Parkinson, Tak Berbahaya Tetapi Mengganggu. Siloam Senior Health Community. What Happen on People with Parkinson s

Siloam Senior Health Community

Desember 2015

Parkinson, Tak Berbahaya Tetapi Mengganggu What Happen on People with Parkinson’s 10

Insight Kembalikan Kualitas Hidup Dengan DBS Restore Your Active Life with DBS

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what’s on Siloam Hospitals Berpartisipasi di Hospital Expo 2015 Siloam Hospitals’ Showcase of Excellence at Hospital Expo 2015

EDITOR’S LETTER

Sahabat Senior,

Pelindung DR.dr. Andry M.M., M.H.Kes Kamaljeet Singh Gill Pemimpin Redaksi Sharon Tjokrorahardjo Redaksi Sintha Amelia Vinda Ratna Sania Muhamad Yusuf Nigar Pandrianto Luciana S Lestari Erizka Prafitasari Sirkulasi Siloam Head Office Gedung Fakultas Kedokteran UPH Lippo Karawaci - 31st floor Jl. Boulevard Jend. Sudirman no. 1688 Lippo Village, Tangerang, 15811 Direct : +62 21 2566 8000 Email [email protected] www.siloamhospitals.com

Media Consultant

CRE8 – Communication Boutique Kompas Gramedia Building Unit 2, 4th Floor Jl. Panjang 8A, Kebon Jeruk, Jakarta 11530 Tel: (021) 533 0150, 533 0170, Ext 32138 Fax: (021) 530 4776 Email: [email protected] Web: www.idealogy.co.id

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Ketika bicara tentang parkinson, ingatan kita bisa jadi langsung tertuju kepada petinju legendaris Muhammad Ali, Paus Yohanes Paulus II, atau aktor Robin Williams. Selain nama terakhir, kedua sosok tersebut hidup bertahun-tahun dengan parkinson. Meski tak dapat disembuhkan, tetapi penanganan yang tepat sesungguhnya dapat mengembalikan kualitas hidup pasien parkinson menjadi normal kembali. Di edisi kali ini, Silver mengajak Sahabat Senior untuk mengenal lebih jauh tentang parkinson, mulai dari mengenali tanda-tanda parkinson, hingga teknik terbaik dalam menangani masalah degeneratif ini. Semoga semangat hidup Muhammad Ali dan Paus Yohanes Paulus II mampu menginspirasi kita untuk menjalani semangat hidup yang sama dengan atau tanpa parkinson.

Selamat membaca. Dear Readers, What comes to mind when we hear Parkinson’s disease? We may recall big names, like Muhammad Ali, Pope John Paul II, or Robin Williams. These people – a legendary boxing champion, a religious leader, and an actor adored by millions – have something in common: They were all diagnosed with Parkinson’s disease. Ali has been living with the disease for years, and so did the late Pope. The articles in this issue are dedicated to explaining Parkinson’s. We want Silver readers to learn more about it, get to know its early symptoms, and find out what to do to treat this degenerative disease. While it is true that Parkinson’s has no cure, this does not mean that people with the disease cannot lead a full, productive life. With the right treatment and care, the possibility is always there. Hopefully, true fighters like Muhammad Ali and John Paul II can lend us some inspiration to always lead the best life possible, with or without Parkinson’s. Have fun reading.

Content’s

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Greetings Caroline Riady

Chief Executive Officer Siloam Hospitals Kebon Jeruk

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6 Profile Kami Siap Tangani Penyakit Parkinson Here to Serve Parkinson’s Patients

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Restore Your Active Life With DBS

Healthy Tips Leading a Quality Life for People with Parkinson’s

One Stop Solution Masalah Kesehatan Masyarakat

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Kembalikan Kualitas Hidup Dengan DBS

Penderita Parkinson Tetap Dapat Hidup Bahagia dengan Cara Ini

Our preeminence A One-Stop Solution for the Public’s Health Problems

INSIGHT

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Advertorial Jangan Remehkan Nyeri di Sendi Do Not Underestimate Joint Pains

