W O R L D - C L A S S A C U T E C A R E S E R V I C E S I N O N E O F E U R O P E â€™ S L E A D I N G P R I V AT E H O S P I TA L S
CARE FOR CANCER
Stereotactic Radiosurgery leads the way
HEART TO HEART
A BEACON OF LIGHT
WORLD CLASS HEALTHCARE
The Rhythm of Life
State of the art Treatment & equipment
Live Life to the Full
Telephone Head Office 091 880 764 Beacon Site Office 012937594 email@example.com
People Process Technology
Leading Providers of Cleaning Services to the HealthCare Industry since 2004 Neylons provide high quality cleaning services across Ireland's Healthcare Industry including Private Hospitals and Nursing Homes, Public Healthcare Medical Centers, Assisted Living Establishments and Specialist Healthcare Projects. Cleaning services provided include contract cleaning, specialist one off cleaning projects, specialist equipment cleaning and specialist deep cleaning.
What makes us special? Neylons Cleaning, Hygiene & Infection Controls meet and exceed the standards
required hospitals, of this commitment to the process of cleaning â€œA level of for quality thatbecause is rather than the act of cleaning. Due to this Neylons have become a leading unsurpassedâ€? provider of cleaning services across the private health sector.
Michael Vaughan, ex England cricket captain and Michael Lumb, UK cricketer, chose MHR Dublin for their FUE procedures.
BEACON HOSPITAL Magazine 1
Weâ€™ve got your back... And your hip, your knee, your ankle, your foot,
your shoulder, your elbow... One Centre of Orthopaedic Excellence Backed by the full clinical resources of Beacon Hospital.
Most private health insurance policies now cover Beacon Hospital. 2 BEACON HOSPITAL Magazine
BEACON HOSPITAL Magazine 3
SISK Healthcare Solutions - Anticipate Tomorrow, Deliver Today Anaesthesia | ENT | Healthcare Informatics | Cardiology | Vascular | Respiratory | Pre-Hospital | Endoscopy | Obstetrics General Surgery | Ophthalmology | Infection Prevention | Urology/Gynaecology | Enteral Feeding | Maternity | Orthopaedics Maxillo-Facial | Plastics | Neuro | Aesthetics | Interventional | Endovascular | Neuroradiology | Diagnostic Imaging
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WORLD CLASS CARE
Beacon Hospital first opened in October 2006 and is now established as one of Irelandâ€™s most advanced high tech, private hospitals providing world class care to all of its patients.
Computed Tomography (CT) is a non-invasive and expedient way to look inside the body at organs, soft tissues, vascular structures and bones. Beacon Hospitalâ€™s GE Revolution CT Scanner captures superior 4D cardiac images with up to 82% less radiation exposure - the most technologically advanced in Ireland.
Investment in the latest state-of-the-art equipment and technology at the Beacon Hospitals Radiology Department has radically improved treatment and quality of care for a range of debilitating conditions, particularly cancer treatments.
Da Vinci Code
The da Vinci robotic assistant has already brought minimally invasive surgery to more than 3 million patients worldwide. Now available at Beacon Hospital, the high spec surgical system facilitates multidisciplinary robotic assisted surgery.
With over 8,000 products in stock at any given time, Medguard offers one of the most comprehensive product ranges available to healthcare professionals in Ireland.
Care for Cancer
More than 165,000 people are living with and beyond cancer today in Ireland. But survival rates have improved. Beacon Hospital was the first cancer centre in Ireland to offer Stereotactic Radiosurgery which provides patients with a state-of-the-art treatment option in their fight against cancer.
Food for Health
As the old adage says, your health is your wealth. Senior Dietician at Beacon Hospital Christine Munroe discusses how the foods that we eat and the nutrients they provide are the most important environmental factors influencing our growth, development, functional abilities and general wellbeing.
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Delighted to support & supply Beacon Hospital www.medguard.ie Competitive Prices
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Live Life to the Full
Dealing with Diabetes
According to Danish research, anyone born after the year 2000 might live to be 100. For those born before this however, there are many things you can do to increase your odds of hitting the three digits.
Diabetes is a growing problem in Ireland. In 2015, 415,000,000 people worldwide suffered from diabetes with an estimated 250,000 of these in Ireland.
Heart to Heart
From acne to ultherapy, Beacon Face and Dermatology (BFD) clinic offers a wide range of medical, aesthetic cosmetic surgery treatments.
Cracking the Code 29
Maintaining good health and quality of life comes from prevention and early detection of disease. Beacon Hospital have introduced Beacon HealthCheck, Ireland’s only advanced, Consultant Delivered health screening service.
As a seasoned cardiology team, Beacon Hospital Cardiology Department offers years of experience in the prevention, diagnosis, treatment and recovery of cardiovascular disease, as well as a great patient experience.
At Brambles the hum of ‘food glorious food’ hangs in the air at every visit. From farm to fork, this delightful Café at Beacon Hospital prepare fresh meals daily using top class ingredients sourced from local suppliers that are lip-smackingly good.
Consultant Gynecologist Dr Sharon Moss at Beacon Hospital Women’s Health Centre talks about how women need to listen to their bodies, be proactive about their health, and look after themselves.
Becoming Ireland’s largest office supplies dealer has taken focus, business acumen and strong leadership according to Managing Director Siobhan O’Connor. A proudly Irish company, Codex focus on everything related to responsible working.
Directory of Services
Directory of departments and services available at Beacon Hospital.
Directory of Services
Maintaining good health and quality of life comes from prevention and early detection of disease. Beacon Hospital have introduced Beacon HealthCheck, Ireland’s only advanced, Consultant Delivered health screening service.
Directory of departments and services available at Beacon Hospital.
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World Class Care
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World Class Care
World-Class Care Beacon Hospital first opened in October 2006 and is now established as one of Ireland’s most advanced high tech, private hospitals. Located in south Dublin, Beacon Hospital provides world-class acute care services, including orthopaedic surgery, heart surgery, neurosurgery, general surgery, comprehensive cancer care (medical oncology and radiation oncology), and general and emergency medicine services. The hospital which has 183 acute care beds, nine operating theatres and two endoscopy suites treated over 100,000 patients last year. Patient wellbeing is the priority at Beacon Hospital which is known for the excellent standard of care delivered to all patients by a team of over 235 consultants and 900 highly skilled medical personnel. The eight-bed medical-surgical intensive care unit (ICU) and 6-bed coronary care (CCU) unit are designed to provide specialised patient care and recovery. Beacon Hospital prides itself on a comprehensive infection prevention & control programme, highlighting the hospital’s commitment to being the highest-quality and safest provider of acute care services. The Beacon Centre for Orthopaedics comprises Ireland’s largest independent Orthopaedic Group Practice, where 16 Physicians (surgeons and Rheumatologists) cover all aspect of Orthopaedic care in one unit. The Beacon Cancer Centre offers patients the latest advances in cancer prevention, detection, diagnosis and treatment, with an unparalleled range of treatment options, including diagnostic testing, surgery, chemotherapy and radiotherapy in one convenient location. The Beacon Women’s Centre, which encompasses the full spectrum of women’s gynaecological care, utilises minimally invasive procedures whenever possible. The Beacon Breast Care Centre also provides same-day mammography results and treatment in a warm, comforting environment. Beacon has 14 Critical Care Beds individually capable of isolating any patient. This may seem a small point but is in fact very important – each patient has their own room, with glass front, so nurses see everything, but they are allowed a certain degree of privacy with their loved ones at this crucial time. It also helps minimise infection – a very pertinent issue in healthcare today. The nursing philosophy in Beacon is a
collaborative approach where compassion and care are delivered through touch, a kind act, through competent clinical interventions or through listening and seeking to understand the others experience. The nursing philosophy is relationship-based with therapeutic presence – where patients are treated primarily as individuals with individual needs. As well as South Dublin, Beacon Hospital has satellite locations in Wexford, Mullingar and Drogheda. The benefit for patients is that they can access certain specialties locally, thereby minimising travel and any inconvenience. If a procedure is required this is carried out in Sandyford, and resulting follow up takes place back in their own community.
Mission Beacon Hospital provides exceptional patient care in an environment where quality, respect, caring and compassion are at the centre of all we do.
Values n Results Focussed – committed to ensuring the best possible outcomes for all their patients by empowering each team of experts with the resources they need. n Collegiality – Teams work in an open, cooperative and collaborative environment and are united among a common purpose; to deliver the best patient care. n Communication – Ensuring open communication at all times between teams and with their patients is central to the ethos of the Beacon Hospital. n Dignity – Patients will be treated with the utmost dignity and respect at all times. Beacon Hospital recognise all patients as the individual people they are and tailor their treatment to the person. n Excellence – Beacon Hospital strives for excellence in patient care, medical standards and hospital experience. Medical services provided by Beacon Hospital are covered on over 90pc of VHI Plans and all standard policies with Aviva, Laya and Glo.
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Extreme Precision Counts... ...when it comes to destroying cancer. Beacon Hospitalâ€™s Trilogy Machine targets cancer cells without damaging healthy ones. to deliver Stereotactic We were the Body Cancer Treatment in Ireland. We are the largest Stereotactic Cancer Centre in Ireland.
No knives. No surgery. No hospital stays.
World Class Care
A Revolution in CT Beacon Hospitalâ€™s GE Revolution CT Scanner captures superior 4D cardiac images and with up to 82% less radiation exposure. It is the most technologically advanced in Ireland with Beacon Hospital being the GE showcase site for Europe. What is CT?
Why is Revolution CT Innovative?
Computed Tomography (CT) is a non-invasive and expedient way to look inside the body at organs, soft tissues, vascular structures and bones. CT uses x-rays to generate very highresolution images of the body. It works by rotating an x-ray source and detector around the patient as the patient is moved through the device. Computer software is then used to reconstruct images from the information that is gathered during the rotations. CT is one of the most important diagnostic tools a healthcare provider uses. Other than a simple x-ray for a bone fracture, CT is likely to be the first imaging exam a patient may encounter when they are suspected of having serious disease or injury. CT is used in the emergency department and general inpatient and outpatient environments. It is also used in guiding less invasive interventional procedures such as biopsies and ablations.
Revolution CT was designed from the ground up, providing uncompromised image quality and clinical capabilities across all clinical areas through the convergence of whole organ coverage, speed and image quality, all in one CT system. Among its many features are: n Gemstone* Clarity detector for 160 mm of anatomical coverage in a single rotation n Best in class 0.23 mm spatial resolution and built in metal artifact reduction n Best effective temporal resolution enabled by 0.28 second rotation speed combined with intelligent motion correction for one-beat, motion-free cardiac scanning at any heart rate n Whole organ coverage enabling 4D imaging for all anatomies to visualize vascular flow, organ motion or kinetic properties
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World Class Care
Revolution CT helps enable clinicians to deliver uncompromised image quality for some of the most challenging clinical applications. This opens the door to more exams, including high heart-rate cardiac, stroke, trauma and paediatric patients.
n ASiR-V* low-dose technology which routinely reduces dose up to 82%1 n Whisper Drive system to reduce audible noise during gantry rotations by more than 50% Revolution CT helps enable clinicians to deliver uncompromised image quality for some of the most challenging clinical applications. This opens the door to more exams, including high heart-rate cardiac, stroke, trauma and paediatric patients. When used in the emergency department for evaluating patients presenting with chest pain, coronary CT imaging has been shown to reduce length of stay, speed discharge, and reduce costs. Revolution CT may also reduce the need for additional imaging tests by acquiring functional and anatomical information from a single exam. Revolution CT helps deliver a better patient experience during the procedure. Patient anxiety may be reduced with 50%
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quieter scanning, soft ambient lighting, personalized gantry displays, and a relaxing visual pattern inside the bore. The bore is 80 cm wide, comfortably accommodating large patients. Revolution CT comes equipped with ASiR-V, GE’s next generation of low dose iterative reconstruction technology that routinely reduces dose up to 82% with the same image quality. Because of Revolution CT’s fast imaging speed, patients with high heart rates or an irregular heart rhythm may not be required to take special medication to slow their heart. The cost of a scan using the GE Revolution CT Scanner, Ireland’s most technologically advanced scanner, is €450 inclusive of results reading by one of our Specialist Consultants. Many health insurance policies cover the cost of this scan. To find out if your policy covers this please contact the Insurance Queries Hotline on 1800 800 911
We are Getinge One brand, one promise: Passion for life With brands like Maquet, Lancer, Atrium, Pulsion, Datascope, Steritec and Stericool â€“ just to name a few - we are now a global market leader in many healthcare and life science segments. Our identity has changed - our commitment to improve every-day life for people remains.
