In the last session of the show you will hear part of an interview with Dr Seow Choen. The rest of this highly informative interview will be featured in next weeks show….Don’t miss it!

We all have a pelvic floor and when something goes awry with it – it can create horrendous physical suffering, social isolation and psychological trauma. You won’t hear this discussed very often because it is an area that suffers from the stigma of Silence! We tend to only think about pelvic floor issues in women – but men can have just as many issues with their pelvic floor. Yes – I can’t say it too many times – I have a mission to break the silence that surrounds pelvic floor issues. If my problems had early intervention, my life would have been very different. So I figure we should all use what we have been given in life as teaching stories to educate and help others to access good information and therefore make informed choices to improve health and life!

The interviews you will hear on navigating the cancer maze radio today were recorded live in Singapore whilst here for surgical procedure # 22! The majority of those surgeries were performed prior to my undergoing interstim treatment; first in the Netherlands with Dr Rudd Schouten and pelvic floor specialist Marijke Sleiker ten Hove – this was in 2002, 2003. I was the “first” at that time for Medtronic interstim to work for my condition. It was verified that innervation to my rectum had been grossly disturbed during a routine surgery in 1997, making bowel function impossible; faecal impaction followed and colon was removed whilst the cause – nerve damage; remained.

Although the surgeons who performed procedures saved my life several times; for which I am grateful, I remained frustrated because the caused was continually bypassed and my issue became shrouded in Silence. I began to to study sacral nerve function and the pelvic floor. I was told it was impossible that any form of restoration existed! The longer my problem existed the worse it got so by the time I found a possible solution with interstim; I had a lot of internal and external damage, hernias from “bags”, burns from ileostomies, further proplapses in my already damaged pelvic floor. Life quality became far too compromised Now 2 devices replaced – one in 2009 and now another in 2014 – both performed in Singapore with the surgeons I interview today. Guess what – the procedure is till off label around the world for my condition!! It is available but you need to find those skilled in this area and you need to pay for it. – no insurance. But what is a life worth I keep asking myself? In Singapore I felt understood and listened to as I had been in with my first Dutch Surgeons – when my procedure was purely an experiment. Now, to Singapore……

Dr. Lim is very passionate about improving the quality of his patients’ care. In caring for his patients, Dr. Lim has always maintained a steadfast principle, “Make decisions for your patients as if they are your loved ones. If your decision is not good enough for your loved one, it is not good enough for your patient.” For his dedication toward patient care, he has received numerous awards for excellence in patient care through the years. When I read this I knew I was in the right hands.

Medtronic's interstim snm device — Medtronic’s interstim snm device

“Improving patient care is not from the service aspect alone but also involves improving the quality of care through research and educating a new generation of doctors” says Dr Lim. Dr. Lim has authored numerous scientific research articles in various colorectal surgery topics and these have been published in various peer-reviewed medical journals worldwide.

CLICK HERE To read more about Dr Lim Jit Fong

CLICK HERE To read more about Dr Francis Seow Choen

For more information about procedures for incontinence for bladder and bowel or to inquire about any colon issues including constipation and feacle obstructive syndromes: Please inquire via the contact page at http://www.fortissurgicalhospital.com

Next week on Navigating the Cancer Maze – more from Dr Francis Seow Choen

Listen to audio interview at:
http://www.voiceamerica.com/episode/80808/how-surgeons-can-help-you-navigate-the-colorectal-treatment-maze

Navigating the Cancer Maze with Dr Francis Seow Choen| Exploring InterStim TM Therapy Singapore

If you heard the the interview with Dr Francis Seow Choen on Navigating the Cancer Maze last week – you may remember him mentioning some of the special surgical & technological techniques practiced at the Fortis Surgical Hospital Singapore. One of those therapies is InterStimTM Therapy also know as sacro neuro-modulation. This is the technique I successfully underwent in Holland in 2002-03 which was a world first for my condition.

Part 2 Interview with Dr Francis Seow Choen: Exploring InterStim TM Therapy
Resource: Colorectal solutions – not only for cancer patients!

One of Modern Technological Miracle treatments – yet no one is quite sure exactly why/how it works. But without InterStimTM Therapy – I would not be here writing this blog ! More patients need to know about this technique as it can be a solution for urinary and faecal incontinence as well as chronic constipation. Many of these issues can be caused by disturbance or damage to the pelvic nerve pathways.

If you heard the the interview with Dr Francis Seow Choen on Navigating the Cancer Maze last week – you may remember him mentioning some of the special surgical & technological techniques practiced at the Fortis Surgical Hospital Singapore. One of those therapies is InterStimTM Therapy also know as sacro neuro-modulation. This is the technique I successfully underwent in Holland in 2002-03 which was a world first for my condition.