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we commit Fajri, Doorman Siloam Hospitals Tidak Mau Membeda-bedakan Pasien A Tale of a Devoted Doorman

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what’s on Siloam Hospitals Berpartisipasi di Hospital Expo 2015 Siloam Hospitals’ Showcase of Excellence at Hospital Expo 2015

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what’s on Seminar Edukasi: Kenali Rematik Sedini Mungkin An Education Seminar: Catching Early Signs of Rheumatism

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Leisure Menikmati Mewahnya Masakan Nusantara dalam Pesawat A New Dining Experience: Tasty Indonesian Cuisine Onboard a ‘Grounded’ Aircraft

Cover Story Parkinson, Tak Berbahaya Tetapi Mengganggu What happens to people with Parkinson’s disease

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QUIZ Teka-teki Silang

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Greetings

Caroline Riady

Chief Executive Officer Siloam Hospitals Kebon Jeruk

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Siloam Hospitals Kebon Jeruk merupakan rumah sakit yang paling banyak menangani operasi DBS di Indonesia.

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Siloam Hospital Kebon Jeruk has performed more DBS surgeries than any other hospitals in Indonesia.

Rasa gemetar atau kaku yang dialami seseorang saat memasuki usia lanjut seringkali dianggap sebagai hal yang biasa. Padahal, bisa jadi itu merupakan gejala awal penyakit parkinson. Parkinson adalah penyakit yang dapat mengganggu kualitas hidup seseorang. Sayangnya, pengetahuan masyarakat terhadap penyakit parkinson masih kurang. Penyakit parkinson yang tidak segera ditangani dapat membuat penderita tidak mampu lagi berdiri maupun berjalan, sehingga tidak dapat beraktivitas seperti biasanya. Karena tingkat bahaya yang tinggi, maka penyakit parkinson membutuhkan penanganan yang tepat. Oleh karena itu, Siloam Hospitals Kebon Jeruk telah lama menghadirkan fasilitas Parkinson’s and Movement Disorder Center. Fasilitas ini menjadi pusat parkinson dan gangguan gerak pertama di Indonesia yang menangani penyakit parkinson dan gangguan gerak lainnya. Parkinson’s and Movement Disorder Center ditangani secara komprehensif dengan tim multidisiplin yang terdiri dari dokter saraf, dokter bedah saraf, dokter psikiatri, rehabilitasi medik, psikolog, ahli nutrisi dan perawat yang berintegrasi untuk meningkatkan kualitas hidup penderita.

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Tremors or stiffness experienced by a person at old age are often considered a common problem. These, however, may be early signs of Parkinson’s disease. Parkinson’s is the kind of disease that may reduce the quality of life of the person suffering it. Unfortunately, the public has little knowledge of the disease. If not immediately treated, Parkinson’s may threaten the sufferer’s ability to stand and walk, and kinder his or her daily activities. Due to the harms it may cause, Parkinson’s requires proper treatment. This is the reason Siloam Hospitals Kebon Jeruk established a Parkinson’s and Movement Disorder Center – the first center dedicated to treating people with Parkinson’s and other movement disorders in Indonesia. The center is managed comprehensively by a multidisciplinary team comprising neurologists, neurosurgeons, psychiatrists, medical rehabilitation experts, psychologists, nutritionists, and nurses – all of whom collaborate to improve patients’ quality of life. The center offers comprehensive management services, including Botulinum Toxin (Botox), Deep Brain Stimulation (DBS) surgery, Thalamotomy, Pallidotomy and a rehabilitation program for patients with Parkinson’s or other movement disorders.