This document is intended to provide information to an international audience outside of the US.
World Class Care
Hi-Tech Radiology Investment in the latest state-of-the-art equipment and technology at Beacon Hospitals Radiology Department has radically improved treatment and quality of care for a range of debilitating conditions, particularly cancer treatments.
the Public Sector Magazine
World Class Care
“We worked hard to improve the patient journey through the department, ensuring privacy and respect for each patient.” Dr Peter Beddy At the heart of Beacon Hospital is a radiology department which is one of the largest private radiology imaging centres in Ireland. The hospital consolidated its reputation for excellence in medical imaging by signing a $20m agreement with General Electric (GE) to completely upgrade the Radiology Department with state-of-the-art imaging equipment. This includes a 3T MRI, which is a high field strength magnet for brain, orthopedic and cancer imaging; a revolutionary new CT scanner which gives about 400% less radiation dose to the patient than standard scanners; a non-invasive cardiac imaging suite with cardiac MRI and CT and a cutting-edge breast imaging centre. The Beacon radiology group is led by 15 highly qualified radiologists with specialist fellowship training in CT, MRI, PETCT and Breast imaging which has been gleaned from leading medical centres from around the world. All the radiography staff are highly trained and motivated healthcare professionals with exceptional skills who maintain the highest standards for the delivery of quality patient care. Dr Peter Beddy is one such member of staff and a Radiologist of some renown. He completed his undergraduate training in Trinity College Dublin and trained in radiology in St James’s Hospital in Dublin before completing a fellowship in chest and oncology imaging in Cambridge, UK. Thereafter he completed a fellowship in body imaging in the Beth Israel Deaconess Medical Centre and Harvard Medical School, Boston, Massachusetts. He has been a Consultant Radiologist in Beacon Hospital and St James’s Hospital since 2011 and specialises in interpreting chest, urology and gynecological imaging. He also carries out a large number of procedures to diagnose cancer, especially prostate cancer. “I’m really excited and optimistic about what the future holds for us in the radiology department in the Beacon, we are really privileged to be working in a hospital with such modern equipment and highly qualified staff,” enthuses Dr Beddy. “Recent investments will dramatically change how we treat patients. For example, our new 3T MRI scanner will allow us to more accurately diagnose prostate cancer. Our new prostate fusion biopsy system allows us to perform more accurate biopsies on patients with suspected prostate cancer. The new equipment will result in better care for patients with prostate
cancer. There are many more examples of how the hospitals foresight in investing in high-tech equipment will improve patient care” In his role as a Radiologist, Dr Beddy works as part of a wide clinical team at the Beacon Hospital. “In simple terms, what we do is interpret the medical imaging performed on patients which helps our clinical colleagues treat their patients.” Radiologists also perform diagnostic and interventional procedures to help with a patient’s care. “Radiology has really expanded as a specialty in the past 20 years. The radiology department now plays a pivotal role in patient management. For example, if you presented to your Emergency Department or GP 10 years ago with a knee injury, you may have had an X-ray, been given some pain relief and advised to see a physiotherapist. If you present with the same injury today to the Beacon Emergency Department, you will get an MRI scan on our brand new high-resolution scanner. The scan will be interpreted by one of my colleagues who has specialist training in musculoskeletal imaging who will be able to give you an exact diagnosis of what is wrong with your knee. Patients can then be referred for appropriate treatment immediately. This is how modern medicine should be done”. “The advances in medical imaging are enabling us to deliver personalized medicine. Rather than treating every patient the same, we treat the patient based on how much the disease effects them and what level of disease burden they have. New imaging technology enables our colleagues to treat a patient as an individual rather than using a one treatment fits all approach,” he says. The new department now has a completely new layout and significantly increased capacity helping to put patients at the centre of the department. “Having an MRI scan or PET-CT scan can be a very stressful experience,” says Dr Beddy. “We worked hard to improve the patient journey through the department, ensuring privacy and respect for each patient. This is especially important for our cancer patients who can spend a large amount of time in the department. Although the experience could never be described as enjoyable, we want to make it as comfortable as possible.”
BEACON HOSPITAL Magazine
World Classs Care
Da Vinci Code The da Vinci robotic assistant has already brought minimally invasive surgery to more than 3 million patients worldwide. Now available at Beacon Hospital, the high spec surgical system facilitates multidisciplinary robotic assisted surgery - the newest Robotic Surgery Assistant to arrive in Dublin. Patients undergoing surgery for a wide range of conditions at Beacon Hospital can receive their treatment at the hands of a surgeon-directed and controlled robot. The high spec da Vinci Robotic surgical system drives robotic arms and facilitates unrivalled precision in dissection through a minimally invasive access technique, promoting better outcomes for patients. Surgical robotic assistants are most commonly used in prostate procedures, but this robot will be used by a multidisciplinary team of surgeons at the Beacon Hospital including urology, gynaecology, cardiac thoracic, colorectal and general surgery. Mr Michael Murphy, Medical Director at Beacon Hospital and Consultant Urologist specialising in the areas of prostate and bladder cancers, said robotic-assisted surgery supports the best possible outcomes for patients. “The da Vinci Robot is a phenomenal piece of equipment and we are very excited to be introducing it at Beacon Hospital,” he said. “The robotic system gives surgeons a magnified, three-dimensional view of the area requiring surgery. It is the ultimate minimally
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invasive, key hole surgery, with greater precision. This results in less pain and scarring, and ultimately quicker recover times for patients and return to normal activity.” Rob Flynn, Consultant Urologist at Beacon Hospital said that Ireland has traditionally lagged behind international counterparts in the use of robotic surgical aids and warmly welcome the introduction of the da Vinci robot at Beacon Hospital. “In the UK and the US, between 75% and 95% of prostate surgeries are carried out using robotic surgical assistants. It’s the most effective way of carrying out this procedure and is an important acquisition by Beacon Hospital for the treatment of prostate and kidney related cancers,” he said. Beacon Hospital’s Rapid Access Prostate Clinic uses world leading diagnostics including 3T MRI, TRUS Fusion Biopsy and MRI Guided Template Biopsy. Together with its world class radiotherapy family the introduction of the da Vinci robot completes the armamentarium of diagnostic and treatment options for prostate cancer at the hospital.
World Classs Care
Mr Waseem Kamran, Gynaecology Cancer & Cytoreductive Surgeon at Beacon Hospital said the da Vinci robot has the capability to offer patients with gynaecological malignancies safer, effective and cosmetic friendly, minimally invasive surgical treatments with the potential advantage of faster recovery, minimal blood loss and minimal scarring. As well as its established role in the surgical management of cervical, endometrial and selected ovarian cancers, da Vinci also offers a unique opportunity for the surgical management of complex benign gynaecological condition especially stage IV endometriosis. “Using the da Vinci robot in surgery gives surgeons significant advantage over the conventional laparoscopy due to enhanced dexterity, greater precision and three-dimensional visualisation. This provides a new paradigm in the field of gynaecology for emerging nerve sparing deep pelvic surgery. The robot’s ‘tireless’ arms are also an invaluable assistant to surgeons, particularly during complex surgeries which can last anything up to 8 hours.”
THE DA VINCI ROBOT High spec surgical robot to assist surgeons across urology, gynaecology, cardiac thoracic, colorectal and general surgery. Robotic assistant facilitates the highest possible precision in surgery and quicker recovery time for patients. da Vinci robot system has treated 3 million people around the world.
BEACON HOSPITAL Magazine 17
Public Sector Magazine
MEDGUARD Celebrating it’s ten year anniversary as one of Ireland’s leading supply chain medical partners. We talk to Paul Clifford about what makes this company so special.
This year, Medguard Professional Healthcare Supplies, a 100% Irish owned, family business based in Ashbourne, County Meath celebrates its tenth anniversary. In a relatively short period of time, Medguard has established itself as one of the leading wholesale and retail suppliers of medical products and equipment in Ireland. The company operates a nationwide service and has also established a presence in the UK which it intends to consolidate and further develop in the coming year. With over 8,000 products in stock at any given time, Medguard offers one of the most comprehensive product ranges available to healthcare professionals in Ireland, according to Paul Clifford, Director and co-founder of the company. The company’s client base ranges from the local GP to major national hospitals and also includes surgeries, clinics, MRI centres, fertility clinics and nursing homes. Essentially anywhere where people require medical products or devices,” says Paul. Paul Clifford is justifiably proud of the strong relationships Medguard has developed with customers and the diverse, innovative and extensive products range it offers an expanding client base but says the key to the company’s strong and sustained growth lies in the exemplary levels of customer service it strives to provide each client. “First and foremost, we understand that healthcare professionals are extremely busy people with huge demands on their time,” he says. “By supplying the
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highest quality, value-driven medical products and devices and by making the process as simple and seamless as possible, we help to ease the workload of healthcare professionals and allow them to focus on patient care and core front line services. “Our primary goal is to provide clients with premium healthcare and medical products at the right price and with an unrivalled level of customer care and service. We make sure that every aspect of the customers order is fulfilled in as speedy, efficient and straightforward a manner as possible. It is a sector in which dependability and trust is critical and we have been successful in growing our business because customers know they can rely on us.” The complete ethos of Medguard is one of patient safety and using the highest quality products to try and achieve this. All products are batched and serialised. “This allows us in the event of a recall or a field safety notice to contact our customers straight away,” explains Paul. Medguard caters for both large and small deliveries
Public Sector Magazine
“We will do anything for our customers, it does not matter what. if a customer rings at 5.30pm in the evening and is short of a product that they need for the following day, we will find a solution we will get it there!”
“Our customer requires a secure supply chain, quality products, comprehensive service and next day delivery.” 13/02/2018 16:23
and can even offer same day dispatch with orders placed before 3pm. Orders can be processed online, via the company’s telephone sales team or with a representative from the company’s key accounts managers who are happy to visit prospective customers and address any queries. “We will do anything for our customers, it does not matter what,” says Clifford. “If a customer rings at 5:30 in the evening and is short of a product that they need for the following day, we will find a solution, we will get it there! All members of the team understand how important our customer needs are for the success of Medguard.” “I think one of our distinguishing features is the real and genuinely high level of customer focus we provide and it doesn’t matter if a customer spends one euro or a thousand euros. We have a motto in our company whereby we want everyone to be genuine and we want everyone to strive to be exceptional and to be innovative. These mottos apply throughout the whole company and it is what we expect of all our team at Medguard.” “Establishing long-term relationships is important both to us and we try to become a real partner to our clients by offering a secure supply chain, quality products, comprehensive customer care and service around the clock and quality control. Our range of products, have been selected carefully to offer product performance, quality
and value and because our range is so extensive we can solve many procurement issues that face our customers daily.” Medguard recently acquired a new state-of-the-art facility and premises in Ashbourne and Paul Clifford is confident that the growth achieved to date will be sustained in the coming years. The next stage for Medguard is to make the transition from entry-level to high end diagnostics, which requires a highly specialised skillset and knowledge. “We’re not there yet,” he says, “but I expect we will be in in the coming years and the move to the new premises will facilitate the company in making that leap.” Medguard is also continuing to engage with manufacturers with a view to acquiring exclusivity on certain product lines which Paul Clifford describes as ‘brilliant, first-rate products that his customers will be delighted with.’ “We spend a lot of time traveling to meet manufacturers and attend exhibitions and shows in order to keep abreast of new developments and identify new products coming on stream. Increasingly we find manufactures are identifying us as key partners and seeking to establish contact with us.” “A lot of emphasis has been put on this in our new premises which has a demonstration rooms and training rooms. This will allow suppliers and manufacturers to demonstrate the characteristics of their new products and showcase how unique and innovative they are.” “We have a high level of engagement with our customers and we work with them to identify new products and learn more about what customers require as well as highlighting inconsistencies and areas where certain product lines might be improved. The innovation at present is extraordinary and the products available keep getting better and better. We are delighted to be playing our part in delivering products that help improve quality of care and quality of life and we are looking forward to the next ten years.” We thank our customers for their loyal support and look forward to working with them going forward.
