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3- Metabolic Clinic
A short glimpse:
Toward the end of the year
1999, it became apparent that an increasing number of patients with
inborn errors of metabolism were already following up in the Sunday clinic of
general Ward 2, and had been for years, under the care of Dr Dina G
Ramadan. These patients were cases either diagnosed in the ward/hospital or
referred from other hospitals.
With the growing numbers of
referrals of children with metabolic disorders, it was decided that a separate
clinic serving these patients was needed and, hence, the establishment of the
'Metabolic Clinic' as a division of the Endocrine Unit.
Patients are referred
either for evaluation of a probable metabolic disorder or for follow-up and
further management after being diagnosed with an inborn error of metabolism.
Currently, the number of files in the clinic exceeds 130 files, with a growing
number of about 8 new patients per month.
The Metabolic Clinic:
1. Run by: Dr Dina G Ramadan , Dr. Ibrahim EL Sharkawy
2. Clinic Day: Monday
3. Time: from 8 am till 12 noon.
New patients come at 8am. Those coming for
follow-up are asked not to arrive later than 11:30 to allow time for possible
lab testing and to visit the dietitian.
4. Total accepted new cases: max 3 per day (by appointment)
5. Total follow-up: max 10 patients per follow-up day (per
appointment).
·
Referrals are accepted from hospitals all over
Kuwait, preferably after a phone call. All patients must come with a
referring letter and a summary report.
Patient Admission:
-
Patients who are under follow-up and who are ill, have access to their
treating doctor any day and to Ward 2 doctors (morning time) and Sabah
Hospital Emergency Department at any time.
-
Admission of metabolic patients is to Ward 2
Important Key Personnel:
The care of patients with metabolic problems in Sabah
Hospital would never have been successful without the teamwork of the following
key persons:
1. Dr Dina G. Ramadan, Consultant Pediatrician.
(Endocrine Unit and Ward 2).2. Dr. Ibrahim EL Sharkawy , paed. specialist
3- Metabolic
Clinic nurses: Sister Enaam, Sister Zainab and Sister Fatma who are
experienced with properly performing the various metabolic tests and sample
collection.
3.
Dietitians: particularly Mrs Kulwant.
4. Ward 2 staff,
particularly Dr Amira. Dr Hassan and Ward 2 nurses who have gained experience in managing the
patients during their acute illness.
We appreciate the support of:
Pediatric Intensive
Care Unit (PICU)
Biochemistry and
Hormone lab (Dr Rao and Dr Girish)
Tel : -- 4812000 - -ext -- 6107
psychiatric
Clinic
Dr / Maghrabi Moh. Maghrabi
Diploma in Medicine. Diploma in Psychatry ( U.K) .
Dr /Maghrabi attends our hospital from Psychatric Hospital .
Cases seen in the clinic are :
-
Nocturnal enuresis.
-
Encopresis .
-
ADHD .
-
Autism
-
Conduct Disorders
-
Sleep Disorders
-
Feeding Disorders
-
Conversion and Dissociative Disorders
-
Depressive Disorders
-
Psychotic Disorders
-
Speech Disorders
Tel : 4815000 – ext 6104 .
7-Genetic Clinic
:
The Genetic Clinic at Sabah Ped Hospital started at 1978. It is run on Sunday
by Senior Registrar in clinical genetics. It covers areas belonging to Sabah and
Mubarak hospitals areas. It covers all genetic cases including mental
retardation
, dysmorphic features as part of a syndrome, short stature, congenital
malformations , familial deafness and blindness, childhood autism , premarital
counseling , gynecological cases like repeated pregnancy loss ( abortions ) ,
fetal deaths and infertility . It also includes familial hematological disorders
and
familial cancer particularly breast cancer and leukemia.
Facilities for investigations available :
1- Chromosomal study (karyotype) .
2- Molecular cytogenetic study ( FISH technique) :-
- Detailed study for chromosomal anomalies.
- Prader - Willi syndrome.
- Angelman syndrome .
- Di George syndrome .
- William syndrome.
3- Molecular lab ( DNA analysis ) :
- Fragile X syndrome .
- Spinal Muscular Atrophy .
- Metachromatic leukodystrophy .
- Prader - Willi / Angelman syndrome .
- Myotonic dystrophy.
- Huntington chorea.
- Phenyl ketonuria .
- Batten disease .
- Kennedy disease .
- Autosomal recessive sensor neural hearing loss .
- Chloride loosing diarrhea . ( CLD)
- Testicular feminization syndrome .
- Sex determination.
- Noorie disease .
- Breast cancer .
- Von Hipple Lindo disease ( VHL ) .
- Retinoblastoma .
- Non - Polyposis colon cancer
Average numbers seen / month - 24 patients
Tel : -- 6222
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