Fasilitas ini menghadirkan layanan tata laksana komprehensif yang terdiri dari Botulinum Toxin (Botox), Operasi Deep Brain Stimulation, Operasi Thalamotomy, Operasi Pallidotomy, dan program rehabilitasi bagi pasien dengan penyakit parkinson dan gangguan gerak lainnya. Pada penyakit parkinson tahap lanjut, penderita dapat melakukan operasi stimulasi otak atau Deep Brain Stimulation (DBS). DBS telah diakui oleh Food Drug Administration (FDA) dari Amerika Serikat untuk pengobatan penyakit parkinson, tremor, dystonia, gangguan obsessive compulsive, dan epilepsi. Tindakan DBS tergolong aman, dilakukan dalam keadaan sadar, tidak merusak jaringan otak, dan gejala parkinson dapat diprogram. Hingga saat ini, Siloam Hospitals Kebon Jeruk merupakan rumah sakit yang paling banyak menangani operasi DBS di Indonesia. Selain pengobatan, Siloam Hospitals Kebon Jeruk juga telah berulang kali mengadakan seminar dan talkshow radio untuk mengedukasi masyarakat mengenai penyakit parkinson dan gangguan gerak lainnya.

A DBS surgery is performed on patients with an advanced stage of Parkinson’s. This FDA (foods and drug administration) approval therapy has been proven to effectivelly treat and manage Parkinson’s related tremor, dystonia, obsessive compulsive disorder, and epilepsy. DBS, is usually performed on conscious patients, and is considered safe. It will treat the symptoms of Parkinson’s without harming the brain tissue. Thus far, Siloam Hospitals Kebon Jeruk has performed more DBS surgeries than any other hospitals in Indonesia. In addition to providing treatments, Siloam Hospitals Kebon Jeruk also organizes a series of seminars and radio talkshows to educate the public on Parkinson’s disease and other movement disorders.

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Our preeminence

Siloam Hospitals Kebon Jeruk,

One Stop Solution Masalah Kesehatan Masyarakat A One-Stop Solution for Public Health Problems Memercayakan penanganan masalah kesehatan tidak dapat dilakukan secara sembarangan. Memberikannya kepada rumah sakit yang kurang berpengalaman, apalagi tanpa tenaga medis dan peralatan yang memadai, dapat menggiring kita kepada masalah-masalah lainnya. Oleh sebab itu, pastikan rumah sakit yang dipilih dapat memberi pelayanan kesehatan yang diperlukan. Menyadari hal ini, Siloam Hospitals Kebon Jeruk (SHKJ), yang meraih Grand Winner Asian Patient Safety Award pada kategori Innovation in Safety Communication di India pada 5 September tahun lalu telah memiliki sejumlah fasilitas kesehatan, yakni,

Siloam Heart Institute (SHI)

Siloam Heart Institute (SHI) yang menawarkan layanan pencegahan, pengobatan, operasi, dan rehabilitasi dengan layanan diagnostik dan peralatan kesehatan terkini seperti Catheterization Lab (Cath Lab), CT Scan Cardiac Care Unit (CCU) dan High

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Treatments for health problems cannot be entrusted to just anyone. Giving your trust to less experienced hospitals, especially those lacking adequate medical staff and equipment, may instead lead to other problems. Therefore, it is imperative that you choose a hospital that can give you the proper medical treatment you need. Realizing the importance of trust, Siloam Hospitals Kebon Jeruk, which was named the Grand Winner of the Asian Patient Safety Award in the Innovation in Safety Communication category in India on September 5, 2014, has developed a number of facilities: Siloam Heart Institute (SHI) Siloam Heart Institute (SHI) provides preventive care, treatment, surgery, and rehabilitative services using state-of-the-art diagnostic tools and medical equipment, such as a Catheterization Lab (Cath Lab), CT Scan Cardiac Care Unit (CCU) and High Cardiac Care Unit (HCCU). These are important instruments in the diagnosis, treatment, and recovery of patients with heart problems. Orthopaedic Center (for Hip, Knee, and Geriatric Trauma) SHKJ’s Orthopaedic Center offers preventive care, treatment, surgery, and rehabilitative

Cardiac Care Unit (HCCU). Instrumen-instrumen ini berperan dalam mendeteksi, mendiagnosis, mengobati dan memulihkan pasien pasca operasi jantung.

