A Better Way to Deliver Targeted Cancer Treatment – From MGHCC to JIH

    Cancer treatment is steadily becoming more precise by targeting cancer and avoiding healthy tissue. Stereotactic body radiation (SBRT) accomplishes this by directing multiple, thin radiation beams of varying intensities at a tumor, where they overlap and destroy cells. Patients at the Mass General Cancer Center at Emerson Hospital, Bethke, are already benefitting from the treatment. With the help of John McGrath, MD - Mass General Cancer Center's Medical Director of Radiation Oncology - cancer patients at Jiahui International Hospital may also soon be able to receive this innovative treatment.It began as stereotactic radiosurgery - a way to treat brain tumors - and has found an expanding role in the treatment of other types of cancer. “We started treating lung cancer patients with SBRT earlier this year,” says Dr. McGrath, “SBRT is particularly effective for individuals who have small tumors, cannot have surgery - for example, because of poor lung function - or wish to avoid surgery.”SBRT may be suggested when lung cancer has metastasized - that is, traveled to other sites in the body. A study published in 2016 showed that patients with three or fewer lung metastases who received SBRT had better post-treatment survival than those who received standard treatment.“Patients are pleased when we tell them that SBRT requires only four or five treatments,” says Dr. McGrath. This is much easier than coming for the 30 or so treatments needed to deliver an effective dose with standard radiation therapy.The pre-treatment planning session is essentially the same, but behind the scenes, radiation oncology staff spend additional time on the highly customized, precision planning that SBRT requires. When it comes to treating cancer in the chest, that includes performing 4D CT scanning. “The fourth dimension is the patient’s breathing,” Dr. McGrath explains. “This is especially important when cancer is located in the lower part of the lung - close to the heart - because breathing can cause someone to move quite a bit.”Before the first patient was treated with SBRT, Emerson’s physics team made sure the cancer center’s linear accelerator, which provides radiation therapy, was ready. “This included measuring the beam itself,” says Dr. McGrath. “We are all aware that, with SBRT, we are providing powerful treatment to a very small area. In planning a patient’s treatment, we draw a precise target volume that takes their breathing into account.”Clinical research has shown that SBRT is effective in treating a number of other types of cancer. “We plan to expand the use of SBRT to treat individuals with cancers that have spread to the liver and bone,” says Dr. McGrath.Dr. McGrath brings his expertise to JiahuiThe strategic collaboration between Mass General Hospital Cancer Center and Jiahui International Hospital (JIH) brought Dr. McGrath to Shanghai for two recent trips. “I was asked to go to JIH to evaluate their radiation oncology program,” he explains. “They wanted help in running it similarly to ours,” As a generalist, in contrast to the subspecialists at the Mass General Cancer Center, Dr. McGrath has the right expertise for the needs of JIH.During the first trip, Dr. McGrath conducted several mock consultations with patients so that the radiation oncologists could observe. “They are especially interested in how we treat our patients - that is, how we interact with patients and the process we follow,” says Dr. McGrath.He returned to JIH in January, when his radiation oncology colleagues were ready to see their first actual patients. “I helped them develop the simulation plans for treating two different patients, which included determining the required radiation dosage,” he says.Dr. McGrath continues to participate in weekly conference calls in order to discuss new patients with the staff at JIH. “I will continue to review their radiation oncology plans for new patients” he explains. Most of the staff at JIH speak English.“Their goal is to create what we have here in the U.S. and meet very high quality requirements. Fortunately, their linear accelerator is similar to ours at Emerson. At some point, I may help introduce them to SBRT.”In the meantime, Dr. McGrath finds the work to be rewarding. “They’re very appreciative,” he says.Original source: HealthWorks Magazine

