今期的主题是「感恩」。其实，这也是我常挂在咀边和放在心中的两个字。感恩是一种态度，是我们发自内心对身边发生的事存有谢意。它可以是一次不可多得的机会、别人义不容辞的帮忙、倾尽全力后得到理想成绩，或安然渡过危机。它也包括一些看似微不足道的小事，重点是不要把任何事视作理所当然，也不动辄抱怨有甚么欠缺，而是珍惜所有，境随心转。
香港儿童医院的服务分阶段开展，每一步都得来不易。在这么紧逼的时间内能达到今天的水平，背后是有很多人的付出和支持，如果大家没有用心去做，根本不能成事，为此我们必须学会感恩。很快地，玛丽医院的儿童心脏科及心胸外科服务刚开始陆续调迁进来，这又是另一个重要里程碑。愿大家能怀著一颗感恩的心，一起克服难关。
我们由今期开始作了些版面改动。页数增加了，可以更详尽介绍医院各项服务，诉说病人亲身经历，从而增加各界对我们的认识、认同和信心。我们也会多点报道同事们感兴趣和贴身的事，如员工设施和保持身心健康贴士等。我亦希望《通讯》能令同事有更大归属感和参与。像今次刊登的投稿相片，不单看上去窝心，也抒发出同事对病童的关爱，和对医院这个家的情感。如果你有甚么题材想看，或在工作中碰到一些感人小故事，都欢迎与我们分享。
香港儿童医院行政总监李子良医生
香港每年有160 至200 宗儿童癌病新症。病童以往分散在五间公立医院治理，现时则集中由香港儿童医院提供一条龙诊断、治疗及复康。
儿童及青少年科部门主管陈志峰教授表示︰「合并后，所有个案及人手均集中在此，令我们有条件分成三个团队，分别是白血病及淋巴癌、实体肿瘤及脑肿瘤，及造血干细胞移植，可以专心钻研，做得更精，与世界一流的中心接轨。」
以血液及肿瘤科副顾问医生古德来医生为例，他之前在其他医院需兼顾不同儿科病症，现在则专责脑肿瘤。他说：「我涉猎的病例多了，亦有机会接触最新药物，同时可投放多点时间在研究，和教育医护人员及照顾者上。」
团队间的沟通亦更加紧密。陈教授指，以往在教学医院通常每个月有一次跨专科案例会议，本院两星期便有一次，甚至会以肿瘤类别再细分。血液及肿瘤科、外科、放射科及病理学部医生会商讨每名病童的进展，订出合适治疗方案。
患有高恶性胶质瘤的Emma，仅七个月大便接受过四次脑手术及三轮化疗，最近则转用标靶药。古医生解释︰「病理学部为她的肿瘤做了分子基因检测，成功找出致病基因，可采用针对性的标靶药。个案会议的医生都同意采取较进取治疗，希望肿瘤缩细至可以手术切除。小朋友脑部正在发展，越早控制影响越少。」
Emma母亲Kitty回想女儿入院时命悬一线，脑有积水，双眼反白，与现在的心情截然不同。她说：「医护人员好像我的父母一样，除尽力救治Emma，还教我如何训练她，令她不断进步。女儿长大后，我会对她说正因为你有如此经历，你必须感恩，要帮助别人。」
注册护士利翠莹指，与病童一家人建立互信非常重要。「癌症病童一般对陌生人较敏感，如他们信任你，护理会更加畅顺。」将心比己也是关键，「曾有一名年轻病人因害怕化疗后脱发，五日无洗头。我便鼓励她把头剃光，之后长出的头发会更好看。」
陈教授透露，血液及肿瘤科即将引入一部新仪器，可在体外增生间充质干细胞作回输，为移植后出现严重排斥的病人修复组织。另外，亦将开设两间用作注输放射性同位素的防幅射房间，主要治疗神经母细胞瘤患者。
部门亦积极进行医学研究，研发崭新治疗，现时已开展了四项第二期临床研究。陈教授期望在政策、人手和资源配合下，在院内开设第一期临床试验中心，届时可为志愿病人试用已通过前期测试的新药，加快推出到临床应用，亦可为末期病人带来点点希望。
日间化疗中心于今年六月投入服务，为癌症病童进行化疗、抽取骨髓、清洗中央静脉导管等程序。
电视剧集中常出现外科医生手执手术刀，俐落地为病人施手术的场面，但原来消毒手术仪器亦大有学问。为确保病人安全，无菌物品供应部的人员必须金睛火眼处理每件仪器，细至一粒螺丝、窝钉都不容有失， 就让我们为大家揭开这个基地的神秘面纱吧！