Orthopaedic Center (Hip, Knee, and Geriatric Trauma)

Orthopedic Center SHKJ menawarkan layanan pencegahan, pengobatan, operasi, dan rehabilitasi untuk penyakit sistem muskuloskeletal yang memengaruhi tulang, sendi, otot, dan ligamen.

Emergency Department

Unit Gawat Darurat (UGD) SHKJ akan mengirimkan rapid response ambulance dalam waktu tiga menit setelah telepon diterima. Rapid Response Mobile Hospital dilengkapi dokter, perawat, obat-obatan, dan peralatan yang menunjang kondisi pasien selama dalam ambulans.

Digestive Centre

Digestive Clinic merupakan one stop solution bagi setiap pasien dengan masalah pencernaan. Selain dilengkapi dengan teknologi terkini, Digestive Clinic bekerjasama dengan dokter-dokter senior yang telah memiliki pengalaman di bidang gastroenterologi dan hepatologi, radiologi, operasi saluran cerna.

Urology Centre

Urology Centre adalah pusat penanganan masalah seputar saluran kencing dan gangguan saluran kemih. Fokus utama dari Urology Center adalah mendeteksi dan mengobati prostat dan batu ginjal. SHKJ memiliki Extracorporeal Shockwave Lithotripsy (ESWL) untuk menghancurkan batu saluran kemih dengan gelombang suara sehingga dapat keluar melalui saluran kencing.

Pediatric Centre

Children Centre SKHJ adalah layanan neonatal, bayi, anak-anak, dan remaja. Dengan layanan dan fasilitas yang komprehensif seperti Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Pediatric Orthopedic, dan Pediatric Cardiology. NICU adalah fasilitas bagi bayi yang memerlukan perawatan intensif, sedangkan PICU adalah perawatan khusus yang mengawasi tanda-tanda pada anak-anak dalam kondisi kritis.

services for musculoskeletal disorders affecting bones, joints, muscles, and ligaments. Emergency Department SHKJ’s Emergency Unit will send a rapidresponse ambulance within three minutes after a phone call is received. Our Rapid Response Mobile Hospital carries a doctor, a nurse, medication, and equipment necessary to manage a patient’s condition during the trip to the hospital. Digestive Center A one-stop solution for patients with digestive conditions, the Digestive Clinic is equipped with cutting-edge technologies and employs senior doctors experienced in gastroenterology, hepatology, radiology, and digestive surgeries. Urology Center The Urology Center deals with urology and urinary tract problems. Its primary focus is the detection and treatment of prostate problems and kidney stones. The center also conduct Extracorporeal Shockwave Lithotripsy (ESWL) to destroy kidney stones with shock waves. This allows the stones, now broken into pieces as small as grains of sand, to pass from the body along with the urine. Pediatric Center SHKJ’s Children Center provides services for neonates, infants, children, and teens. It is equipped with a Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Pediatric Orthopaedic facilities, and Pediatric Cardiology facilities. NICU is a facility for neonates in need of intensive treatments, while PICU specializes in the care of critically ill infants and children.

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COVER STORY Selain itu, “Seseorang dengan parkinson juga akan mengalami penurunan fungsi kognitif, antara lain mudah lupa, kecemasan berlebihan, depresi, insomnia, bicara pelan dan raut muka menjadi datar,” jelasnya. Parkinson disebabkan oleh faktor genetik, lingkungan, dan degeneratif atau penuaan. Penyakit ini menyerang otak dan memengaruhi gerak tubuh karena berkurangnya zat dopamin. “Hingga saat ini parkinson belum dapat disembuhkan, tetapi gejala awalnya dapat diatasi dengan obat untuk menekan memburuknya gejala tersebut,” pungkas dr. Frandy. Sumber: Dr. Frandy Susatia, Sp.S dan Dr. Made Agus M. Inggas, Sp.BS

Parkinson’s disease does not come with any physical pain. There is no soreness, and there are no acute, irritating stings in certain places. What Parkinson’s may bring, however, is a deteriorating quality of life; it causes fatigue and may even damage the self-esteem of the person suffering it.