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We have now doubled our screening capacity. 72 Hours* from GP Referral to procedure. Donâ€™t Wait. Get Screened. If you have a family history of Bowel Cancer, or are symptomatic - get it checked.
Beacon Hospital is now covered under most health insurance policies. Self Pay options available. *Urgent cases will be given priority.
Care for Cancer Beacon Hospital was the first cancer centre in Ireland to offer Stereotactic Radiosurgery which provides patients with a stateof-the-art treatment option in their fight against cancer. Stereotactic radiosurgery at the Beacon Hospital has been providing cancer patients with a state-of-the-art option to treat their disease and gives them their best hope for the future. The National Centre for Radiosurgery at Beacon Hospital introduced image-guided radiosurgery (SRS) in 2008, and the Stereotactic Ablative Body Radiotherapy (SABR) programme in 2009. It was the first cancer centre in Ireland to offer SABR, and currently has the largest experience and expertise in Ireland with this treatment. More than 359 patients have been treated by SRS and more than 600 treated by SABR. “Our results with these technologies are similar to the ones achieved in large academic centres in USA and Europe,” said Dr Alina Mihai, Consultant Radiation Oncologist and Director of Research at Beacon Hospital. “We presented our outcomes in SRS/SABR to major European and American meetings (ESTRO, ESMO, ASTRO) and we published our results in recognised peer-reviewed journals. In addition, since 2012 we organise and host an annual international SRS/SBRT symposium, ESTRO endorsed and EACAME accredited, opened to professionals in the field of oncology, neuro-oncology and neurosurgery, research. This event was attended annually by more than 100 persons from
Ireland, Europe, USA, Canada, Australia, South Africa, Japan. “These types of treatment are part of a comprehensive oncology program at the hospital that includes state-of-theart diagnostic imaging, Medical Oncology, surgical services, physiotherapy and clinical trials.” The stereotactic radiosurgery and stereotactic ablative radiotherapy are types of external beam radiotherapy that precisely focus high doses of radiation around the tumours, with very limited radiation of the normal tissues nearby. As the treatment delivers limited radiation to the normal tissues nearby it is associated with low incidence of significant effects. This allows patients to tolerate treatment well and have an improved quality of life. It is minimally invasive and delivered in an outpatient setting. Radiosurgery uses one to three treatments for the management of brain lesions. Stereotactic ablative body radiotherapy is the term used when tumours outside the brain are treated by this technique. “The difference between this technique and the conventional radiation is that we are delivering much higher doses of radiation, the duration of the treatment being significantly shorter,” said Dr Mihai. “For example, with early stage lung cancer, the conventional
BEACON HOSPITAL Magazine 21
“Beacon Hospital is the only private facility in Ireland actively involved in international multicentre clinical trials involving SABR for prostate cancer and for patients with oligometastatic and oligo-recurrent disease.” radiotherapy treatment delivers 33 treatments, one treatment a day, five times per week, over six and half weeks. While with SABR we give three to eight treatments over a maximum duration of one to two weeks (2-3 treatments per week),” Dr Mihai explained. Because SABR delivers significantly higher radiation doses extreme precision is required so the technique relies on (1) image guidance to localise precisely the tumour within the body, (2) systems to carefully immobilise patients and maintain same position during therapy, (3) control and monitoring of the movements of tumours induced by breathing, (4) high quality of treatment planning and delivery, (5) a certain type of machine to deliver the treatment. Three dimensional images such as CT, MRI and PET-CT are used to define exactly the size and shape of the tumours. Imaging such as CT, X-rays, fluoroscopy are used to confirm the position of the tumour. “This is a type of treatment that requires, in addition to the proper technology, a multi-disciplinary team approach and proper training and expertise of the entire team involved. At the Beacon Hospital, a team involving Consultant Radiation
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Oncologist, Medical Physicist and Radiation Therapists reviews and discusses the treatment at each step, and the same team reviews that the tumour is properly localised before each treatment is delivered. Only when the whole team is in agreement the beam is turned on and the treatment is delivered,” she said. There are three main types of machines able to deliver this type of treatment: Gammaknife (used exclusively for brain lesions), linear accelerators (or linacs) and proton/heavy charged particles machines (the latest ones not readily available). Linear accelerators are the most commonly used machines for SRS/SBRT. To be used for SRS/SABR, they need to: be able to deliver the radiation quickly, have image guidance, have ability to monitor in real time or almost real time the respiration-induced motion of the target and lastly to allow very fine shaping of the beam around the target. Several manufacturers are producing these types of machines under different brands such as Trilogy TX, True Beam STX, Edge, Versa HD, CyberKnife, etc. “What it is important to remember is that when we look at the outcomes of treatment delivered with different machines,
they are exactly the same. No machine is better than the other when it comes to the outcomes of the patients receiving SRS/ SABR,” explained Dr Mihai. “One of the challenges of Radiation Oncology is the technology always advances so we have to be on top of the technology, upgrading to the newest machine available on the market. As part of an extensive investment program in the Beacon Hospital, we are now in the process of replacing our Trilogy TX machine with top of the line new SRS/ SBRT linear accelerator.” SRS/SBRT consistently achieve a very high control of the treated tumour. Most of the studies on SRS/SABR report 70- 90% local control, regardless of the treated site. “And this means either the treated tumour has become smaller or remains the same Alina Mihai size in follow up examinations,” she said. However not all patients are suitable for this treatment, and not all patients are cured of their disease. SRS/SABR are alternatives to surgery, in patients who cannot undergo surgery because of medical comorbidities or because of the position of the tumour (hard to reach or close to vital organs/ anatomical regions). SRS is currently indicated in the treatment of many types of brain tumours, both cancerous and non-cancerous (brain metastases, recurrent glioblastoma multiformae, vestibular schwannomas), arterial venous malformations, and in neurological conditions such as trigeminal neuralgia, tremors. SBRT can be used for the treatment of some primary cancers (such as early stage lung cancer, liver cancers, prostate cancer, kidney cancers, recurrent head and neck cancer) or oligometastatic cancers. “For example, SABR is the new standard of care for patients who have inoperable early stage lung cancer. These are patients who cannot have surgery for several reasons –either they are unable to have surgery because of their medical condition, or if they are declining surgery. They have similar outcomes with patients undergoing surgery for their early stage lung cancer. Among these patients, the elderly represents an important group. Some elderly patients, especially in their late 80s and early 90s, who are usually not candidates for surgery can tolerate this treatment, with good control of their disease and minimal effect of their quality of life,” explained Dr. Mihai. SABR is increasingly used in patients with prostate cancer. However, not all the prostate cancer patients are suitable for this technique explained Dr Mihai. It is usually for patients who have low or intermediate risk disease, defined as PSA <20, Gleason score 6-7 and the disease is localised to the prostate itself (no spread beyond the capsule of the prostate). Prostrate SABR is usually delivered in five treatments over two weeks compared with the conventional type of radiation which takes nine weeks, with treatment taking place every day, five times per week. “In addition, it is important to mention, the tolerance to
the treatment seems to be similar to the standard treatment; but there are clinical trials ongoing right now which compare head to head SABR to conventional radiation therapy for prostate cancer, looking at the effectiveness and toxicity of these treatments,” she said. In some patients with primary liver cancers, inoperable because of the patient medical condition or position of the tumour, SABR can achieve long term local control of the disease. In patients suitable for liver transplant, SABR can be used as a bridge to transplant (to control the disease until the transplant is done). Evidence from the Northern European studies, show that in patients with inoperable kidney cancer, SABR is a therapeutic alternative with good longterm results. Another indication of SABR is oligometastatic disease, for which SABR is increasingly used. Oligometastatic disease is defined as limited spread of the cancer less than five lesions in less than three organs. Common sites for oligometastatic disease treated by SABR are lung, liver, adrenals and spine, abdominal or pelvic nodes, when surgical removal of the secondaries is not possible. “In these patients, studies showed that if we treat the site of the limited disease you can delay the time to further progression or in patients who have previously received chemotherapy, you delay the need for more chemotherapy,” she said. “The treatment has little side effects and this is extremely important especially in patients who received previously several lines of chemotherapy, and their tolerance to further treatments might not be robust. SABR can offer them a chemo holiday for several months (usually eight months, sometimes more), with good quality of life”. However, as SABR is a local treatment (treating only the lesion(s) targeted), these patients might progress further, usually in the same organ. Based on the time from previous SABR, location of the new tumour(s), this treatment can be repeated; and in a number of patients the oligometastatic disease can be controlled for a long time using local treatments only. Other indications of the SABR, include recurrent head-neck cancers, recurrent pancreatic cancers, patients who usually have limited therapeutic options and SABR can help achieve local control of the disease, with limited side effects. In addition to its significant clinical and educational activities, Beacon Hospital is the only private facility in Ireland actively involved in international multicentre clinical trials involving SABR for prostate cancer and for patients with oligometastatic and oligorecurrent disease. These trials are run through the Cancer Trials Ireland and involve collaboration with multinational trial groups from Europe, North America, Australia. “Our efforts, both on current clinical practice, as well as in Research and Education, put Beacon Hospital in the forefront of offering Irish cancer patients advanced, safe and contemporary radiation treatments,” she said.
BEACON HOSPITAL Magazine 23
Food for Health Health is about much more than the absence of disease. The foods we eat and the nutrients they provide, are the most important environmental factors influencing our growth, development, functional abilities, and general wellbeing. Senior Dietician at Beacon Hospital, Christine Munroe says that diet play a key role in maintaining good health and it is also a vital consideration for patients undergoing treatment for a wide variety of conditions. Christine first became interested in nutrition while growing up in her native New Jersey. Her passion for sports nurtured an innate interest she had in maintaining a healthy body. Thoughts of pursuing a career in sports nutrition appeared to be embedded in her DNA but Christine ultimately went on to take another road less travelled and instead graduated as a clinical nutritionist. After stints working in New Jersey Medical Centre and in hospitals in Boston and Massachusetts, Christine moved to Ireland where she has been working as a senior dietitian at the Beacon Hospital for over seven years. “Beacon Hospital is a fabulous place to work and I’m very proud to be part of an excellent team working within the hospital,” she says. “I have lovely colleagues who are all very knowledgeable and well qualified in all aspects of their work. As a team, we provide excellent care to all our patients, both in-patients and out-patients and we provide easy and quick access to our consultants who are extremely well-qualified and professional and who carry out diagnostic tests which are the envy of other hospitals around the country.” In her role as a senior dietitian, Christine specialises in the
24 BEACON HOSPITAL Magazine
area of medical nutritional therapy. Her work is key to the patient recovery process and is hugely important in guiding people suffering from malnutrition or obesity on to the right path towards a healthier lifestyle by switching to an appropriate diet. “Basically, on a day to day basis, I would assess a patient’s nutritional status i.e., taking into account their nutritional intake and their risk of malnutrition. In addition, I would look after their nutrient intake and provide dietary advice, especially if it’s decided that the patient requires any variations in their food intake. Members of the general public from all around the country – but primarily from Dublin and its surrounding counties – are ordinarily referred to the hospital for nutritional issues by their GP or by one of the consultants working at the Beacon. “We carry out a review of what the patient is eating and we then recommend changes to their diet, taking into account their ability to meet nutritional needs,” she explains. “Thereafter we encourage and direct patients on how to implement the necessary changes to their diet.” Christine is one of two senior dietitians employed at the Beacon Hospital by the Beacon Medical Group. She typically works Monday to Friday, 8am to 4pm and during the course of her daily work she liaises with those working at the coalface in, for instance, the hospital’s oncology department, intensive care unit and cardiology department.