无菌物品供应部是手术服务不可或缺的一环。参与规划服务的麻醉及全期手术医学科顾问医生周雨发说：「工欲善其事，必先利其器。我们要确保工具洁净无菌，才可减低病人接受手术和其他医疗程序时受感染的风险，所以这里的空间布局、工序流程和机器都经精心设计，符合国际标准。」部门在不同位置装了感应器和仪表，全天候监测温度、气压、湿度、换气率等， 一旦出现异常或不达标，便会发出警报。
香港儿童医院设有不同专科，各有独特的手术工具；同一款仪器亦备有不同尺寸，以配合婴儿到青少年的需要，种类繁多可想而知。无菌物品供应部病房经理李洁仪表示：「儿童手术的仪器特别精细，有些配件仅几毫米长，消毒工作殊不简单。我们亦要确保配件齐全及正确装嵌， 每当购入新仪器时，都会拍照存档，方便对照，又会持续培训同事。」部门亦设有手术仪器追踪系统，可翻查工具曾用在哪些病人身上，与涉及的清洗、消毒和灭菌程序。一旦发生事故，可即时追查相关纪录。
手术室和病房使用后的仪器会先送到这里拆件检查去污。水枪配备不同款式的喷咀，可调较水力和角度，冲走藏在罅隙的污垢。
放入自动清洗机进行预洗、以超声波震走污垢、消毒、以纯净水冲洗和烘干。
以脑科手术为例，其中一个配件已多达30 颗螺丝， 需仔细检查，确保没有遗失。
逐一检查仪器，确保完整无缺后，再每件重新组装，按照清单逐一包装好。
若怀疑仪器损坏，会即时用显微镜仔细检查。
已消毒物品经密封包装后，连同储存盒一并推进灭菌炉。根据仪器的厂商指引，会采用不同温度和时间进行灭菌。
部分病童需接受化疗、放射治疗或造血干细胞移植，免疫力较一般人低，易受细菌感染。病从口入，所以无菌物品供应部使用了特别的灭菌程式为他们的餐具灭菌。
原本从事资讯科技工作的何耀翀，本著助人的心，于2018年毅然转换跑道，加入无菌物品供应部担任病人服务助理。他每天小心翼翼地检查、清洗、消毒和组装医疗用具，敬业乐业。「我从不觉得这份工作沉闷，可能自己本身喜爱砌模型吧！我亦能间接协助医生替病童顺利完成手术呢！。
阿翀受聘后，获安排到伊利沙伯医院的无菌物品供应部特训三个月，并考获相关证书。他觉得自己的岗位别具挑战性：「手术工具五花八门，单是剪刀已经有多种型号。我们的责任重大及需要非常谨慎，因为一个小小错误也足以引致严重后果，例如零件松脱可能会遗留在病童体内。」
有一次，他运送工具到病房时看见护士正为病童进行护理。「我见到她手中那包剪刀和钳的标签上有我的签名，便知道是我负责处理的。原来我真的能够帮助到病童，觉得很有满足感！」
一家大小留在家中抗疫，小朋友无法出外放电，大人则因疫情感到焦虑不安，家人之间容易产生磨擦。今期我们介绍可以在家里进行的高强度间歇式训练（HIIT），大家可以一起动动手脚，保持身心健康。
HIIT是一种高强度运动及小休相间的训练模式。运动和小休比率为2:1，而运动时的心跳率应达到最高心跳率的80%。HIIT 能有效强化心肺功能、增强肌肉力量和改善血糖控制。
以下一些简单动作，初试时可用「20 秒运动+ 10秒小休」的循环去做。
物理治疗部
平躺在地上，双手放在耳两旁。腹部用力，抬起膊头，右手肘触碰左膝盖，左右交替重复动作。
打开双脚，膝盖微曲。双脚原地快速踏步，双手快速向前打。注意眼望前方，挺胸和收紧腹部。
先做平板支撑动作，右手触碰左肩，双手交替重复动作。注意收紧腹部，身体尽量保持挺直，臀部不要两边摆动。
坐在地上，双手放在膊头下撑起身体。挺起胸膛，向前或向后行。
等待多时，医院餐厅终于在7 月20 日开业。餐厅位于B 座地下，由大家乐集团旗下的泛亚饮食营运，为员工和访客提供餐饮服务。
为配合开扬的医院大楼环境，餐厅装修相对简约，给人一种清新感觉。除了一般餐桌，院方更沿玻璃幕墙放置了吧台和高脚椅，让大家可以在用膳时眺望海景，放松心情。