Parkinson, Tak Berbahaya Tetapi Mengganggu What happens to people with Parkinson’s disease?

Berbeda dengan masalah kesehatan lain, penderita parkinson umumnya tak merasakan sakit tertentu di tubuhnya. Meskipun begitu, kebanyakan orang dengan parkinson akan merasakan kualitas hidupnya terganggu, kelelahan, hingga rendah diri. Menurut dr. Frandy Susatia, SpS, Dokter Spesialis Saraf Parkinson’s and Movement Disorder Center Siloam Hospitals Kebon Jeruk, perasaanperasaan tersebut mungkin muncul karena gejala umum yang ditunjukkan orang dengan parkinson adalah gemetar atau tremor saat istirahat, gerakan lamban, otot kaku, hingga masalah pada keseimbangan.

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This condition is linked with symptoms that people with Parkinson’s usually show – shaking or tremors, as well as slowness of movement, among others, according to Dr. Frandy Susatia, SpS, a neurologist at the Parkinson’s and Movement Disorder Center of Siloam Hospitals Kebon Jeruk. The muscles and postural balance are also affected. In addition, “people with Parkinson’s also suffer from deteriorating cognitive functions. They forget things easily, they become overly worried, and they may even suffer from depression and insomnia. They slur in their speech, and their facial expressions become stiff,” Dr. Frandy says. Parkinson’s disease affects the brain and bodily movements due to a lack of dopamine. The causes may be genetic, environmental, or due to aging. “The cure for Parkinson’s hasn’t been found yet. But there are medications that can ease the early symptoms and manage the disease’s progression.”

PROFILE

Kami Siap Tangani Penyakit Parkinson Here to Serve Parkinson’s Patients

Dr. Frandy Susatia, Sp.S merupakan Dokter Spesialis Saraf di Parkinson’s and Movement Disorder Center. Pria kelahiran 25 Februari ini merupakan lulusan University of Florida McKnight Brain Institute Shands Medical Center, Florida, Amerika, ia mengambil subspesialis Movement Disorder (parkinson). Menurut dr. Frandy, mayoritas penderita parkinson berusia di atas 50 tahun, namun 1 dari 20 orang di bawah usia 40 tahun terdiagnosa parkinson. “Jika seseorang mengalami gejala-gejala parkinson, jangan tunda untuk berkonsultasi dengan dokter spesialis saraf untuk segera diberikan pengobatan yang tepat,” ujarnya.

Penanganan penyakit parkinson di Parkinson’s and Movement Disorder Center Siloam Hospitals Kebon Jeruk dilakukan oleh tim dokter multidisiplin yang kompeten di bidangnya. A team of multi-specialists is here at the Parkinson’s and Movement Disorder Center Siloam Hospitals Kebon Jeruk, ready to help and treat the patients Dr. Made Agus M. Inggas, Sp.BS merupakan Dokter Spesialis Bedah Saraf di Parkinson’s and Movement Disorder Center. Pria kelahiran 18 Januari 1974 ini merupakan lulusan Spesialis Bedah Saraf, Fakultas Kedokteran Universitas Airlangga pada tahun 2009. Melalui Parkinson’s and Movement Disorder Center, dr. Made siap membantu penderita Parkinson untuk meningkatkan kualitas hidup mereka. “Setelah menjalani operasi Deep Brain Stimulation (DBS), pasien akan langsung dapat menjalani aktivitasnya kembali seperti semula. Ini salah satu bukti bahwa ada harapan baru bagi penderita parkinson,” lanjutnya.