Addressing Malnutrition Although her days at the Beacon are varied and interesting, the issue of malnutrition consistently forms part of Christine’s work. “Malnutrition still remains a major issue in Ireland, especially with regard to the patients we see in the hospital. Generally speaking when someone is acutely unwell it can affect their appetite and that is something that if not monitored, can lead to other problems. Having said that, in the classic sense of malnutrition, that would paint a much different picture than that involving a patient who is simply unwell. “A lot of times a patient’s appetite can change very quickly and can impact their nutritional intake so that would be Christine Munroe a big focus for us in the hospital. In such a case, we want to implement changes to their diet or if the patient wasn’t able to attain their calorie and protein needs, we offer appropriate advice and explain the necessary changes to their diet.” Christine works closely with colleagues and with GP’s as typically the GP is often the first port of call in relation to getting questions answered about a patient’s medical history. “All the information on the patient given to us by the GP would be taken on board by us in the course of assessing the patient and their needs. “A lot of times a patient in hospital would already have been prescribed nutritional supplements by their GP. These would be fortified drinks, high in calorie and protein and fortified with vitamins and minerals. There are a number of companies who create these supplements,” she explains. “Most of the time there would have been an intervention by the GP with regards to a person suffering from malnutrition. However, sometimes more information and education is required to fully inform the patient as to the path he or she needs to take going forward.” Fortunately, these days people are more aware of the need for an adequate food intake at home and in the hospital but Christine feels that there is always room for more education on dietary matters, especially with regard to healthy eating. “Primarily when people become unwell, they develop a poor appetite. After a certain period of being unwell, they are not able to eat properly. In those sort of cases, we provide
a strategy to work around that or make recommendation to increase the nutritional supplementation of food education. For healthy eating, there’s loads of scope.” Christine says that it is rare that a patient comes into her department with a primary diagnosis of malnutrition. A lot of times it’s a secondary diagnosis relating to their primary problem. The severity of the malnutrition really depends on the length of time the patient has been ill. “Malnutrition would be a concern in the health care world primarily because it can affect the patient’s ability to get better. Malnutrition inhibits healing and can compromise a person’s immune system and prolong a patient’s stay in hospital. “ Christine’s role in treating the elderly and geriatric population who may be in danger of suffering malnutrition is invaluable especially when such groups are undergoing treatment for major illnesses such as cancer or are in difficulty due to renal failure or declining kidney function. She cites working with oncology patients as her most satisfying. Assisting them with advice and information regarding modifying their diet after treatment and also making sure they are able to eat enough to maintain their weight so as to assist them to get through their treatment is something she finds very rewarding. “In the case of cancer patients, it is very important that they have a high protein, high calorie diet,” she explains. “I would advise them that using supplements regularly can also help them to increase their intake of calories during and posttreatment.” Information is always readily made available to patients attending Christine during their stay in hospital or to outpatients (attending the Beacon’s outpatient clinic on Thursday afternoons). Such information may involve prescribing diabetes education vis-à-vis carbohydrate control; advice on restricting potassium, sodium and phosphorus (all in relation to renal impairment); the restriction on sodium (concerning patients with cardiac problems) or fluid and high fibre intake concerning patients who have undergone gastro intestinal surgery. With one medical fad succeeding another and so much mis-information available at our fingertips, it is reassuring to know that sound evidence-based information is available with professional advice and personal, individual attention at Beacon Hospital.
“Malnutrition is non-
discriminatory. Screening for
the condition – upon admission to the hospital - can result
in any person,
from any socio-
economic group and from any
part of Ireland,
as suffering from malnutrition.”
BEACON HOSPITAL Magazine 25
26 BEACON HOSPITAL Magazine
Live Life to the Full Big news for anyone born after the year 2000: They’ll probably live to 100, according to research from Denmark. That’s roughly 20 years longer than the life expectancy of the rest of us. But we could live that long, too, says Walter Bortz II, MD, a clinical associate professor of medicine at Stanford University: “What’s holding us back are bad habits.” Luck and genetics play roles in longevity, of course, but you can’t control that. To hike your odds of hitting 100, focus on what you can do, like loading up on fruits and veggies (add five years), working out five days a week (add two to four years), and cutting down on stress (may add up to six years). Making just a few changes in your lifestyle can make a big difference. Studies show that four bad behaviors—smoking, drinking too much alcohol, not exercising, and not eating enough fruits and veggies—can hustle you into an early grave, and, in effect, age you by as many as 12 years. Fortunately, you can do something to correct these and other unhealthy behaviors. Adopt the following habits to keep your body looking and feeling young.
Disconnect We’re consuming about three times the amount of information today that we did in 1960, according to researchers at University of California, San Diego. But too much time with our electronic
devices takes its toll. Traditionally it was the TV but now we consume information via mobile phones so we are seldom too far from the stimulation of gadgets. In 2010 a study found that people who watched four or more hours of TV a day were 46% more likely to die from any cause than people who watched less than two hours a day. Even cutting back a little can help; each additional hour you watch increases your overall risk of dying by 11% and dying from heart disease by 18%. More recently a Forbes study confirmed what we already know, that these days we spend more time with screens than with people. Multiple devices and unlimited freedom wreak havoc on our attention spans, our social relationships and likely our productivity. So rather than let digital inertia take over, make a plan to go out, to see people, to get food, go for a walk. It does require an extra effort to put yourself in front of other people, even the ones you live with -- but the rewards you’ll reap from that company will outweigh anything you’ll find on social media. If you’re feeling very adventurous try leaving your device at home for a day. Remind yourself what life feels like when you don’t connect and find pockets in the day, especially at the end of the day to disconnect from devices and connect with yourself.
BEACON HOSPITAL Magazine 27
Food for Thought
Keep it Fresh
If you want to live to 100, leaving a little bit of food on your plate may be a good idea. Author Dan Buettner, who studies longevity around the world, found that the oldest Japanese people stop eating when they are feeling only about 80% full. St. Louis University researchers have confirmed that eating less helps you age slower; in a 2008 study they found that limiting calories lowered production of T3, a thyroid hormone that slows metabolism—and speeds up the aging process.
Getting fewer than three servings of fruits and vegetables a day can eat away at your health. Nutritional powerhouses filled with fiber and vitamins, fruits and veggies can lower your risk of heart disease by 76% and may even play a role in decreasing your risk of breast cancer. As an added bonus, the inflammation-fighting and circulation-boosting powers of the antioxidants in fruits and veggies can banish wrinkles. We all know that pre-prepared meals are handy but they often contain high levels of sodium and additives so the secret it, keep it fresh. Buy fresh fruit, vegetables, lean meat and oily fish. Mix this with nuts and oatmeal to create a balanced diet that keep all of the internal cogs and wheels turning. Eating well can also have positive effects on your mood and mental health.
Up in Smoke Its been said time and again but the fact is, quitting smoking is perhaps the single most important thing you can do for your health and your life span. A study published in the American Journal of Public Health found that women who quit smoking by age 35 add roughly six to eight years to their lives. It’s never too late to kick the habit. Quitting can slow disease and increase survival odds even in smokers who have already caused significant damage to their lungs. You may be thinking about quitting and you may have tried before - in fact most smokers make a few attempts before they quit for good. You may even be a little worried that even though you want to, you can’t do it. Well, you can and there is loads of information on the quit.ie site to help you on the way.
Sun Burns We may not be blessed with much sunshine in Ireland but those harmful rays do get through, so sunscreen is a must even in our inclement climate. Avoiding too much sun can head off skin cancer, and it can also keep you looking young by preventing wrinkles, fine lines and saggy skin. It’s never too early—or too late—to add sunscreen to your daily skin-care regimen (look for an SPF of 30 or higher). And don’t focus only on your face. Sun damage spots and splotches on your chest and neck will also make you appear older.
Reach out Good friends and family do more than make life worth living. These relationships can actually add years to your life. A new study shows that people with lots of close friends and family around will likely live a lot longer than lonesome people. Loneliness can cause inflammation, and in otherwise healthy people it can be just as dangerous as having high cholesterol or even smoking. So, reach out, join a club, take up a hobby or a language class – find ways to keep in touch and extend your social circle and you will fee and see the benefits.
Drink in moderation Women who have two or more drinks a day and men who have three or more may run into detrimental effects ranging from weight gain to relationship problems. But in smaller quantities, alcohol can actually be good for you. The old adage ‘all things in moderation’ rings true. A 2010 study in the Journal of the American College of Cardiology linked light drinking (defined as one drink a day for women and two for men) to significant heart benefits.
28 BEACON HOSPITAL Magazine
Walk the Walk Daily exercise is the closest thing we have to a fountain of youth. A 2008 study found that regular exercise can add up to four years to your life, which isn’t surprising given the positive effects working out has on your heart, mind and metabolism. Even moderate exercise can lower your risk of heart problems. A simple walk is like eating that proverbial apple a day: there’s a good chance it will keep the doctor away. From helping you lose weight and de-stress to lowering your blood pressure and reducing your risk of many chronic diseases, going for regular walks is one of the best and easiest things you can do for your health. Studies show that walking for 30 minutes a day reduces the risk of heart disease and stroke by up to 27%. This exercise is ideal for controlling high blood pressure; it improves circulation, reduces bad cholesterol (LDL), and helps increase good cholesterol (HDL). It can even improve your mood. You know how sometimes it takes a glass of wine or a square (or three) of chocolate to blunt the edge of a rough day? Well, going for a walk is a zerocalorie strategy with the same benefits. Research shows that regular walking actually modifies your nervous system so much that you’ll experience a decrease in anger and hostility. What’s more, when you make your walks social—you stride with, say, your partner, a neighbour, or a good friend—that interaction helps you feel connected.
Pet Projects Need a little motivation in the exercise department? Dogs can act as the perfect personal trainer, if only because most of them need to be walked at least once a day. Pets are also great way to beat the blues. Not only are they known to they offer unconditional love, but they may also give their owners a sense of purpose, which can be crucial for those feeling alone or down in the dumps. Pets combat feelings of loneliness by providing companionship, which can boost your overall mood and even bring you feelings of joy and happiness. This is particularly apparent among vulnerable groups such as the sick and elderly.
Beacon HealthCheck Because maintaining good health and quality of life comes from prevention and early detection of diseases, Beacon Hospital have introduced Beacon HealthCheck, Ireland’s only advanced, Consultant Delivered health screening service. Health check-ups are a vital way of helping you to assess your current health status and identify any pre-existing risk factors for diseases. Once any risk factors are established, accurate diagnosis and management can be initiated to prevent diseases from developing and to help improve your health and quality of life. Many chronic and potentially dangerous medical conditions, including heart disease, high blood pressure, diabetes and cancer can be identified as a result of health screening. Apart from health screening, the other critical aspect of disease prevention is knowing how to lead a healthy lifestyle and manage your risk factors. The success of every organisation (domestic or corporate) is dependent on a number of key individuals performing at optimum levels. Health screening is a proactive approach to your own personal wellbeing or the wellbeing of your employees and Clients attending Beacon Healthcheck are tended to by an experienced multi-disciplinary team, including consultants, nurses, cardiac physiologists and radiographers - all with access to the latest in diagnostic technology. The screening tests are designed to assist with identifying and reducing life altering health risks such as heart disease, stroke and diabetes. All standard test results and reports are available for discussion on the day of screening with your dedicated consultant and all relevant results are reported on by specialist Consultants with the appropriate knowledge and expertise in their relevant areas (pathology, cardiology, radiology etc.). A detailed, personalised written report including interpretation of results, behavioural and lifestyle modification advice is forwarded to all those who attend Beacon Healthcheck.