    Jiahui Physicians Share Some Inspiring Words for Doctors Day

    It takes hours beyond measure and a lifetime of personal sacrifice to be a world-class doctor. Our physicians continually make the biggest sacrifices of all in their commitment to their patients, putting aside family time, anniversaries, birthdays, vacations, and weekends for the job. At Jiahui Health, we believe that great healthcare is about great people. That's why we want to mark this week's Doctor's Day by drawing attention to our doctors' inspiring dedication. They are more than just doctors, they are real-life superheroes.What drives our physicians to commit their lives to improving the lives of others? What makes Jiahui a special place to practice medicine? In their own words, our doctors share what inspires them to give their all:My mother is a nurse. She said, "you know, when you become a doctor, you have to remember that your time is not yours again. Patients want to see you, see your face, even just for a few minutes." I actually had a patient who said to me, "I will bring my kids in, and I want you to tell them that I'm gonna be OK." I think that's just so rewarding. Patients trust you so much, and that trust is really the most precious thing. - Ching Ho, MD, PhD - Chief of Breast Health, Co-director of Women's HealthJiahui is a special place in many ways. I feel its core values of Care, Quality, and Impact and its patients-first attitude everywhere. Jiahui allows me to be unencumbered by long-held traditions which are now obsolete and no longer best practice. There is no other place where we can start afresh and lead the way in providing modern healthcare to an entire population on such a magnificent scale. - Alexander Lin, MD - Chief of Obstetrics and Gynecology, Director of Women's Health We have four adopted children from China, so they have medical needs. We've spent a lot of time in hospitals here in China as well as in the US. So you learn to appreciate doctors and nurses that take the time with you and explain things. To me, it's rewarding and encourages me to continue doing the job when you can see patients at ease, make them comfortable, and complete the procedure successfully.- Ronald Beaudreau, MD, FACEP - Chief of Emergency Medicine   Most of the time, it is very difficult to change an established culture and improve the practice. Here at Jiahui, we all share the ambition to reach the very best in practice and care. We all have the years of experience and medical expertise to build up that culture. This is a real opportunity to accomplish our task.- Hilmi Omer Ayanoglu, MD - Chief of Anesthesiology   In the movies, doctors are depicted saving lives, and that's one of the things that first drove me to pursue a medical career. But in reality, being a doctor is more about making a difference in the day-to-day lives of patients. As a pediatrician, I'm involved with a patient's life from early on. Working with children is a constant source of inspiration to me; I'm able to not only look out for their physical wellbeing, but help them develop and achieve their full potential too.- William Yu, MD, PhD - Chief of PediatricsKnowing that my work brings hope and empowerment to people's lives and their future has motivated me to spend  thousands of hours listening and talking to patients with empathy. People sometimes ask me, "Why become a psychologist?" The answer is simple: as a psychologist, I help to empower people from within, and that also continually inspires me to be a better person.- Felice Soo, PsyD - Clinical PsychologistAs a family medicine doctor at Jiahui Health, I'm in a unique and privileged position to serve local and expat communities. Whether it's helping someone through a difficult situation or bringing a patient back to full recovery, the work is incredibly rewarding. Not only that, but I get to do it as a proud member of Jiahui Health - a hospital that cares.- Victoria King, MD - Family Medicine Physician Jiahui Health is a breath of fresh air in terms of its rigorous attitude to international medical standards. I'm inspired by our commitment to putting patients first and practicing evidence-based medicine based on ACOG [American College of Obstetricians and Gynecologists] guidelines.- Donaly Dong, MD - Obstetrician Every single day is an opportunity to help and serve the people who need our help.- Chien-Shing Chen - Executive Director of Jiahui International Cancer CenterFeeling inspired? Click here for more information about all of our doctors.