Dr. Frandy Susatia, born on February 25, is a neurologist at the Parkinson’s and Movement Disorder Center. Dr. Susatia underwent a sub-specialty training in Movement Disorder (Parkinson’s) in 2009 at the University of Florida McKnight Brain Institute, Shands Medical Center, in Florida, United States.

Born on January 18, 1974, Dr. Made Agus M. Inggas, SpBS dedicates his time as a neurosurgeon to the Parkinson’s and Movement Disorder Center. He studied medicine and specialized as a neurosurgeon at the Airlangga University’s School of Medicine, graduating in 2009.

Dr. Susatia says most Parkinson’s patients are over 50 years old. However, statistics reveal that one out of every 20 people diagnosed with Parkinson’s is under the age of 40. His message is clear: “If you see any symptoms, go see a neurologist immediately to get immediate treatment.”

With his knowledge and skills, Dr. Inggas is ready to help patients regain their full life. “We conducted a Deep Brain Stimulation surgery and the patient was able to return to his usual routines, as though he never had the disease. This proves that there is hope on the horizon for people with Parkinson’s,” he says.

Waktu operasional: Senin – Sabtu 08:00 – 21:00 WIB Informasi dan pendaftaran: 1-500-181

Siloam Hospitals Kebon Jeruk, Jakarta Barat

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Insight

Kembalikan Kualitas Hidup Dengan DBS Restore Your Active Life With DBS Penyakit parkinson memiliki lima stadium. Jika di stadium awal, gejala parkinson masih dapat diatasi dengan obat, tidak begitu ketika intensitas gejala yang timbul terus meningkat dan sudah sangat mengganggu kehidupan sehari-hari penderitanya. “Di stadium itu, baiknya pasien melakukan operasi DBS,” jelas dr. Made Agus M. Inggas, SpBS, Dokter Spesialis Bedah Saraf Parkinson’s and Movement Disorder Center Siloam Hospitals Kebon Jeruk. Operasi Deep Brain Stimulation atau DBS dilakukan dengan cara menanamkan sebuah elektroda atau chip di otak. Chip tersebut terhubung dengan kabel dan baterai yang ditanam di dalam dada. DBS memicu sel tertentu di dalam otak agar dapat menghasilkan dopamin kembali. Sama halnya dengan mengonsumsi obat, operasi DBS tidak menjamin kesembuhan bagi penderita parkinson, tetapi dapat mengembalikan kualitas hidup pasien parkinson karena gejala penyakit akan jauh berkurang atau menghilang. Menurut dr. Made, bila sebelumnya seseorang dengan parkinson sangat bergantung kepada orang lain karena kesulitan bergerak, metode DBS akan membantu orang tersebut untuk kembali mandiri. “Pasien akan jauh lebih mudah berjalan kaki atau bahkan berlari,” urainya. Sumber: Dr. Frandy Susatia, Sp.S dan Dr. Made Agus M. Inggas, Sp.BS

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At the onset, people with Parkinson’s disease may only show mild symptoms. However, as a person gradually goes through the five stages of the disease, the symptoms grow more intense and can be debilitating. Aside from medication, there is now a procedure for patients to consider – Deep Brain Stimulation, or DBS. “DBS is recommended for patients who have progressed to more advanced stages of the disease,” says Dr. Made Agus M. Inggas, SpBS, a neurosurgeon at the Parkinson’s and Movement Disorder Center at Siloam Hospitals Kebon Jeruk. DBS is a surgical procedure involving the implantation of an electrode inside the brain. This electrode is connected to a wire extension and a battery pack implanted in the chest. What DBS does is deliver electrical stimulations to specific areas in the brain to trigger the release of dopamine. According to Dr. Inggas, DBS can help patients regain nerve control. Patients who have to physically rely on others can have their movement independence restored with DBS. “It’ll be much easier for patients to walk again, or even run,” he says. Indeed, DBS is not a cure for Parkinson’s. It does not put an end to the disease, just as medications help only to the extent of controlling the symptoms. However, DBS can considerably reduce the symptoms, or even eliminate them. This means it’s one more way of returning a person with Parkinson’s to an active and productive life.