不少人觉得在医院餐厅喝杯奶茶、吃一碟烧味饭是理所当然的，但其实新医院要启用一间餐厅，前期功夫绝对不少。行政事务部一边努力准备招标程序，及与不同潜在承办商进行商讨，一边想尽办法为同事们解决吃的烦恼，包括引入小食店、便利店和饭盒贩卖机，并设立网上平台方便同事集体预订外卖。
餐厅顺利开业，行政事务总经理郭慧敏感到非常欣慰：「民以食为天，但医院附近的确缺乏食肆。我们希望透过提供新鲜堂食，增加选择，尽力回应大家的期盼。不论是同事还是家长，都需要满足好口腹，才能抖擞精神，照顾好病童。」
泛亚饮食高级业务总经理许锦波分享道：「我们多年来在不同公立医院提供膳食服务，现时营业点包括快餐、中菜、粥面及面包店等。香港儿童医院是重点医疗建设，所以当知道院方正寻求餐厅承办商时，我们便二话不说参与，希望在背后出一分力，支持前线医护人员的工作。在筹划过程中，我们与院方就装修、餐单、营运时间及成本控制等紧密协调， 逐一克服挑战。」
考虑到门诊病童和兄弟姊妹都会光顾，总厨特意设计了儿童餐，为他们带来欢乐，这是集团的医院餐厅中独有的。而由于这些小朋友需要时常进出医院，餐厅亦打算在圣诞节及儿童节等日子推出特色餐牌，保持新鲜感。
| 位置 | 临床服务大楼（B 座）地下 |
| 营业时间 |
星期一至五： 0730 – 1530 星期六： 0730 – 1300 星期日及公众假期休息 *会不时检讨需求及运作情况，于适当时候考虑调整营业时间 |
| 座位数目（连同外围用膳区） |
110 *会因应防疫措施调整 |
即使工作繁忙，身边仍有很多美好的事物为生活注入正能量。上期《通讯》的征相活动邀请医院同事们用镜头记录「感恩一刻」。经编辑委员会评审后，精选以下三幅作品与大家分享。
代谢病童一生会面对很多挑战，他们和家人都很需要持续支持和鼓励。我们很感恩可以和这位小病人庆祝生日，送上祝福。
「活著不是在等待风暴的过去，而是学会在雨中如何翩翩起舞。」维文• 格林—病童与外佣姐姐在医院天桥起舞
感恩能在工作的地方遇上夕阳辉映的美景，让大家放下脚步，珍惜活在当下的每一刻。
医院行政总监李子良医生
麻醉及全期手术医学科副顾问医生郭蕙漩医生
行政事务总经理郭慧敏女士
专职医疗行政经理陈娜智女士
护理部高级护士长冯静雅女士
高级人力资源经理吴海宁女士
高级行政主任（对外关系及筹募）杜蕴慧
一级行政主任（对外关系及筹募）董洁欣
二级行政主任（对外关系及筹募）吴文诺
二级行政主任（对外关系及筹募）邱雅锜
© 2020 医院管理局版权所有
如对本通讯有任何意见，欢迎电邮至 enquiry_hkch@ha.org.hk
网上版请浏览 www.ha.org.hk/hkch
The theme of this issue is “gratitude”. It is actually the attitude that guides me through life. It means having genuine thankfulness for the things that happen around us. It could be a once-in-a-lifetime opportunity, the unconditional help from others, an outstanding result earned from hard work, surviving a crisis, or a small matter that may seem trivial. Being grateful is a state of mind. The key is never take anything for granted. Don’t easily complain about what we lack but treasure what we already have.