    Jiahui and Mass General to jointly hold Lymphoma/Myeloma Clinical Consultations

    Lymphoma and myeloma are two common hematologic malignancies (blood cancers). Lymphoma ranks in the top ten most common malignant tumors in China, while myeloma is the second most common malignant tumor of the blood system. Incidences of myeloma in China are increasing each year.The onset of malignant tumors can often go by undetected, and symptoms are not typical. Patients diagnosed with such conditions may wonder, “What are the most up-to-date international treatments? How am I going to access the best treatment plan for me?”To address these needs, Jiahui International Cancer Center and Mass General Cancer Center will jointly open an international second opinion clinic for lymphoma/myeloma patients. The clinic will be open on March 11th 2019, 9 a.m. – 12 p.m. at Jiahui International Hospital. At the clinic, patients will be able to:receive treatment in a multidisciplinary treatment (MDT) setting, consisting of joint early intervention and decision making by an international, multidisciplinary teamobtain a second opinion, face to face with international experts on myeloma/lymphoma from Mass General, Harvard’s largest and oldest teaching hospital, without having to travel abroadreceive a comprehensive and individualized treatment plan collaboratively drawn up by experts at Jiahui International Cancer Center and Mass General Cancer Centerdiscuss comprehensive pain management and palliative care options with international expertsClinic Opening Time/Slots9 a.m.-12 p.m., March 11th 2019: 3 slots available for each physician from Mass General and Jiahui Health.Clinic Consultation Price: 9,800 RMBConsultation process:Before the consultation, the JICC clinical team will collect the patient’s medical records and review them with the Mass General doctor.During the consultation, the JICC doctor and Mass General doctor will partner together to provide recommendations.After the consultation, notes written by the Mass General doctor will be translated into Chinese and sent to the patient.For inquiries and appointments, please call our lymphoma/myeloma clinic hotline: 021-5339 3266 (open Mon to Fri 9 a.m. - 6 p.m.) After office hours, please leave a voice message; our cancer nurse will call you back on a work day.Mass General Visiting PhysiciansDr. Ephraim P. Hochberg, MDDr. Ephraim Hochberg, MD is a graduate of Yale University and Case Western Reserve University School of Medicine. He completed his internship and residency in medicine at the Brigham and Women’s Hospital and then trained in Hematology and Oncology at the Dana Farber Cancer Institute Fellowship Program. He has been a clinical lymphoma attending physician at Massachusetts General Hospital Cancer Center since 2003. He is currently the Associate Chief of the Massachusetts General Hospital Cancer Center and an Assistant Professor of Medicine at Harvard Medical School. His clinical and research interests are in novel agents for the therapy of lymphoid malignancies.Dr. Noopur S. Raje, MDDr. Noopur Raje is a Professor of Medicine at Harvard Medical School, Director of the Center for Multiple Myeloma, and the Rita Kelley Chair in Oncology at the Massachusetts General Hospital Cancer Center. She is a physician scientist with a primary focus on multiple myeloma and related plasma cell disorders. Dr. Raje has focused on developing new promising therapies for Multiple Myeloma. Her laboratory efforts are aimed at identifying cellular signaling pathways that contribute to the survival and proliferation of myeloma cells in the bone environment, and designing trials to specifically harness these. She is the co-chair of the National Cancer Institute steering committee for Multiple Myeloma and a board member of the International Myeloma Society.Dr. Jeremy Abramson, MDDr. Jeremy Abramson is Director of the Lymphoma Program and the Jon and Jo Ann Hagler Chair in Lymphoma at the Massachusetts General Hospital Cancer Center. He is also Assistant Professor of Medicine at Harvard Medical School. Dr. Abramson earned his medical degree from the Mount Sinai School of Medicine in New York City and a Masters of Medical Sciences in Clinical Investigation from Harvard Medical School. He completed a residency in Internal Medicine at the Massachusetts General Hospital in Boston, followed by a fellowship in Hematology and Oncology at the Dana-Farber Cancer Institute. Dr. Abramson's clinical and research interests are in novel therapeutics and cellular immunotherapy for lymphoid malignancies.Dr. Mihir M. Kamadar, MDDr. Mihir M. Kamdar, MD, is Director of the Massachusetts General Hospital Cancer Pain Clinic and Associate Director of the Division of Palliative Care and Geriatrics at Mass General, with a dual appointment in the Mass General Department of Anesthesia, Critical Care and Pain Medicine. He is an internationally recognized medical educator and researcher in palliative care and pain medicine, with clinical interests in developing novel strategies to better treat patients with cancer-related pain, and in defining the value of integrating palliative care into the care of patients with incurable cancers. He is a co-creator of ePAL, a novel smartphone app with AI technology that has been demonstrated to significantly improve cancer pain outcomes. Dr. Kamdar received his MD from Emory University School of Medicine, where he graduated magna cum laude.He subsequently completed a residency in Internal Medicine at Brigham and Women’s Hospital, a fellowship in Palliative Medicine at the HMS combined program and a fellowship in Anesthesia Pain Medicine at Mass General. He is on faculty at Harvard Medical School.Jiahui PhysiciansDr. Chien-Shing Chen, MD, PhDDr. Lily Zhou, MD, PhDDr. Anna Li, MDDr. David Jiang, MD

    Save the date: Sun 02/24 Jiahui Obstetrics Open House. RSVP now!