HEALTHY TIPS 5. Hindari terpapar senyawa parakuat dan benturan pada kepala Senyawa parakuat banyak terkandung dalam pestisida dan herbisida. Paparan pestisida dan herbisida dalam waktu lama dapat memperparah kerusakan saraf pada otak. Benturan pada kepala juga akan menimbulkan perdarahan dan kerusakan pada sel otak.

Penderita Parkinson Tetap Dapat Hidup Bahagia dengan Cara Ini Leading a Quality Life for People with Parkinson’s Menurut dr. Frandy Susatia, Sp.S, parkinson merupakan penyakit yang tidak dapat disembuhkan. Akan tetapi, penyakit ini dapat diringankan dengan beberapa cara, mulai dari pemberian obat hingga penerapan pola hidup yang sehat.

Sumber: Dr. Frandy Susatia, Sp.S dan Dr. Made Agus M. Inggas, Sp.BS



There is no cure for Parkinson’s disease, says Dr. Frandy Susatia, Sp.S, a neurologist at Siloam’s Parkinson’s and Movement Disorder Center. However, there are ways to alleviate its symptoms.

Berikut ini beberapa tips untuk penderita parkinson agar bahagia di usia lanjut.

From medications to healthy lifestyles, here are some tips to help people with Parkinson’s – including the elderlies – lead a quality life.

1.Pahami penyakit Anda dengan berkonsultasi ke dokter Konsultasikan dengan dokter spesialis saraf mengenai gejala yang Anda rasakan untuk mendapatkan penjelasan lebih lanjut mengenai penyakit yang diderita. Dengan demikian, Anda dapat lebih aware dan mengetahui langkah yang harus dilakukan agar gejala tidak memburuk. Disarankan untuk memeriksakan kondisi Anda secara rutin guna mendapatkan pengobatan yang maksimal.

1. Know what you’re suffering from The first thing to do if you recognize any symptoms is to consult with a neurologist. It is important to get a proper diagnosis, so that you can start learning the steps to slow down the disease’s progression. You will also need regular check-ups in order to obtain optimum treatment results.

2.Konsumsi obat Konsumsilah obat dengan teratur sesuai anjuran dokter. Meski penyakit parkinson tidak dapat disembuhkan, namun obat dapat mengendalikan gejala parkinson yang muncul dan membantu meningkatkan kualitas hidup Anda. 3. Olahraga Selain rutin mengonsumsi obat, disarankan juga untuk berolahraga. Olahraga yang dilakukan secara rutin dapat membantu memperkuat tulang, memperbaiki keseimbangan tubuh dan mencegah kekakuan sendi. Lakukan selama 30 menit setiap hari. Pilihlah olahraga yang Anda senangi dan lakukan secara konsisten. 4.Konsumsi makanan yang sehat dan bergizi Perbanyaklah mengonsumsi sayur dan buah yang kaya akan antioksidan. hindari makanan yang mengandung kadar gula tinggi, bahan pengawet, makanan rendah gizi seperti junk food, serta minuman bersoda dan beralkohol.

2. Take your medications Parkinson’s cannot be cured, nevertheless there are medications that can help control the symptoms and help patients improve their quality of life. The key to achieving this is taking your prescribed medications regularly. 3. Make exercise a habit Regular exercise has multiple benefits: it strengthens the bones, gives you better balance, and prevents joint stiffness. You only need 30 minutes a day and you can choose any kind of exercise – light walking, yoga, swimming, or even tai chi. Just remember to do it consistently and make it a part of your routine. 4. Eat healthy, nutritious food Antioxidants do wonders to our body. Consume more vegetables and fruits rich in antioxidants. At the same time, stay away from food high in sugar and preservatives, like junk food, soda, and alcohol. 5. Avoid paraquat Paraquat is a toxic chemical that anyone would want to avoid. Commonly found in pesticides and herbicides, paraquat – if we’re exposed to it – may aggravate neuronal and brain damages. You also need to take good care of your head, because bumps on the head may lead to a brain hemorrhage and cell damage.

