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.

Dr Lim Jit Fong
Dr Lim Jit Fong

  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

Dr Francis Seow Choen Fortis Surgical Hospital Singapore
Dr Francis Seow Choen Fortis Surgical Hospital Singapore

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 QIMR berhofer QldListen 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
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

Navigating the Cancer Maze with Professor Francis Seow Choen|The Journey from Cancer Patient to Famous Colorectal Surgeon

Dr Francis Seow Choen is a medical miracle – he recovered from major surgery for a cancer in his small intestine; and as a 7 year old and faced a horrendous 6 months of radiation treatment and chemotherapy way back in 1964 when treatments were very harsh. A survivor and now world famous colorectal surgeon he breaks a lot of myths that surround colorectal cancer. In his life and Practice he is a seeker of truth for the public well-being when it comes to cancer and cancer prevention and cure claims.


Navigating the Cancer Maze with Professor Francis Seow Choen / The Journey from Cancer Patient to Famous Colorectal Surgeon…Part 1.

PROFESSOR FRANCIS SEOW CHOEN“Surgery is not just science. Surgery is an art. One can learn about science from courses, conferences and books. In art, one has to have talent first and then seek out a master who can bring that skill to perfection.”    Prof Seow-Choen

Dr Francis Seow Choen is a medical miracle – he recovered from major surgery for a cancer in his small intestine; and as a 7 year old and faced a horrendous 6 months of radiation treatment and chemotherapy way back in 1964 when treatments were very harsh. A survivor and now world famous colorectal surgeon he breaks a lot of myths that surround colorectal cancer. In his life and Practice he is a seeker of truth for the public well-being when it comes to cancer and cancer prevention and cure claims.

Although he is well published in Singapore as a social commentator on colorectal cancer prevention and treatments – it must be said that he has not used his cancer survival as a way of attracting followers – but rather, he has taken the scientific method path of research and a rigorous approach to best techniques for each individual patient.  VISIT:   http://www.fortissurgicalhospital.com

His views on lifestyle, in particular diet as a cancer prevention may surprise you – however after 40 years experience and as someone involved in lifestyle medicine in the early days of its promotion; I agree. Many of the patients I see as vegetarians, vegans, raw foodists and what I would call ‘healthy eaters’ who don’t smoke  and who are “tea-totallers” seem to get cancer at the same rate as everyone else. These patients often feel betrayed by lifestyle medicine that promised them a healthy disease-free life. This is complex – but Dr Seow Choen gives his views from a very experienced background. He believes that the key to working against  cancer is found in genetics and molecular studies. Dr Seow Choen is an avid educator in the field of colorectal diseases. He says right and truthful information, early diagnosis, right treatment, good support and the right doctor are keys to survival.

Below see eCard information from Navigating the Cancer Maze: To Listen to this inspiring and informative interview – select the link below

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

Today my special guest on Navigating the Cancer Maze is Dr Francis Seow-Choen from Singapore. As a little boy he became medically famous when diagnosed with Burkitt’s lymphoma; the first recorded case in Singapore. After diagnosis & an arduous 6 months that included surgery, chemotherapy and radiation treatment; he survived! He was just 7 years old.

Today, Dr Francis Seow-Choen is Medical Director and Senior Consultant at Fortis Colorectal Hospital in Singapore. He is an internationally recognised colorectal surgeon and had previously held posts as the Head and Senior Consultant – Department of Colorectal Surgery, Singapore General Hospital, Director of the Endoscopy Centre and Director of Surgical Oncology at the National Cancer Centre (see Guest profile). The professor is an ardent entomologist, husband, father and above all he is a surgeon & survivor who beat the odds and inspires others through his life and vocation.

Links and resources:

PHYSICIANS & GP’S:    The e-book for physicians and GP’s is titled Handbook on Colorectal Diseases, composed by the hospital’s Senior Consultants and invited writers, focuses on three key areas, namely:

  • The diagnosis and management of colorectal diseases in an outpatient context
  • Pathology and surgical procedures to enable appropriate counseling of patients
  • Relevant information to help Family Physicians make decisions on when to refer patients for further treatment

The e-book is now available for download on both iBooks and iTunes, in 51 territories including United States, Canada, United Kingdom, and Australia. Follow the link below to get a copy of the e-book today:
https://itunes.apple.com/us/book/handbook-on-colorectal-diseases/id677667082?mt=11

CONTACT: Fortis Colorectal  hospital Singapore website :     http://www.fortissurgicalhospital.com
Difficult cases and international patients accepted.

Learn and read more about Dr Francis Seow Choen:

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

Article on eating and fibre intake: Dr Francis Seow Choen:

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

http://www.sgh.com.sg/about-us/newsroom/News-Articles-Reports/Pages/HowbadisyourconstipationCheckyourstool.aspx

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

Background – Guest Page: Voice America Heath & Wellness Channel

http://www.voiceamerica.com/guest/19613/dr-francis-seow-choen

Navigating the Cancer Maze is presented each week as a free service to the global cancer community by the Grace Gawler Institute and anyone interested in the Truth in Medicine and Health. www.gracegawlerinstitute.com