A copy of this report will also be sent to your GP within 10 days. Beacon HealthCheck costs €585 and qualifies for tax relief. It takes between 2 and 4 hours to complete. It is also covered under some Laya and GloHealth plans - please check with your provider. For more information or to make an appointment, contact: Phone: 01 2936090 | Email: email@example.com
PEACE OF MIND Beacon HealthCheck takes approximately 2-4 hours to complete and is inclusive of the following screenings: n Height &Weight & BMI (Body mass Index) n Blood Pressure n Urinalysis n Stool test for blood n Chest X-Ray (where indicated) n Glaucoma Test (Tonometry) n Resting ECG n Full Blood Bio-Chemistry (Liver function tests, renal and bone profile, Lipid Profile, Diabetes test) n Lung Function (Peak flow) n Full Blood Count, ESR, CRP and differential n Serum Ferritin on everyone >40 years of age n PSA (prostate test) for men > 40 or with family history n Thyroid Function Tests n Hearing test n Physical Examination which includes, General, cardiovascular, respiratory, abdominal and joints and muscle n Lifestyle Assessment including Diet, Exercise, Stress and Advice
BEACON HOSPITAL Magazine 29
Public Sector Magazine
our food speaks for itself www.brambles.ie
30 BEACON HOSPITAL Magazine
Public Sector Magazine
Brambles From Farm to Fork Artisan hand produced food from Irish family firm, Brambles At Brambles we pride ourselves on the food we produce. With top class ingredients sourced from local suppliers we believe we deliver a fantastic product to be very proud of. We have built our reputation by word of mouth for wholesome and creative food, excellent service and also being part of some of Ireland’s most iconic historical sites. We are a 100% family run and family owned business with family employed throughout the company. We regard all our team as part of the Brambles Family and take great delight watching our team develop. One of our biggest and most enjoyable tasks from day to day is the sourcing of fresh and local produce. We believe in good, honest produce prepared with love and care- food that endears us to our many loyal customers. Our kitchen prepares meals on a daily basis and we feel this is what sets Brambles apart from the others. Every day our chefs prepare meals the way you do it at home, but incorporate innovative ideas, love and skill to raise the standards and interest of our food. All good dishes start with wonderful ingredients that is how we approach our food. We employ the best chefs and they use the best produce. We encourage our team of chefs to innovate whilst still using the tried and tested techniques which make food such a pastime for us all. Our customers know that a Brambles meal is made by hand and made with love by our team. The art of cooking is something we can all relate with and at Brambles our focus is on the ingredients. We recognise the hard work which goes into our ingredients from our farmers- from Boyne Valley Meats, Kerrigan’s Farm, Carlingford Fisheries and the best Dairy in the world from Irish fields. We recognise the importance of farm to fork and for that reason we don’t mess with these ingredients, we just combine the best with the best and we believe it delivers every time. Our Bakery takes centre stage throughout our cafes, with mouth-watering desserts by using techniques dating back to traditional baking. Simple ingredients - flour, sugar and eggs combined with beautiful finishes to bring a little taste of happiness to each of our customers. We believe these techniques have stood the test of time through the years and still deliver! Our bakery starts early, really early, to prepare and bake fresh scones, pastries and morning snacks each day. You really can’t beat a soft delicious scone with raspberries or with delicious golden sultanas and raisons while enjoying a cup of wonderful coffee with an old friend or even a new friend. Seeing a freshly baked scone coming out of the oven never loses its appeal, that’s why we believe in doing it the right way by using Flour from Portarlington Millers, Free Range Eggs from Ardee and Butter from the best Irish Dairy cows. In Ireland food is part of our DNA, we are very privileged that we can source such wonderful ingredients- our meat,
All good dishes start with wonderful ingredients that is how we approach our food. We employ the best chefs and they use the best produce. We encourage our team of chefs to innovate whilst still using the tried and tested techniques which make food such a pastime for us all. + seafood and vegetables are world renowned. We don’t take this for granted and use the best we can find. Our wonderful natural resources are all around us. Let’s continue to appreciate all that is so good and taste a bit of Ireland when you next eat at Brambles! @bramblescafeltd Twitter @bramblescafe brambles_cafesWebsite www.brambles.ie
BEACON HOSPITAL Magazine 31
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32 BEACON HOSPITAL Magazine
Controlling Diabetes Diabetes is a lifelong condition caused by a lack of insulin. The hormone acts like a key to open the doors into your cells, letting sugar in. In diabetes, the pancreas makes too little insulin to enable all the sugar in the blood to reach muscle and cells to produce energy. If sugar can’t get into the cells to be used, it builds up in the bloodstream, therefore, diabetes is characterized by high blood sugar (glucose) levels. As the Diabetes Nurse Specialist at Beacon Hospital since 2015, Susan McKenna says that Diabetes is a growing problem in Ireland. She sees part of her role as helping to spread awareness of “a growing chronic disease problem”. She points out that in 2015, 415,000,000 people worldwide suffered from diabetes with an estimated 250,000 of these in Ireland. “This is a growing number. Effectively one in 11 people have diabetes but probably only half of these people are aware that they have the condition,” she says. A study carried out in the UK revealed that 1 in 6 patients in hospital has diabetes. The condition in hospital can be affected by many outside influences, including dietary changes, stress and some medications. “Diabetes is a serious chronic condition. Many complications can arise as a result of a person having diabetes, so good management to optimise blood glucose control is encouraged at every visit to a doctor or nurse to reduce the risk of complications, explains Susan.” In Ireland the cost to the exchequer is 1.35 billion euros annually which represents 10% of the total healthcare budget. Of the 250,000 people with diabetes, 14-16,000 have Type 1 diabetes with Type 2 diabetes remains the most common. As the Diabetes Nurse Specialist in Beacon hospital, Susan works under the direction of two consultant endocrinologists,
Dr Margaret Griffin and Dr Kevin Moore. Together they manage the care of patients admitted to the hospital with diabetes. Susan is also involved in educating and supporting both patients and their families to optimise their diabetes care and treatment plans and see patients in the Out-Patient department, either as a referral from the diabetes clinics of Dr Griffin and Dr Moore or by direct referral from GPs. Education and support for the clinical staff working in the hospital is also a key responsibility of the diabetes nurse specialist. “General practice is very holistic and as a nurse, you are privileged to get to know the patient and their family very well,” she says. “You are involved in all aspects of their care and diabetes is part of the whole person. Susan rejects the notion that a typical profile exists in relation to people afflicted with Diabetes. “I think it’s unfair to stigmatise and compartmentalise any cohort of patients,” she says. “Diabetes can affect every age group of patient and while sedentary lifestyle and diet can play a role in the development of diabetes, it would be unfair and untrue to suggest that this is the profile of every person with diabetes. Indeed, I think it can be counter-productive. If people with any chronic disease are socially stereotyped, this can act as a barrier to people seeking advice and treatment from their doctor or nurse. I think it’s better to consider every patient on a one to one individual basis.”
BEACON HOSPITAL Magazine 33
Risk Factors People with a family member with diabetes may be at risk of developing diabetes and people who develop gestational diabetes are at an increased risk of developing diabetes. Anyone who has a BMI greater than 24.9 is classified as overweight and people with a BMI of 30 or more are obese. Sedentary lifestyles and poor diet also have a role to play,” she says. Awareness of risk factors for diabetes can prompt people to address lifestyle issues, for example, weight loss can be aided by referring people who are overweight to a dietician for advice. Prescribing exercise to patients is a novel treatment plan and may encourage activity. The HSE has been very proactive in promoting healthy diet and exercise. Education of children and parents in schools around healthy eating and exercise is also important and many schools have embraced this idea in many different ways. “The introduction of drugs to assist in weight loss can be beneficial to some people and can be prescribed on an individual basis after assessment of suitability,” explains Susan. In relation to new treatments, pharmaceutical companies have launched many new classes of both oral and injectable therapies, so a greater scope of treatments are available now. “This helps to tailor treatment plans to the patient and their needs both from a diabetes perspective and in consideration of other co morbidities. “Good blood glucose control has also been shown to prevent complications of diabetes and to increase life expectancy.” A blood test called a HBAIC can be used to diagnose diabetes and because it does not require fasting so can be an easy test to do as part of a routine blood test or as part of a health check medical. The two endocrinologists who have their clinics in Beacon Hospital, Dr Margaret Griffin and Dr Kevin Moore specialise in all aspects of endocrine problems, from fertility issues, to thyroid and diabetes care. Patients can access their clinics through GP referral and will subsequently be contacted by Deirdre, Aisling or Cathy for an appointment. Patients that are seen in Beacon Hospital will also have access to Susan as well a dietician and to the physiotherapy department for exercise programmes if needed. Any referrals needed to other specialties as a result of complications can be offered in a timely manner.
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If you did require admission to the hospital, the excellent multidisciplinary team available to you in Beacon Hospital will ensure that you get the best care possible. Susan is proud of the quality of care and treatment afforded to Diabetes patients at Beacon Hospital. “People who attend the service can Susan McKenna be guaranteed to be treated with courtesy and respect. They will be seen and followed up in a timely fashion. Patients have access to all the most up to date therapies,” she says. “From my perspective as a specialist nurse, I am privileged to work with an excellent team of nurses, doctors and multidisciplinary team. The nursing faculty is very supportive of its nursing staff and strives to create a ‘great place to work’. Beacon Hospital is committed to career progression and will encourage further education.”
TYPE 1 Type 1 diabetes tends to occur in childhood or early adult life and always requires treatment with insulin injections. It is caused by the body’s own immune system destroying the insulin-making cells (beta-cells) of the pancreas.
TYPE 2 Type 2 diabetes usually develops slowly in adulthood. It is progressive and can sometimes be treated with diet and exercise but more often Type 2 diabetes requires antidiabetic medicine and/or insulin injections.
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Heart to Heart As a seasoned cardiology team, Beacon Hospital Cardiology Department offers years of experience in the prevention, diagnosis, treatment and recovery of cardiovascular disease, as well as a great patient experience. The Cardiology Department offers a comprehensive cardiac service that comprises the full range of care for heart-related diseases and conditions. Beacon Hospital offers world class, comprehensive care by a team of expert cardiologists, cardiac surgeons, technicians, nurses and other specialists who work together to make available the very latest in diagnostic and treatment options. The hospital offers a fully comprehensive Cardiology Service across a number of specialised departments including Non-Invasive Cardiology, Cardiac Catheterisation, Coronary CT Scanning, Cardiothoracic Surgery and a Lung Clinic. Cardiac Services Manager Audrey Kearns discovered a fascination for the intricacies of the heart in her student days. “When I was training as a student nurse in Waterford, I had a placement in the Coronary Care Unit. It was from here that my love for Cardiology grew. I was fascinated by the intricacies of the heart, how it functioned and the impact it had on a person’s life.” No two days are the same for Audrey in the busy Cardiology Department and she says that the CNS role has evolved over the years. The CNS currently runs the Rapid Access Cardiology Clinic. The role involves history taking, physical assessment, ECG interpretation, phlebotomy
and decision making regarding further diagnostic testing the patients may require. The CNS is involved in Cardiac Rehabilitation for patients who have undergone a cardiac procedure such as coronary stenting. The clinic started with 1 CNS and has now developed into a clinic with 2 Cardiology CNS’ while Audrey has moved to Department Manager. The Rapid Access Clinic provides patients with a one stop shop for their cardiology assessment. All tests are carried out on the same day and patients see a Consultant Cardiologist on the day with their test results. The cost to the patient is capped at €400. There are other clinics similar to this RACC, most notably the Mater Private who offer a similar service. There are no other clinics in public or private national hospitals that offer the range of testing on the same day. According to Audrey, working at the Beacon Hospital is an enjoyable and rewarding experience. “You feel part of a team that wants to provide the best care for patients. The hospital Leadership are responsive to all requests that will enhance patient care and to introduce new services that will expedite care for all patients. Quality is a big focus for the hospital and I enjoy being involved in quality improvement projects in the clinical area.”