    Jiahui International Hospital is hosting an Obstetrics and Gynecology Open House event on Sunday Feb 24th for expectant mothers and families planning pregnancies in the near future.Having a new baby is an exciting, life-changing event. But it can also be a little daunting, especially if you're planning to deliver in a foreign country.Common concerns expectant mothers express are: what's the hospital like? What are the medical standards? How is the doctor-patient communication? What level of care can I expect?We hear you. That's why we're inviting all expectant mothers and prospective fathers to attend our Open House and see for yourself what Jiahui International Hospital's Obstetrics and Gynecology Department has to offer!Jiahui International HospitalUltrasound RoomDelivery RoomCaesarean Section Operating RoomPostnatal SuiteOpen House SchedulePresentation by Dr. Alexander Lin, MD2:00 p.m. - 3:00 p.m.Delivery Methods, Pain Relief, Q & A(50 seats max.)On-site Hospital Tour1:30 p.m. - 2:00 p.m. (no limit)or4:00 p.m. - 4:30 p.m. (no limit)Giveaways1. lucky draw: 3 free 4D ultrasound scans2. an early bird discount on the Natural Delivery Package (28,888 RMB) or Caesarean Package (38,888 RMB), with an additional night of postpartum hospitialization, for those who purchase a delivery package on the day of the eventDon't miss your chance to get the early bird deal!(详情请至:https://www.jiahui.com/en/search/searchDoctor?page=1&keys=Alexander%20LIN)Event RegistrationScan the QR code, or click the 'Read more' link at the bottom of this page, to book your place at the Obstetrics and Gynecology Open House on Sunday, February 24th.(https://u.eqxiu.com/s/vtzhqtME?eqrcode=1)

    City insurance for private health facilities

     Source: SHINE     Editor:Zhang LiuhaoFive private health facilities have been included in Shanghai’s medical insurance system.And the city will release restrictions on private health facilities and self-employment by medical professionals.The measures are in accordance with a new health policy issued in July to increase local health reform and develop high-end health services, officials from the Shanghai Health Commission said yesterday.“This new policy is to push forward a diversified and more international health system in Shanghai to speed up its medical development and meet  increased demand,” said Wu Jinglei, director of the commission.The health authority will also include qualified hospitals in the regional health system, which consists of one leading public hospital and several district-level hospitals and neighborhood health centers. This will offer patients services near their homes and better use health resources.Officials from Jiahui International Hospital, one of the five hospitals, said being included in the city’s medical insurance system is highly regarded.The number of patients at the hospital has doubled since it was included in the insurance system in October. It has also signed agreements with leading public hospitals such as Renji Hospital and Children’s Hospital of Fudan University for professional training.Under the policy, patients can have their medical bill settled for the part covered by the city’s insurance, and pay the remainder in cash or with their commercial insurance.“Shanghai will further release the restriction for private facilities and doctors’ self-employment, and give more supportive policies and services for their development,” Wu said.“A guideline for doctors opening general practitioner clinics has been released and will be put into use next month. More policies such as nursing registration and streamlined procedures to approve private health facilities are also under discussion for a more open and dynamic market.”According to the guideline, doctors can open a GP clinic if meeting the professional criteria, instead of a complicated application and approval procedure.Also yesterday, Tongji Hospital’s Shanghai Xinshijie Eye Center, the city’s first eye medical center set up by a public hospital and a private health group, began operation in Changning District.It is a new cooperation to help solve the big workload and large number of patients in public hospitals, while boosting the development of private health facilities, health officials said.Doctors in Tongji can work in the joint eye center and bring patients to the private hospital, which usually has fewer patients. Patients needn’t wait for a long time to get a chance to see the specialists or receive surgery, while doctors at the private hospital can have a chance to see more patients and participate in more surgeries.“It is a good trial under the city’s health reform and encouraging for the development of the private health sector,” said Zhang Rong, vice director of Changning’s health commission.