After successful interstim replacement Singapore 2009 Grace, Pip and Dr Seow Choen

There are all kinds of reasons why the nerve supply to the anus and rectum can be disturbed. In my case it was a sudden and unexpected post surgical complication after a hysterectomy for a simple prolapse repair. When this nerve disturbance occurs, one can’t perform the natural daily function of defecation – it changes life substantially!! Having had 5 feet of damaged colon removed and 5 feet of small intestine removed – caused by impaction, As Dr Seow Choen discussed on the show, the solution for most patients is to have a surgery that makes an anus on the abdomen ( called a stoma) – where a bag is attached to collect faeces. ( This can either be an ileostomy or colostomy). For some patients this can be a solution – but for many others like myself – it can mean a deterioration of life quality, painful burns on the abdomen, herniation of the stoma area and in the case of ileostomies – the socially embarrassing issues of leaking or exploding bags! Being the first patient for InterStimTM Therapy – the surgery was extensive and invasive…but no complaints – it gave me my life back! Now 11 years later the procedure is simplified and the devices are smaller. I have had 2 devices so far and will have a replacement sometime in the next 6 months. (Because for me the battery expires as the devices needs to run on a relatively high voltage constantly) Not the case for everyone. More information – contact http://www.fortissurgicalhospital.com/our-services/interstim-therapy

What is InterStimTM therapy?

InterStimTM Therapy is an innovative treatment option for urinary and fecal incontinence. It is also used to treat constipation. InterStimTM therapy uses mild electrical impulses to stimulate sacral nerves and thereby restore the function of the bladder, bowel and external urinal and anal sphincter pathways.

This is known as sacral neuromodulation (SNM) or sacral nerve stimulation (SNS) and is a long lasting, reversible treatment that can be used effectively to treat selected patients with bladder and/or bowel dysfunction.

How does InterStimTM work?

Interstim fortiscolo rectal hospital Prof Seow Choen — InterstimTM

Low-intensity electrical impulses are generated by an implantable neurostimulator INS, and delivered via a conducting electrode to one of the sacral nerves.

Treatment with InterStimTM Therapy

Patients likely to respond to treatment are selected through test stimulation. Following successful testing, (>50% improvement in symptoms) patients are recommended for permanent implant.

The test stimulation takes place over several days. A thin flexible wire is inserted, under local anaesthetic, close the sacral nerves. This is taped to the skin and connected to a small external stimulator worn on the waistband.

Following a successful trial a permanent implant can be fitted, also under local anaesthetic, in the upper buttock. Once in place the neurostimulator is activated, sending mild electrical pulses to the sacral nerve. This can be adjusted for each patient, initially by the doctor, but also by the patient using a programmer (similar to a remote control).

Why was InterStimTM Therapy developed?

Treatment options in both urinary and faecal incontinence are recognized as limited, with many patients unable to achieve good symptom control with pharmacological interventions alone.

Patients’ lives are severely affected, with frequent reporting of depression, low self-esteem and restricted daily activities.

What are the patient benefits?

Sacral neuromodulation (SNM) is a long-term treatment for patients with either urinary or faecal incontinence, and for those with double incontinence.

After more than five years of follow-up nearly 75% of patients with fecal incontinence maintained at least a 50% improvement.¹
Its benefit is not limited to improvement in symptoms; quality of life (QoL) also increases significantly.
Its efficacy has been demonstrated in both single and multicentre prospective studies.¹

Experts recognize its wide range of applications, its potential as a minimally invasive technique with a very low risk of complications,2 and as a cost-effective treatment option.^3-5

INTEGRATED AND COMPREHENSIVE THERAPY

At Fortis Surgical Hospital, we offer an integrated programme with the complete spectrum of treatments required for our patients.

WHO IS SUITABLE FOR INTERSTIM TM THERAPY?

This therapy is an option for patients who have not had success with, or could not tolerate more conservative treatments such as oral medication, physical therapy and diet modification. All patients will have to undergo the trial assessment to confirm their suitability.

SOURCE: http://www.fortissurgicalhospital.com/our-services/interstim-therapy
Reference: incontinence. Br J Surg. 2006 Nov;93(11):1411-7

Listen to Dr Francis Seow Choen on Navigating the Cancer Maze – Voice America.

http://www.voiceamerica.com/episode/75467/navigating-the-cancer-maze-with-professor-francis-seow-choen-the-journey-from-cancer-patient-to