Commissioning for a new hospital is a winding road. If not for everyone’s wholehearted dedication, we could not have reached where we are now with such a tight timeframe. For this, we must learn to be grateful. We have reached another important milestone with the gradual moving in of the paediatric cardiology and cardiothoracic surgery services from the Queen Mary Hospital. Let us all keep a grateful heart and overcome the challenges ahead.
You may have noticed some changes in our layout. Extra pages are added, which allows us to introduce our services in greater depth and tell more patient stories, so that stakeholders can have better understanding, recognition and confidence toward us. We also carry more content that appeals to colleagues, such as staff facilities and health tips. Last but not the least, the newsletter should serve as a platform to engage. Take a look at the staff-submitted photos on the last page. Not only do they look heartwarming, but they also show the colleagues’ love for our patients and the hospital. If there are any topics that you would like to read, or if you come across any touching little stories at work, you are more than welcome to share with us.
Dr Lee Tsz-leung, HKCH Hospital Chief Executive
In Hong Kong, there are 160 to 200 newly diagnosed paediatric cancer cases every year. In the past, they were treated in five different public hospitals. With service centralization, HKCH now provides one-stop diagnosis, treatment and rehabilitation to all.
Prof. Godfrey Chan, Chief of Service (Paediatrics & Adolescent Medicine) said, “The merger has allowed us to group all cases and manpower together, so we are able to set up three distinct teams, namely leukaemia and lymphoma; solid tumours and brain tumours; and haematopoietic stem cells transplantation. Our service becomes much more focused and specialized, on par with world renowned centres.”
Dr Dennis Ku, Associate Consultant in Haematology & Oncology used to take care of all paediatric cases in his previous hospital. Now he gets to focus on treating brain tumours. “I am exposed to more case types and the latest drugs. I can also dedicate more time on research and delivering educational sessions to healthcare professionals and carers.”
Communication among teams also becomes closer. Prof. Chan said, “Previously in the teaching hospitals, multidisciplinary case conferences were usually held once a month. In HKCH, doctors from Haematology & Oncology, Surgery, Radiology and Pathology meet twice a week to discuss the treatment plan for every patient.”
7-month-old Emma who suffers from malignant gliomas has already undergone four brain surgeries and three rounds of chemotherapy. She has recently been put on a targeted therapy drug. Dr Ku explained, “Our Pathology Department has been able to identify a cytogenetic marker in her specimen through molecular analysis, and a targeted drug is available to treat this particular type of tumour. It was agreed in the case conference to use a more proactive approach to shrink the tumour to a size that could be removed surgically. The sooner we control it, the less impact to her brain development.”
Emma’s mother Kitty described how scared she was when they first came to HKCH, “My baby’s head was bulged with water inside, and her eyes rolled upward.” She feels much more relieved now, “The staff here are like my parents. They save Emma’s life with all their might, and teach me how to train her. She has really improved a lot. When she grows up, I will tell her all about these so that she would feel grateful and help others.”
Registered Nurse Lee Chui-ying emphasized the importance of good rapport with patients and their families. “Cancer patients are usually sensitive to strangers. If they trust us, it would be easier for us to perform nursing care.” Empathy is another key, “I once met a young patient who refused to wash her hair for five days. I shared her fear of hair loss and encouraged her to shave her head, telling her it would look better when new hair came out.”
On the department’s future development, Prof. Chan shared that it will introduce a new equipment which can regenerate mesenchymal stem cells and repair tissues for post-transplant patients who develop serious rejection. In addition, two shielded isolation rooms will be set up for neuroblastoma patients to receive radioisotope therapy.