    Jiahui: First International Hospital Equipped with Rabies Clinic

    As fall is upon us, the season of walks in the country side is soon coming to an end, but the risk of accidental animal bites is still very real….Most people love pets, and animals in general, but few realize that exposure torabies is something that could be relevant to them…. until it is! China is, in fact, one of the areas with the highest risk for rabies worldwide! According to data from Shanghai CDC, there were 18 documented cases of rabies between 2010 and 2014. “Dog bite clinics” (which take care of all the patients after any potential exposure to rabies in the Chinese system) in Shanghai have more than 240,000 visits per year!Most of the patients who sustained bites are familiar with, or even own the animal involved in the incident.And since rabies is a deadly viral infection, it obviously has to be taken seriously.Shanghai Jiahui International Hospital has officially launched its 24-hour Rabies Prevention Clinic.It provides both pre-exposure immunizations and post-exposure treatment services. This is a great new alternative for patient to the CDC’s busy “dog bite clinics”.As the exclusive designated international service provider for the first China International Import Expo,Jiahui International is the first private hospital to set up a fully licensed Rabies Prevention Clinic in Shanghai.These services are available in several languages, including Chinese, English and French for a smoother patient experience.● How do I contact the rabies clinic of Jiahui International Hospital? You can call the hospital hotline at 400-868-3000 any time. The staff will guide you on how to reach the rabies clinic at Jiahui International Hospital. The hospital is located at No. 689, Guiping Road, Xuhui District, Shanghai.● What can I do before going to hospital?•       Flush your wound thoroughly with soap and water  for at least 15 minutes by rinsing the wound with tap water, preferably with high pressure. Afterwards, rinse the wound to wash away soap or cleaning agents.•       Then if available, sterilize the wound with 0.025%-0.05% iodine, 0.005%-0.01% benzalkonium chloride or other disinfectants able to kill the virus.•       Those disinfectant should not be applied to eyes or mucous membranes. For wounds affecting those areas, just flush with water or saline solution and seek medical assistance.•       Be aware that when indicated, rabies preventive treatment should be started as soon as possible.Jiahui Rabies Clinic is equipped with professional equipment and experienced medical staff, providing professional wound management. ● How do I estimate the severity of my bite wound?Bite, scratches and other injuries putting you at risk for rabies can be divided into three levels: category I, II, and III (from low to high). The CDC recommends different treatment plan for different types of contact. We highly suggest that you go to the hospital for proper medical assessment as soon as possible, because what seems like a  minor wound to you may actually be considered a significant exposure by an experienced physician.The three categories of contact are:● Is rabies vaccination required for all animal bites?Only mammals carry the rabies virus. Birds, fish, insects, lizards, turtles, snakesetc do not spread the rabies virus.The main source of rabies are dogs, cats and Bats. Although small rodents (such as gerbils, chipmunks, guinea pigs, squirrels, rats, mice, and rabbits) are also susceptible to this viral infection, rabies is rare but not impossible.The average incubation period of rabies is 1 to 3 months. However, it could range from a few days to several years after exposure. Rabies is 100% fatal once you have started to show symptoms of the disease. The decision to start the treatment to prevent rabies involves a complex multifactorial assessment. Physician must consider many complicated factors including:- the possible contact between saliva/secretions of animals and the bloodstream of the patient- previous rabies vaccinations received by patients (if any)- the risk level of the source animal- the type and site of the wound-the past medical history of the patient and his/her immunological status.Therefore, we recommend that patients seek medical care by an expert physician as soon as possible.In addition, like any wound, bits (animal and human) are susceptible to tetanus. As soon as the skin is broken, a physician must confirm the patient's tetanus immunization status. Hence, tetanus vaccine or tetanus immunoglobulin injections may be required.● What kind of bite wounds can be dealt with at the rabies prevention clinic at Jiahui International Hospital?The emergency department of Jiahui International Hospital has experienced clinicians, comprehensive state of the art medical facilities, and strong support from a multi-disciplinary team. We can handle all types of bite wounds. ● What is the average charge of rabies clinic?Alas there is no standard answer since it depends on the treatment(s) needed(vaccines, immunoglobulin, etc). It also depends on the type of the wound and the damage sustained (as procedure fees may be incurred if stitches are required for instance).The average consultation fee is around 1600RMB (vaccine-Rabies immunoglobulin fee not included).●What other services does the rabies clinic provide?We also provide pre-exposure prophylactic rabies vaccination services (getting vaccinated before being bitten). The World Health Organization and China Technical Guidelines for Prevention and Control of Rabies recommend that all individuals who are continuously or frequently exposed to the risk of the rabies should have pre-exposure prophylaxis, including:- laboratory and medical staff exposed to the rabies virus or rabies cases.- veterinarians, animal trainers and agronomy students who are constantly exposed to animals.- people who are often exposed to animals such as cats and dogs.In addition, pre-exposure immunization is recommended for tourists visiting high-risk areas, children living in areas where rabies is endemic, or children traveling in high-risk areas for rabies (like China).People who have previously been fully vaccinated against rabies will have built up antibodies against this virus. If they are potentially exposed to the rabies virus again, high levels of antibodies can be produced in about 14 days by giving booster shots of the rabies vaccines according to the CDC protocol. In this case, effective protection is obtained in a short time.If you have sustained a wound, an animal bite, a contact with a bat or if you feel you have possibly been exposed to rabies, please visit Jiahui’s Rabies Prevention Clinic as soon as possible. You are also welcome if you want to obtain the preventive rabies vaccination, for you or your loved ones!For appointments/inquiries, call400-868-3000Location:689 Guiping RoadXuhui District, Shanghai