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Preventative Measures Approximately 10,000 people die each year from cardiovascular disease (CVD). CVD is the most common cause of death in Ireland, accounting for 33% of all deaths. the focus has shifted in recent times to preventative medicine and cardiology is a perfect speciality with both medication and procedural advances that allow us to prevent patients becoming unwell and requiring emergent treatment. Advances in efficiencies of treating acute heart attacks have improved patient survival with overall improvement in quality of life. Many people know that certain risk factors influence and increase their chances of getting heart disease. There are some risk factors which we can change or influence, such as smoking, having a high cholesterol level or high blood pressure, being overweight and not being physically active. According to the Irish Heart Foundation there are other risk factors which we cannot change. Heart disease is inherited so if there is a history of heart disease in your family, you are more likely to get it. As we get older, we are more at risk of heart disease. Fortunately, at any age and even if you have a history of heart disease in your family, you can reduce your risk of developing the disease. Making some changes now can make a difference for a longer and healthier life. In particular, high blood pressure and smoking are risks for heart health and tackling these could help reduce symptoms and improve quality of life.
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â€œApproximately 10,000 people die each year from cardiovascular disease (CVD). CVD is the most common cause of death in Ireland, accounting for 33% of all deaths.â€? Stop smoking: For smokers, giving up is likely to be the single biggest way to cut the risk of developing coronary heart disease and heart failure. Tobacco smoke can damage your heart in a number of ways, forcing it to work harder. Smoking also tends to make the blood thicker and slows down blood flow, increasing the risk of blood clots (thrombosis). It damages the linings of the arteries, causing them to fur up. This furring up of the arteries (atherosclerosis) is a main cause of coronary heart disease, stroke and some forms of dementia. Watch the BP: When your blood pressure is too high, your heart has to work harder to pump blood around the body. To
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cope with the extra effort the heart muscle becomes thicker over time, but eventually it becomes too stiff or weak to work properly. Keeping blood pressure down can stop this happening so it may be useful to have your blood pressure checked regularly. Cut Cholesterol: High levels of cholesterol (fat) in your blood can cause furring and narrowing of the arteries (atherosclerosis), heart attacks and strokes. The risk of coronary heart disease - and therefore heart failure - increases as the level of cholesterol in the blood increases. If you have other risk factors, such as high blood pressure or you smoke, the risk is even bigger. Drop a few Pounds: Being overweight puts added pressure on your heart and increases your risk of coronary heart disease and a heart attack, both of which make heart failure more likely. Eat Well: A healthy diet can help reduce your risk of getting coronary heart disease and therefore heart failure. If you already have heart problems, eating a good diet can help protect your heart from getting worse, as well as protecting you from other diseases such as diabetes and some cancers. Keep Active: Regular physical activity can keep your heart healthy and help you maintain a healthy weight. You do not need to join a gym or start running marathons, but including exercise in your daily routine will help. People who aren’t easily mobile can do chair-based exercises. Be Drink Aware: Drinking above recommended levels can increase blood pressure, which can lead to heart failure. Heavy drinking over a number of years can damage the heart muscle and lead directly to heart failure, as well as having many other harmful effects on your health. Men who regularly drink more than three to four units of alcohol a day, and women who regularly drink more than two to three units a day are likely to be damaging their health. Cut Salt: Reducing the amount of salt you eat will help keep your blood pressure down and help reduce your risk of getting heart failure. Manage Stress: Stress takes a heavy toll on the heart. Stress increases hormones throughout the body that are associated with the ‘fight or flight’ syndrome’, leading to an increase in heart rate and blood pressure all leading to heart disease. Positivity: Although it sounds clique the power of positivity really is astounding. Positive emotions such as optimism can lower your risk of heart disease, same goes for laughter. It boosts the immune system, decreases stress and lowers blood pressure. The Irish Heart Foundation, 4 Clyde Road, Ballsbridge, Dublin 4. Phone: 01 6685001 E-mail: email@example.com Website: www.irishheart.ie
On a global scale, the World Health Organisation estimates that 17 million people die every year as a result of cardiovascular disease, particularly heart attacks and stroke. This represents almost onethird of all deaths globally. By 2020, heart disease and stroke will become the leading cause of both death and disability worldwide, with the number of fatalities projected to increase to over 20 million a year. By 2030, this number is expected to jump again to 24 million fatalities per year.
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Mr Kambiz Golchin Director
The award winning Beacon Face & Dermatology Clinic was founded by Mr Kambiz Golchin ENT Consultant & Facial Plastic Surgeon. We pride ourselves on providing bespoke patient care delivered by qualified professionals only. Our staff are highly passionate and clinically trained in all aspects of surgical & non-surgical treatments. This gives us a unique overview of the aesthetic industry.
ANTI-WRINKLE INJECTIONS DERMAL FILLERS SKIN TIGHTENING NON-SURGICAL AUGMENTATIONS LASER REJUVANATION CHEMICAL PEELS SKIN CONSULTATIONS 40 BEACON HOSPITAL Magazine
OPEN MON-FRI | 6-6PM FOR MORE INFORMATION PLEASE PHONE RECEPTION ON: 01 2136220 LEVEL 1, SUITE 36, BEACON HALL BEACON COURT, SANDYFORD D18 T8P3
Skin Deep Founded by Mr Kambiz Golchin over a decade ago, 2017 has already been Beacon Face & Dermatology’s busiest year to date.
Mr Kambiz Golchin From Acne to Ultherapy, Beacon Face and Dermatology (BFD) clinic offers a wide range of medical, aesthetic cosmetic surgery treatments. As well as daily anti-wrinkle clinics, there are several weekly clinics available for a wide range of issues including ENT, allergy, acne and Rosacea. Founder Mr Kambiz Golchin wears many hats. He is a sough after facial plastic surgeon renowned for his Rhinoplasty cosmetic surgery. He is also a European trainer for BOTOX® & Fillers and an accomplished author, having published numerous papers and articles in peer-reviewed surgical journals. He regularly presents at international conferences. “Our mission statement is to deliver the most beautiful & natural cosmetic result possible while treating you with extreme kindness and respect,” Mr Golchin enthuses. At his clinic he sets the highest standards for treatment with each member of BFD believing that every patient is unique. “The team ensures that extreme care and respect is given from the moment we first speak with them. We believe that consultation is key, taking pride in the level of patient care provided at BFD,” he says. Mr Golchin began his illustrious career by studying medicine where he graduated from The Royal College of Surgeons in Ireland. He subsequently completed higher surgical training otorhinolaryngology, and became a fellow of the Royal College of Surgeons England. A unique attribute of Mr Golchin’s is that he also has a keen interest in teaching. He completed a postgraduate Masters in Medical Science in Education for the Health Care Profession at Queens University Belfast and as a result, he is regularly consulted by his peers in complex patient cases. Cosmetic Surgery has long been a passion for Mr Golchin who has a keen eye for aesthetic beauty. This sets him apart in this highly competitive field both in Ireland and the UK. Mr Golchin couples outstanding professional credentials and ethics
with a personalised approach to patient care. His talented work is performed according to his philosophy as a facial plastic surgeon, which demands that each member of his staff hold the patient’s concerns, goals and ambitions in the highest regard at all times. It was at the Royal College of Surgeons where Mr Golchin met Dr Orla Grimes, who has been practising at Beacon Face & Dermatology for nearly two years now. Dr Grimes is the National Field Clinical Therapist for Ultherapy - the clinics no.1 skin tightening treatment. Ultherapy uses focused ultrasound to stimulate collagen deep within the skin, lifting and tightening it naturally without surgery or downtime. When Dr Grimes isn’t training practitioners and other clinics throughout Ireland her days at Beacon Face & Dermatology Clinic consist of injectable appointments and skin consultations for acne and rosacea patients. Dr Grimes says; With Utherapy you become the best version of your most natural self.” Mr Golchin & Dr Grimes are working together to deliver the most effective results for their patients using combination treatments that are results driven, most notably, Ultherapy followed by a Thread Lift 3/4 weeks later. “I don’t believe threads give you enough of a lift on their own,” Mr Golchin says, “threads give focused lift whereas Ultherapy gives you general overall lift. Adding the threads to a patient’s treatment plan is reinforcing the support.”
SPECIALTY AREAS: Rhinoplasty Skin resurfacing with Co2 lasers Facial Rejuvenation advanced Botox & Fillers Autologous Biotherapies
Also Renowned For: • Face Lifts • Brow Lifts • Neck Lifts • Blepharoplasty • Cheek & Chin Augmentation • Stem Cell Fat Transfer
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Listen to your Body Women need to be proactive about their health, listen to their bodies and look after themselves. At Beacon Hospital Women’s Health Centre, three consultant gynaecologists and a team of dedicated nurses run clinics from Monday to Friday covering all aspects of women’s gynaecological health. The team includes a dedicated set of nurses and administration staff whose aim it is to make the patient’s journey as easy and as comfortable as possible. Consultant Gynecologist Dr Sharon Moss knows that women live very busy lives and often prioritise family and work over themselves, however, she says it is very important that all women keep up their screening, have regular smear tests, mammograms and generally listen to their own bodies. “I would advise women to take responsibility for their own health – if something is not right, go and see someone about it.” She also recommends that women should not be afraid to ask questions. “Sometimes women may not have been listened to, or fobbed off, but they have got to keep asking and pushing,” she says. “Sometimes there are very legitimate concerns. Women are highly aware of their own bodies. I’ve had some women come in and say they have pain which they think might be due to an ovarian cyst and when we examine them sure enough, it’s a cyst. So, it is extremely important to listen to your own body.” Dr Moss says that thankfully there is no need for women nowadays to suffer in silence with problems as our mothers and grandmothers did. However, she does feel that many women
still shy away from dealing with gynaecological issues due to negative emotions associated with such examinations. “At Beacon Hospital we focus on offering easy access and rapid diagnosis and treatment in an office environment whenever possible, making the experience as stress-free as possible for the patient,” she explains. And a lot of what can be achieved can now be done with keyhole surgery, a minimally invasive surgery which is a huge advantage over what our mothers and grandmothers would have had available to them. “A lot of our focus now is providing day care surgery where the patient can come in, have their procedures done and go home the same day,” she says. A clear advantage of this being that patient recovery time is faster and patients can return to work more quickly. Another huge change over recent years in seeking help is that most women now have access to the Internet and they are becoming more familiar with certain conditions. “When patients come in to see us they ask more and more questions and they have an idea of the direction they may want to take because of looking things up on the Internet,” explains Dr Moss. “The way we present the facts may be different to the things they’ve read about, but people generally have a better idea of conditions, and how they want to proceed in terms of management. This is compared to the days gone by, when women
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“Although there are options for women older than this, the success rate of IVF for women over the age of 35 starts to decline, and it’s even worse over the age of 40, despite what’s portrayed in the media.” would come in and be told what they needed or what had to be done without any consultation. It’s very important nowadays to offer Consultant Gynecologist, Dr. Sharon Moss a broad range of options and involve the patient in the decisions made.”
Key Challenges Some of the key challenges facing gynaecologists is managing the expectations of patients. While keyhole surgery is a huge advance, sometimes patients have misconceptions about it. “Even though it is minimally invasive, a lot of people believe they can have their surgery completed and go back to work the next day. This is not always the case, for example, after a laparoscopy it takes up to two weeks to recover,” said Dr Moss. “And sometimes surgery is not the answer. Sometimes I have patients who come in with chronic pelvic pain and it’s very difficult to manage. Surgery may give an idea of what’s going on and there might be something that can be treated, but the experience of pain might not change all that much. So, managing expectations of a patient is a huge thing.”
Facing Facts Dr Moss says that women also need to be more aware of their reproductive potential. Fertility declines after the age of 35, “so it’s very important for women to be aware of their reproductive potential even at a young age.” She feels that women should be starting to think about having babies in mid to late 20s or early 30s if their situation allows them to. “Although there are options for women older than that, the success rate of IVF for women over the age of 35 starts to decline, and it’s even worse over the age of 40, despite what is portrayed in the media.” Some of the major health problems and conditions Dr Moss sees on a regular basis is abnormal bleeding which accounts for about a quarter of all the cases she sees. “Abnormal bleeding can occur from the teenage years right up until post-menopause. I’ve seen a lot of teenagers who have considerable problems with heavy bleeding, severe period pain and possible endometriosis, which is a condition involving deposits of endometrial tissue outside the womb causing pelvic pain.”
