My brother’s daughter who is 13 years old and recently diagnosed as having alveolar rhabdomyosarcoma in erector spinae muscle, non metastatic . Which is the best hospital in Singapore for this condition and who are the best paediatric onco surgeons ...
Your sleep pattern suggests a common phenomenon known as "social jet lag," where there is a discrepancy between your biological clock and your social schedule. This often occurs when individuals maintain different sleep schedules on weekdays compared to weekends, leading to a misalignment of the cirRead more
Your sleep pattern suggests a common phenomenon known as “social jet lag,” where there is a discrepancy between your biological clock and your social schedule. This often occurs when individuals maintain different sleep schedules on weekdays compared to weekends, leading to a misalignment of the circadian rhythm.
Possible Reasons for Feeling More Tired on Weekends:
1. Circadian Rhythm Disruption:
– Your body has a natural circadian rhythm that regulates sleep-wake cycles. By altering your sleep schedule on weekends, you may be disrupting this rhythm, leading to feelings of fatigue.
2. Sleep Debt Accumulation:
– During the weekdays, you might be accumulating sleep debt by not getting enough sleep (6 hours per night), which can lead to increased tiredness by the weekend.
3. Sleep Inertia:
– Waking up later on weekends can lead to sleep inertia, a state of grogginess and reduced alertness that occurs after waking from a longer sleep period.
4. Inconsistent Sleep Schedule:
– The inconsistency in your sleep schedule can confuse your internal clock, making it harder for your body to know when to feel alert and when to feel sleepy.
Recommendations to Improve Your Sleep Schedule:
1. Consistent Sleep Schedule:
– Try to maintain a consistent sleep and wake time throughout the week, including weekends. This helps regulate your body’s clock and could improve the quality of your sleep.
2. Gradual Adjustments:
– If a consistent schedule is challenging, gradually adjust your weekend wake-up time closer to your weekday schedule to minimize the circadian disruption.
3. Sleep Hygiene:
– Ensure your sleep environment is conducive to rest. This includes a comfortable mattress, a dark and quiet room, and avoiding screens before bedtime.
4. Daytime Activities:
– Engage in regular physical activity and get exposure to natural light during the day to help regulate your circadian rhythm.
5. Limit Naps:
– If you nap during the day, keep it short (20-30 minutes) and avoid napping late in the afternoon to prevent interference with nighttime sleep.
6. Evaluate Sleep Quality:
– If you continue to feel tired despite these changes, consider evaluating your sleep quality and consulting a healthcare professional to rule out sleep disorders.
By aligning your sleep schedule more closely with your natural circadian rhythm and maintaining consistency, you may find an improvement in your energy levels and overall sleep quality.
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In Singapore, paediatric cancer care is highly specialized and centralized in hospitals with dedicated paediatric oncology departments. Here are some of the leading hospitals and resources available for treating rhabdomyosarcoma: Hospitals Specializing in Pediatric Oncology: 1. KK Women's and ChildrRead more
In Singapore, paediatric cancer care is highly specialized and centralized in hospitals with dedicated paediatric oncology departments. Here are some of the leading hospitals and resources available for treating rhabdomyosarcoma:
Hospitals Specializing in Pediatric Oncology:
1. KK Women’s and Children’s Hospital (KKH)
– KKH is the largest medical facility in Singapore focusing on women’s and children’s healthcare. It has a comprehensive Paediatric Oncology Service that provides specialized care for various cancers, including rhabdomyosarcoma.
2. National University Hospital (NUH)
– NUH houses the National University Cancer Institute, Singapore (NCIS), providing a multidisciplinary approach to children’s oncology, with a team of specialists experienced in sarcoma management.
3. Mount Elizabeth Hospital
– Although a private institution, Mount Elizabeth has a reputation for housing some of the leading surgeons and specialists in various medical fields, including oncology.
Best Pediatric Onco-Surgeons:
While individual surgeons’ names and their reputations might change, at these institutions, you can find teams known for their expertise in paediatric oncology. You may wish to consider the following approach to identify the best surgeon for your niece:
– Consult with the hospital’s paediatric oncology department to get recommendations on leading onco-surgeons experienced in rhabdomyosarcoma.
– Meet the multidisciplinary team (MDT) who will likely involve paediatric oncologists, surgeons, and radiation oncologists working together on the case.
For the latest information regarding specific surgeons, contacting the hospitals directly or visiting their official websites for details on their practitioners could be beneficial.
General Considerations:
– For a rare condition like rhabdomyosarcoma, a multidisciplinary approach involving surgery, chemotherapy, and possibly radiotherapy is essential. Choosing a hospital with a strong support system for follow-up care such as rehabilitation, psychological support, and nutrition services can also be influential in the treatment journey.
Reminder:
It is vital to ensure that your niece’s case is discussed by paediatric oncologists who can tailor the treatment plan to her specific needs, considering factors such as age, subtype, and tumour location. Ensure to consult with healthcare professionals for personalized advice.
Please note that while healthcare resources are constantly being updated, the aforementioned information provides a starting point for identifying specialties in Singapore.
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