    Jiahui: First International Hospital Covered by City's Insurance

    Shanghai Jiahui International Hospital became the first comprehensive international hospital to be covered by the city’s medical insurance, the Shanghai Health and Family Planning Commission announced on Oct 10th.The measure was launched in accordance with a new health policy issued in July to speed up local health reform and the development of high-end health services, the commission said.“Shanghai is building a city meeting different levels of health requirements — this new policy can push forward a diversified and more international health system,” said Wu Jinglei, director of Shanghai Health and Family Planning Commission.The policy encourages high-end private health facilities to adopt a similar price standard as public hospitals and be covered by medical insurance. Patients pay the price difference for the cost, which isn’t covered by the basic insurance.Shanghai Jiahui International Hospital, which has 500 beds and is run in collaboration with American-based Massachusetts General Hospital, is the first international hospital benefiting from the new policy.From now on, patients can have their medical bill settled in Jiahui for the part covered by insurance and pay the rest through cash or commercial insurance. Statistics found about 10 to 20 percent of the bill can be covered by the medical insurance for normal medical services, and those with serious diseases like cancer can have 40 percent of their bill covered by medical insurance.About 5 percent of patients at Jiahui are local residents using medical insurance, the hospital said.Private hospitals can set pricing themselves. According to the hospital, its charging is almost the same as VIP services in city-level public hospitals, which is about three times the basic health service cost.Source: First international hospital covered by city's insurance

    Jiahui: Designated Hospital for Import Expo

    In May 2017, Chinese President Xi Jinping announced at the Belt and Road Forum for International Cooperation that China will hold China International Import Expo (CIIE) starting from 2018.It is a significant move for the Chinese government to hold CIIE to give firm support to trade liberalization and economic globalization and actively open the Chinese market to the world. It facilitates countries and regions all over the world to strengthen economic cooperation and trade, and to promote global trade and world economic growth in order to make the world economy more open.This important expo will be held in Nov 5-10, 2018, Shanghai.At present, as the media reported, all industries in the city have started preparations for the expo, which is expected to attract leading governmental officials and tens of thousands of visitors from home and abroad.Shanghai Health and Family Planning Commission published a list of 18 designated hospitals which can offer high-quality service and health care during the event.Jiahui International Hospital, the only international hospital on the list, will be mainly responsible for the health of overseas visitors and guests. It has prepared a team of medical professionals from nine countries who can offer international-standard, multi-lingual service.Jiahui International Hospital is part of Jiahui Health, an international healthcare ecosystem in China, which aims to provide comprehensive world-class healthcare.This integrated healthcare system consists of a 500-bed international tertiary level hospital, clinics, and wellness center.Jiahui also has an international clinical team, with more than 25% of our physicians coming from various countries around the world, and with three leadership physicians serving joint appointments at both Jiahui Health and Mass General. Since 2016, Jiahui serves as an exclusive medical service provider to support a range of sports teams and events.


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