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Other common presenting problems at the clinic are ovarian cysts and problems associated with fibroids, which are growths within the womb. The introduction of the latest in a number of advanced technologies including the high spec da Vinci robotic surgical system, facilitates unrivalled precision in dissection through a minimally invasive access technique, promoting better outcomes for patients. “It’s still keyhole surgery but instead of the surgeon standing over the patient, the surgeon is based at a console and there’s a special device with instruments that are controlled from the console,” explains Dr Moss. “It’s a very different approach to surgery, a lot neater, movements are smoother and recovery is quicker. It’s an exciting and interesting advancement in surgery.” Another positive advance over recent history has been the Mirena Coil, which provides both contraception and controls heavy bleeding in women. “This coil has reduced the need for women to have hysterectomies,” said Dr Moss. It can sit in the womb for five years, keeping the lining of the womb thin, which results in reduced bleeding and is an extremely reliable form of contraception with very few side effects. “All of these advancements change the way we approach and deal with women’s health.” Modern medicine has much to offer for the many health issues women experience. The services provided at Beacon Hospital Women’s Health Centre are accessible and inclusive so that the women of Ireland can feel reassured that they have top quality care available to them.
SERVICES PROVIDED Sexual and reproductive health – all matters of sexual health and contraception Menstrual dysfunction – any matters related to problems of menstruation, such as abnormal/heavy bleeding or premenstrual tension Pelvic pain and endometriosis – issues pertaining to acute or chronic pelvic pain, as well as diagnosis and management of endometriosis Menopause – diagnosis and management of menopause, including related issues such as abnormal bleeding and osteoporosis risk assessment Minimally invasive surgery – hysteroscopic and laparoscopic alternatives to most operative procedures (ovarian cysts/ fibroid resection) Outpatient procedures – e.g. Hysteroscopy, IUD insertion Colposcopy – assessment and management of abnormal smear results Gynaecologists have access to Beacon Hospital’s state of the art theatres should there be a need for surgical intravention during treatment.
Where Science Meets Life Weâ€™ve been at the forefront of pioneering fertility research & innovation, for over 20 years. If youâ€™re trying for a baby or want to preserve your fertility for the future, talk to us.
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Transform your Work Space Codex Office Solutions is now firmly recognised as Ireland’s largest Independent Contract Office Solutions Company, delivering a nationwide service operating with regional services in Cork, Galway and Mayo, covering the four provinces of Ireland. The company’s Managing Director, Siobhan O’Connor discusses the ethos and focus of Codex and outlines the plans in place to further grow and develop the company. A wholly Irish owned company founded thirty nine years ago by Brendan Murphy, Codex has become a key supplier to the Irish medical sector in recent years Becoming Ireland’s largest Office supplies dealer has taken focus, business acumen and strong leadership and Codex has overcome some very challenging economic periods to get to its current position, particularly over the last eight years Codex is proudly Irish and with Managing Director Siobhan O’Connor at the helm it is on course to achieve all its targets and objectives. The local economy is their marketplace and this is where Codex buy and sell and in turn strengthens the community. Codex Business is totally focused on everything related to Responsible Working. Great emphasis is put on sourcing sustainable products
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The awarding of the OGP tender to Codex. Pictured from L-R are Siobhan O’Connor, Mary Lennon & Patrick Murphy. and their approach is to have a process by which environment, social and ethical considerations are taken into account when making a purchasing decision. Codex have an excellent team who use exceptional skill in
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Codex have been an ISO certified organisation for many years and have obtained and maintained management based standards ISO 9001, Quality and Environmental standards ISO 14001, and Health and Safety OHSAS 18001.
negotiating with suppliers and enhancing the offering to their customers. Codex Procurement team keeps the sales force up to date on new products and services coming on stream. A Guaranteed Irish member, Codex sources eighty seven per cent of its products locally supporting local businesses. Codex delivers solutions driven by listening to their customersâ€™ requirements and engaging with their Codex teams. Corporate responsibility is at the heart of the organisation. This ranges from training and supporting their staff, protecting the environment to giving back to the communities through fund raising and most importantly time. In recent years Codex decided to revisit all aspects of the business from rebranding as an office products company to an office solutions company and evaluating the purchases of their fantastic customer base. The company looked at where there was growth sectors in the business such as facilities supplies, interiors, office fit-Outs and Print and with investments in staff and capability Codex have made considerable gains in these new sectors. While Codex already had a good offering in these key areas the addition of category specialists and extra staff brought a new dimension to what could be offered to the customer. Codex conducted a survey on all activity and evaluated these results around the brand strength, with the results from their 3000 plus strong customers it was quickly recognised they were a company of trust and delivered on their promises with the customer being at the heart of the entire organisation. Codex also took on board the feedback on their digital catalogues and the online product and service offering and knew major
improvements were required by them to deliver a much higher standard in the business, this included security. Codex have been an ISO certified organisation for many years and have obtained and maintained management based standards ISO 9001, Quality and Environmental standards ISO 14001, and Health and Safety OHSAS 18001. With so much of their data now being held in the cloud, working with third party providers who deliver support and IT services and couple this with the General Data Protection Regulation (GDPR) being introduced in 2018 Codex decided to go for Data and Information Certification and achieved the ISO 27001 in six months. Codex looked at all standards within the organisation and employed external auditors to review the full business through all departments highlighting improvements and efficiencies. With this information Codex set the best standards in place this included involving all their staff. It was most important to ask their teams what their perception of Codex was and they registered with the Great Place to Work, and signed up for the audit which measures the Trust Index within an organisation. Codex were delighted with the results on their first time out within the medium companyâ€™s category for 2017. Combined with Responsible Working it has created a great environment of diversity and inclusion which spills out into the community delivering contributions and supports. The standards in business has paid off, and Codex was awarded the Government office Supplies contract in June of this year. Greatest tip for 2017 from Codex is to lock down your data and protect your business, GDPR is coming, so be prepared.
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Directory of services Back Clinic and Rehabilitation Programme Beacon Hospital’s Back Clinic and Back Rehab Programme provides patients suffering from back pain with treatment in the area of back pain management from physiotherapy to surgery. Musculoskeletal Physiotherapy Clinical Specialists treat patients presenting with lower back pain and when necessary, patients will be referred to one of the hospital’s Consultant Spinal Surgeons to conduct a surgical or medical review. The Back Clinic and Rehabilitation Programme at Beacon Hospital provides patients with comprehensive medical and holistic treatments for back pain whilst providing on-site Consultant evaluation when required. As part of the well-established physiotherapy department in Beacon Hospital, this dedicated programme enables our Physiotherapists to better cater for those suffering with back problems. The Back Rehab Programme is a four-week exercise programme that focuses on developing normal movement through an aerobic and strengthening programme. The key aspects of the Programme include building strength, stability and suppleness of core muscles and improving cardiovascular fitness. The full diagnostic service available at the Back Clinic enables us to deal with all stages of back pain, muscular complaints, disc involvement or other more severe problems that may require surgical expertise. Tel: 01 293 6692 Email: firstname.lastname@example.org
Beacon Vascular Centre Incorporating a private vein clinic with comprehensive arterial, open and endovascular services, Beacon Vascluar Centre diagnoses and treats a wide range of conditions and all procedures are carried out in the state-of-the-art facilities at Beacon Hospital. Conditions treated including Varicose veins (using the most advanced endovenous laser technology treatment), Venous conditions, Leg ulcers, Spider/thread veins, DVT (deep vein thrombosis), Arterial disease, Carotid artery disease (TIA/Stroke), Peripheral arterial disease (claudication/ critical ischaemia), Aneurysms (aortic/popliteal/other). Tel: 01 293 2694 (Reception)
Beacon Hospital Breast Centre Established in August 2008, Beacon Hospital’s Breast Centre is a private breast clinic which provides patients with swift access to its triple assessment clinic and specialist team of Consultant Surgeons, Consultant Radiologists, Consultant Pathologists, Radiographers and Breast Care Nurse Specialists, ensuring delivery of best standards of care. The Breast Care Centre uses the most up to date Radiology Systems featuring Digital Radiology Suites with advanced Mammography and Ultrasound. The Clinic runs twice weekly triple assessment clinics (on Monday afternoons and Thursday afternoons) whereby women who are referred to us by their General Practitioner will meet all the necessary disciplines on the day and have all necessary tests performed.
Patients who have a diagnosis of breast disease have access to a multidisciplinary team of experts including surgery, medical oncology, radiation oncology, reconstruction and physiotherapy. Tel: 01 293 8686 (Reception) Phone: 01 293 6643 (Breast Care Nurse Specialists)
Oncology and Cancer Centre Beacon Hospital Oncology and Cancer Treatment Centre offers the complete range of services in Oncology and Cancer Treatments including Diagnostics, Surgery, Medical and Radiation Oncology, all delivered by highly qualified caring professionals in one central location. The Cancer Centre provides Medical Consultant delivered care that utilises international standards of best practice
Clinical Trials The Clinical Trials Research Unit was created to carry out high quality cancer research via clinical trials on the use of new techniques and treatments that might not be available as standard treatment currently. Clinical trials allow additional access to services, treatments and also for the contribution to the discovery of new techniques that it is hoped may benefit patients in the future. All clinical trials carried out in Beacon Hospital adhere to strict international governance and regulations following the International Congress on Harmonisation-Good Clinical Practice standards. The Research Unit actively participates in a number of national and international clinical trials and has continued to grow over the last number of years. Details of the clinical trials currently open for recruitment at Beacon Hospital can be found in the “Trials” section on www.beaconhospital.ie. Tel: 01 293 7556 / 01 293 6691
Cardiology Department The Cardiology Department at Beacon Hospital offers a comprehensive cardiac service that comprises the full range of care for heart-related diseases and conditions - including, Non-Invasive Cardiology, Cardiac Catheterisation, Coronary CT Scanning, Cardiothoracic Surgery and a Lung Clinic. Beacon Hospital offers world class, comprehensive care by a team of expert cardiologists, cardiac surgeons, technicians, nurses and other specialists who work together to make available the very latest in diagnostic and treatment options. Tel: +353 (0) 1 293 6694 Fax: +353 (0) 1 293 6653 Email: cardiologyadmin@ beaconhospital.ie
Dermatology The Department of Dermatology provides full medical and surgical dermatologic services at Beacon Hospital. Our Mission is to provide the highest quality medical and surgical care for diseases of the skin, hair and nails in modern facilities by a recognised consultant Dermatologist.
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Tel: 01 213 5636 or 01 213 6220
Beacon Centre for Diabetes The Diabetes Team is made up of a Consultant Endocrinologist, Senior Dietitians and Diabetes Clinical Nurse Specialist. Patients attending the Beacon Centre of Diabetes require a referral from their GP. Tel: 01 293 7501 Email: email@example.com
A&E/Emergency Department Beacon Hospital’s consultant lead Emergency Department is open to those over the age of 16 years and is supported by the full resources of the hospital including 875 skilled nurses and healthcare professionals and 235 specialist consultants. Most importantly – surgical, medical, cardiology, orthopaedic and sub speciality beds are available immediately for patients requiring admission. A full range of outpatient clinics is available on site for follow-up. As a Consultant-delivered service, Beacon Hospital’s Emergency Department will treat most emergency conditions. Walk-in patients are welcome and a GP phone triage system is also available from 10am to 7pm Monday – Friday (for following day appointments where suitable) and all day Saturday (10am-6pm). The Opening Hours are from 10am to 7pm: Monday – Friday and from 10am to 6pm: on Saturday. The A&E/Emergency Department is closed on Sundays and Bank Holidays. Tel: 01 293 9999
Endoscopy Last year the Endoscopy unit received a €7 million investment and four dedicated endoscopy suites were fitted out with the latest endoscopic technology and patient management application system. The facility is used for screening and diagnostics. More than 6,000 scopes (colonoscopies and endoscopies) were conducted at Beacon Hospital last year, and the expansion will enable it double that figure this year. Tel: 01 650 4617
ENT Otolaryngology and head & neck surgery is a unique specialty, which encompasses a diverse range of conditions. ENT surgeons are qualified in the surgical and medical treatment of conditions of the ears, nose, throat, head and neck, including facial plastics and facial cosmetic surgery. Beacon Hospital has a state of the art surgical facility, with the latest in diagnostic radiology providing the perfect setting for treatment of general ENT cases. Tel: 01 293 6600
Fit For Life The Fit for Life Programme is a multi-disciplinary rehabilitation program for cancer survivors. The programme is run once a week for 6 weeks and is comprised of advice and exercise sessions. Advice sessions are provided by physiotherapy, dietetics and occupational therapy and will cover topics such as n Exercise Pacing – How do I know if I am doing too much or too little?