At present, four phase-2 clinical research projects are being conducted. Prof. Chan wishes that with the support of related policy, manpower and resources, the hospital can open its phase-1 clinical trial centre to accelerate clinical application of new drugs, and offer hopes for terminal cancer patients.
The Ambulatory Chemotherapy Centre commenced service in June. Cancer patients come here for day procedures like chemotherapy, bone marrow aspiration and central line flushing.
A surgeon makes a cut on a patient with his scalpel decisively, and a life is saved. This scene is oh-so familiar to TV drama viewers, but have you ever wondered what would happen to the scalpel afterwards?
At HKCH, the Sterile Supplies Unit (SSU) handles all used surgical instruments with great care. It is a crucial part in the surgical service. Dr Chow Yu-fat, Consultant (Anaesthesia) who is behind the planning of the SSU said, “It is very important to keep instruments clean and sterile to reduce the risk of infection for patients undergoing surgery and other medical procedures. Our zoning, workflow and equipment have been specially-designed to meet international standards.” Sensors and meters are installed to monitor temperature, air pressure, humidity and air change rate round the clock, and alert will be issued in case of failure.
There are many specialties in HKCH, and each requires its specific instruments. Also, different sizes of instruments must be available to cater for patients ranging from neonates to teenagers. Li Kit-yee, Ward Manager of the SSU said, “Instruments for children are delicate. Some are only a few millimeters long, which require specific procedures for reprocessing. To make sure that all the components are present and assembled correctly, we keep a photo database of all the instruments for daily reference. On-going training is provided to our staff.” A tracking system is also in place to track and trace instruments and devices. The reprocessing history can also be identified when an incident happens.
Used instruments and devices from the operating theatres and wards are sent here for dismantling and cleansing. Water guns with different nozzles are used to rinse off hidden residue.
Instruments are then loaded into the automated washer which performs pre-wash, ultrasonic cleaning, disinfection, rinsing with water purified through reverse osmosis, and drying functions.
This single component of a neurosurgery instrument contains up to 30 screws. It has to be checked carefully to ensure there is no missing part.
Instruments are checked carefully to ensure all parts are intact, then reassembled one by one and packed into containers.
If there are signs of damage, the instruments will be placed under the microscope for thorough examination.
Instruments in sealed packages or containers are put into the steam sterilizer for sterilization. Different programmes are selected according to the manufacturer’s instructions.
In order to reduce the risk of infection for immunocompromised patients, including those undergoing chemotherapy, radiation therapy or haematopoietic stem cell transplantation, SSU selects a speical programme to sterilize their eating utensils.
Benny Ho joined the SSU in 2018 as a Patient Care Assistant. His daily routine includes checking, cleaning, sterilizing and assembling numerous medical instruments. “I don’t feel bored working here as I like making models. I can also help doctors perform smooth operations indirectly.”
Benny has gone through a three-month training in the Queen Elizabeth Hospital to obtain relevant certificates. He thinks that his job is challenging, “There is such a wide variety of instruments and devices. We bear a great responsibility on our shoulder, as a small mistake can cause serious consequences. For example, a loose part may be left inside the patient’s body. We must be very cautious and attentive.”
One time when Benny was refilling supplies in the ward, he saw a nurse using a set of scissors and forceps on a patient. “That was my signature on the label! That means I was the one who reprocessed the pack. At that moment, I truly feel that I can help the sick children.”
Staying at home during the pandemic is hard for the whole family. Conflicts may arise as the young ones feel bored and adults feel anxious. Here we introduce some high-intensity interval training (HIIT) exercises which you can do at home to keep your whole family physically and mentally healthy.
HIIT is a form of training which alternates short periods of high intensity exercises and rest in the ratio of 2:1. Your heart rate should reach 80% of your maximum heart rate during exercise. It is an effective way to enhance cardiovascular function, muscle strength and blood sugar control.
Here are some simple HIIT moves. You may start by doing 20 seconds of intense exercise, followed by 10 seconds of rest.