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n Healthy eating n Relaxation strategies / stress management strategies n Supplementary question and answer sessions on the above topics Each advice session will be accompanied by a 1 hour exercise session. Throughout the programme you will be closely monitored by the physiotherapist and dietitian to ensure you are achieving your goals of regular activity and health lifestyle. You will be monitored 3, 6 and 12 months after completing the program to reassess your progress. For more information on Fit for Life please contact Beacon Hospital Physiotherapy on 01 2936 692 or
Beacon HealthCheck The screening tests undertaken as part of Beacon HealthCheck are designed to assist with identifying and reducing life altering health risks such as Heart Disease, Stroke, Cancer and Diabetes. Following your Beacon HealthCheck our experts will provide you with the recommendations necessary to achieve a healthier lifestyle. You will leave with a full understanding of your health requirements and any lifestyle changes which may be needed. For more information or to make an appointment: Tel: 01 293 6090 or Email: firstname.lastname@example.org
Nutrition and Dietetics A Dietitian/Clinical Nutritionist is a health professional who is qualified to give accurate advice and information on all aspects of nutrition and diet. Dietitians apply knowledge of food, nutrition and other related disciplines such as biochemistry, physiology and social science to promote health, prevent disease and aid in the management of illness. The Department of Nutrition & Dietetics at Beacon Hospital is staffed by two Clinical Nutritionists, both of whom are members of the Irish Nutrition & Dietetic Institute (INDI). The INDI is the professional organisation for Dietitians/Clinical Nutritionists in Ireland. The department will see patients with a variety of conditions including Undernutrition, Cancer, Obesity, Diabetes Mellitus (Type 1 or 2), Polycystic Ovarian Syndrome, Heart, Liver or Kidney disease, Swallowing difficulties e.g. post stroke, during radiotherapy, Gastroenterology referrals e.g. Inflammatory Bowel Disease, Coeliac Disease, Diverticular Disease and Irritable Bowel Syndrome Tel: 01 293 7596
Occupational Therapy Department For an appointment please contact the Occupational Therapist Tel: 01 293 6692 or Email: email@example.com
Ophthalmology The Ophthalmology department at Beacon Hospital offers a very wide spectrum of services including cataract surgery, refractive surgery, squint surgery and retinal surgery. The department also offers a wide range of medical services
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such as corneal topography and tomography, IOL Master Examinations, OCT, fundus photography and fluorescein examinations and visual field analysis. Laser eye surgery is carried out in the Beacon complex at the Wellington Eye Clinic. There is a dedicated ophthalmologic theatre with a Zeiss ceilingmounted operating microscope. Here various eye surgeries are performed under topical anaesthesia (anaesthetic eye drops only), local blocks or general anaesthesia (asleep during the surgery).
help programmes and conventional treatments. Our staff are all highly qualified chartered physiotherapists and, most importantly, specialists in their areas of physiotherapy.
Tel: 01 293 6600
Beacon Hospital offers a fully comprehensive plastic, aesthetic and reconstructive service. Our fully accredited team of surgeons cover a wide range of treatments including laser, minimally-invasive and nonsurgical treatments. Treatments include - but are not limited to, birth deformities, primary and reconstructive surgery for cancer, burn care, reconstruction following injury, hand surgery and cosmetic surgery. The service is all inclusive, dealing with Breast, body, facial, hand and scar cases. All of our Plastic, Aesthetic & Reconstructive Surgeons are members of IAPS. Together with their colleagues in Breast and Facial surgery, they offer an ethical and individualised approach to all patients. To refer your patients for a consultation with any of our surgeons please contact one of the team. Consultant Plastic, Aesthetic & Reconstructive Surgeons Ms Fitzgerald, Mr Carroll, Dr Purcell and Mr Meagher are all members of IAPS
Beacon Centre for Orthopaedics Our private orthopaedics clinic offers a comprehensive range of orthopaedic surgery, as well as physiotherapy and pain relief services. Our team of expert Consultants cover all sub-speciality areas of orthopaedics including upper limb, spine, hip, knee, wrist, foot and ankle. To access the service, you will need a GP referral letter, and may use the contact details below. Tel: 01 293 7575 or Email: firstname.lastname@example.org
Beacon Hospital Paediatric Services Beacon for Kids, a new Paediatric Out Patients Department (OPD) is home to a team of expert Paediatric Consultants and covers the following: Paediatricians, ENT, Endocrinologists, Orthopaedics, Gastroenterologists, Urology & General Surgery and Paediatric Respiratory & Sleep Medicine. At present Beacon for Kids Day offers both Day Care and overnight procedures. *GP Referral is required Paediatric Unit Tel: 01-650 4665 Scheduling: 01-293 8652
Pathology (Beacon Hospital Laboratory Service) Our laboratory contains the most up to date, automated and quality equipment available in the country. In addition to this, we have a sincerely dedicated, highly qualified, professional team of scientists and pathologists, whose aim is to ensure that you get the most accurate, precise and reliable test results in as short a time as possible. Laboratory Services: Beacon Hospital operate a full clinical and diagnostic service which aids Consultants and GPs in the diagnosis and management of disease, including monitoring of specific treatments and drugs. Laboratory Specialities: The Laboratory is divided into six main specialist areas, each covering a different aspect of test analysis, including clinical biochemistry, immunology, haematology, microbiology, blood transfusions and histopathology. Phlebotomy Tel: 01 293 7513 Laboratory Tel: 01 293 6693
Beacon Hospital Physiotherapy Beacon Hospital Physiotherapy prides itself on the excellence of its health care delivery. We provide a comprehensive package of care, combining thorough assessments with education and self
Tel: 01 293 6692
Plastic, Aesthetic & Reconstructive Surgery
Beacon Hospital Radiology Beacon Hospital Radiology Department is a fully digital filmless concept with the very latest state of the art GE (General Electric) technology. Beacon Hospital is in fact the GE showcase site for Europe. Direct digital technology improves productivity more than three-fold because the system eliminates film-processing time and retakes. The image captured by the DR (Digital Radiography) unit is displayed in seconds on the workstation monitor; the radiographer knows instantly whether the proper position has been captured. Then the patient can leave. Any fine-tuning of the image can be done at the radiographerâ€™s leisure. DR technology is the predominant technology for Beacon Hospital Radiology department. Our Beacon Hospital Radiology Group is lead by highly qualified Radiologists with dedicated PET/CT and MRI fellowship training from world leading medical centres. All the Radiography staff are highly trained and motivated healthcare Professionals with exceptional skills and standards for the delivery of quality patient care. Beacon Hospital Radiology specialises in X-ray, Fluoroscopy, Bone Densitometry / DEXA scanning, Interventional radiology, Mammography, Ultrasound, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Nuclear Medicine and Positron Emission Tomography Computed Tomography (PETCT) Radiology scheduling: Tel: 01 293 8648 or Fax: 01 293 8623
Rapid Access Cardiology Clinic The Rapid Access Cardiology Clinic provides easy access to expert assessment and investigation for all patients presenting to their GP with: n Chest pain or discomfort n Palpitations /Arrhythmia n Shortness of breath n Uncontrolled hypertension n Heart failure.
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The maximum cost to patients is €400* and the service includes a dedicated Cardiology Liaison Nurse to discuss your patient’s case, outcome and streamline follow up. Patients undergo a comprehensive assessment by a Cardiology Nurse Specialist and a Consultant Cardiologist. All additional testing is provided as needed, including n Blood testing n Stress testing n Echocardiogram n Blood pressure n Holter monitors *Correct at time of print Tel: 087-2216363 or Fax 01-2936653
Respiratory Respiratory disease refers to chest conditions such as asthma, allergy, bronchitis, COPD, lung cancer, lung fibrosis as well as conditions such as allergy and sleep and breathing problems. Respiratory doctors often deal with symptoms such as breathlessness, cough, chest infections, and allergies. Many people who snore or stop breathing at night are also seen by respiratory doctors. Respiratory medicine has a broad range of conditions and many types of tests are used to understand and diagnose these conditions such as breathing tests, x-rays and CT scans and camera tests in the lungs. These and other tests are available at Beacon Hospital. To talk to a coordinator/schedule an appointment, please call Beacon Hospital scheduling department at 01 293 8652.
Speech & Language Therapy The Speech and Language Therapist assesses, diagnoses and treats any speech, voice, language or communication impairment or any difficulty eating, drinking or swallowing which is presenting secondary to an underlying medical condition. On completion of an in-depth assessment, suitable intervention will be offered. As part of the service, education to family members and carers will also be provided. The Speech and Language Therapists working in Beacon Hospital are highly qualified with extensive experience working with adults with a wide range of speech, language, swallowing and voice disorders. We also provide an inpatient and outpatient videofluoroscopy (swallow x-ray) service. Tel 01 293 6692 or Email: speechandlanguagetherapy@BeaconHospital.ie
Sports Medicine We believe in a team based approach to injury prevention and management with rapid access to highly skilled professionals specialising in sports injuries. Our team is led by Dr Alan Byrne, Sports Medicine Physician & Senior Team Doctor, FAI and Mr Maurice Neligan, Head of Orthopaedic Surgery. We have: n 18 orthopaedic surgeons with expertise across all sub specialities n Dedicated Physiotherapy team with focus on latest assessment and rehabilitation techniques n Rapid access to Sports Medicine Physician, orthopaedic consultant, physiotherapy and radiology services.
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Physiotherapy: We provide a comprehensive package of physiotherapy care, combining thorough assessments with education and self help programmes and conventional physiotherapy treatments. If you would like to know more about the services we can offer to sports clubs/ teams please contact our sports medicine team. Tel no: 01-2937575 Email: email@example.com
Urology Urology is the field of medicine that deals with the diagnosis and treatment of diseases of the genitourinary tract. The conditions treated in urology include: men and women with urinary symptoms, urinary tract infection, tumours of the urinary tract (kidney, bladder, prostate, testicular and penile), kidney stones, erectile dysfunction, fertility issues and many more. The chance of needing to see a urologist at some point is high because the problems they deal with are very common in the general population. For example, prostate cancer is the most common cancer in men and urinary tract infection is the most frequently encountered infectious disease. In addition, the treatment of urological problems is becoming more common because of several factors, including: an aging population, increased awareness of diseases such as prostate cancer and because people nowadays are less willing to put up with urinary symptoms. For more detailed and specific advice on treatment of urological conditions you will need to be seen by a specialist.
Women’s Centre The Women’s Centre in Beacon Hospital is located in our out patients department on the ground floor of the Consultants Clinic. We have three Consultant Gynaecologists in the centre, both male and female running clinics from Monday to Friday. Services we provide include: n Sexual and reproductive health – all matters of sexual health and contraception n Menstrual dysfunction – any matters related to problems of menstruation, such as abnormal/heavy bleeding or premenstrual tension n Pelvic pain and endometriosis – issues pertaining to acute or chronic pelvic pain, as well as diagnosis and management of endometriosis n Menopause – diagnosis and management of menopause, including related issues such as abnormal bleeding and osteoporosis risk assessment n Minimally invasive surgery – hysteroscopic and laparoscopic alternatives to most operative procedures (ovarian cysts/ fibroid resection) n Outpatient procedures – e.g. Hysteroscopy, IUD insertion n Colposcopy – assessment and management of abnormal smear results Our Gynaecologists have access to Beacon Hospital’s state of the art theatres should there be a need for surgical intravention during your treatment. Tel: 01 293 8684 or Email: firstname.lastname@example.org *Please note you will need a GP referral for all services except ED and Physiotherapy.
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