Physiotherapy Division
Lie down and put your hands on your ears. Perform a crunch and touch your left knee with your right elbow. Repeat with alternating sides.
Stand with your feet apart and gently bend your knees. Jog in place at a fast pace while punching your fists forward. Keep your chest up, eyes forward and tighten your core.
Start in plank position, touch your left shoulder with right hand. Repeat with alternating sides. Tighten your core and keep your body straight. Don’t swing your hips.
Sit on the floor, lift your hips off the floor and support your body with your hands under the shoulder. Keep your chest up. Walk back and forth.
The long awaited hospital canteen was finally opened on 20 July. Located on the ground floor of Tower B and serving staff and visitors, the canteen is operated by Asia Pacific Catering of Café de Coral Group.
The canteen adopts a minimalist design to complement the spacious hospital environment. Apart from usual dining tables, bar tables are placed along the glass wall, allowing customers to enjoy the relaxing sea view while dining.
Having a cup of milk tea and a hot rice dish in a hospital canteen may seem normal to many. But for a new hospital, nothing comes easily. The hospital administration team spent much effort in preparing for tendering and discussing with potential operators. Before the canteen came into place, the team had been providing staff with other meal options, such as snack bars, convenience store, hot food vending machines, and online lunch delivery ordering system.
General Manager (Administrative Services) Miscelle Kwok feels grateful for the canteen’s smooth opening, “Eating is a necessity and enjoyment for everybody, but there aren’t many eateries around HKCH. Now we are able to offer more choices for colleagues and parents. If they can eat well, they will have more energy to take care of our patients.”
Paul Hui, Senior General Manager of Asia Pacific Catering shared, “We have been providing catering services in public hospitals for many years. Our outlets now cover fast food shops, Chinese restaurants, congee and noodle bars and bakeries. HKCH is a key infrastructure for Hong Kong, so when we learnt that it was looking for a canteen operator, we didn’t think twice to participate. We hope what we do could render support to the frontline healthcare workers. During the planning stage, we communicated closely with the hospital over issues like fitting-out, menus, business hours and cost control, and we have overcome many challenges together.”
The HKCH canteen is the only hospital eatery under the group that serves kids meal. It is designed with the intention to bring joy to child outpatients and their siblings who may need to visit the hospital frequently. The canteen is also planning to provide special menus during festivals like Christmas and Children’s Day.
| Location | G/F, Clinical Tower (Tower B) |
| Business hours |
Mon – Fri: 0730 – 1530 Sat: 0730 – 1300 Closed on Sundays and public holidays *Will be reviewed from time to time based on service demand and operational situations |
| Seating capacity (including external dining area) |
110 *May be adjusted according to current infection control requirements |
There are many wonderful things in life that make us happy and motivated. In the last issue, we invited HKCH colleagues to capture their moments of gratitude. After selection, the Editorial Board would like to share these beautiful pieces with you.
Metabolic patients face life-long challenges. Continuous support and encouragement are essential for them and their families. We were grateful to celebrate this patient’s birthday and give him our blessings.
“Life isn’t about waiting for the storm to pass. It’s about learning how to dance in the rain.” Vivian Greene A patient dancing with his caretaker at the hospital’s hallway
I am so grateful to be able to enjoy this wonder of nature in my workplace.
Dr Lee Tsz-leung, Hospital Chief Executive
Dr Vansie Kwok, Associate Consultant(Anaesthesiology and Perioperative Medicine)
Ms Miscelle Kwok,General Manager (Administrative Services)
Ms Nerita Chan, Manager (Allied Health)
Ms May Fung,Senior Nursing Officer (Nursing Services Division)
Ms Elaine Ng, Senior Human Resources Manager
Vivian To, SEO (External Relations & Donation Management)
Haze Tung, EOI (External Relations & Donation Management)
Mandy Ng, EOII (External Relations & Donation Management)
Karis Yau, EOII (External Relations & Donation Management)
Copyright © 2020 Hospital Authority
Please send comments and suggestions to enquiry_hkch@ha.org.hk
Read online copy at www.ha.org.hk/hkch