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ADVERTORIAL

Jangan Remehkan Nyeri di Sendi Do Not Underestimate Joint Pains Saat nyeri sendi pada panggul atau lutut mengganggu aktivitas sehari-hari, penderita disarankan untuk menjalani operasi penggantian tulang panggul atau tempurung lutut. Prosedur operasi tersebut tergolong sederhana dan dapat dilakukan di tanah air sehingga biaya lebih terjangkau. Ahli orthopaedic surgeon Dr.dr.Franky Hartono SpOT(K) mengatakan, beberapa pasien beranggapan bahwa operasi panggul atau tempurung lutut mengerikan. Padahal, hal tersebut membantu pasien untuk bisa bergerak lebih bebas dan beraktivitas normal. Head of Hip, Knee, and Geriatric Trauma Center Siloam Hospitals Kebon Jeruk itu mengatakan, beberapa kasus yang mereka tangani biasanya kerusakan total pada persendian. Penyebabnya antara lain pengapuran sendi (osteoarthritis), infeksi, trauma pasca kecelakaan, atau patah tulang komplikasi. Sementara itu, ahli orthopaedics and traumatology dr. Wibisono SpOT FICS menjelaskan, prosedur akan dilanjutkan dengan pengecekan sendi melalui foto X-ray atau menggunakan arthroscopy. Proses pengecekan ini tergantung dari masingmasing kebutuhan pasien. ’’Jika kondisi kerusakan

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A painful hip joint or knee can interfere with your daily activities. What should you do if this condition persists? The solution can be hip or knee replacements. Dr. Franky Hartono SpOT(K), the head of the Hip, Knee, and Geriatric Trauma Center at Siloam Hospitals Kebon Jeruk, explains that this kind of pain usually occurs when a patient suffers total joint damage. This can be caused by a number of things, such as osteoarthritis, infection, post-traumatic arthritis, or fracture complication. This is why, according to Dr. Hartono, it is important to avoid activities that put our cartilage at risk of heavy impact. The orthopaedic surgeon also says that while replacement surgery may sound intimidating to some patients, it is in fact a relatively simple procedure that can substantially help reduce the pain, enabling patients to walk or move easily. This procedure can even be performed in a local hospital at a more affordable cost. According to orthopaedics and traumatology expert Dr. Wibisono SpOT FICS, a graduate of medicine at Airlangga University in Surabaya, patients would be examined through an X-ray or arthroscopy procedure, depending on their condition. “We recommend patients with stage 3 or 4 damage to have a joint replacement” he says.

sendi sudah stadium 3 dan 4, dilakukan operasi penggantian sendi dengan cara implan,’’ kata alumnus Fakultas Kedokteran Universitas Airlangga Surabaya itu. Sendi yang rusak itu akan diganti dengan komponen buatan yang terbuat dari titanium dan telah lulus uji biomedis. Sementara itu, pengganti tempurung dan bantalan sendi buatan umumnya dibuat dari bahan polyethilene. Bahan-bahan tersebut relatif aman dan tidak bereaksi saat berada dalam tubuh manusia. Operasi ini aman dilakukan karena koordinasi dengan tim dokter spesialis lain, seperti dokter spesialis jantung dan pembuluh darah, selalu dilakukan.

Paket Khusus TKR dan THR

Kini Anda dapat melakukan operasi penggantian tulang panggul atau tempurung lutut dengan kualitas terbaik di jaringan Siloam Hospitals. Tersedia harga paket VIP dan harga khusus mulai dari Rp 70 Juta. Paket total knee replacement (TKR) atau total hip replacement (THR) sudah termasuk biaya tindakan dokter, implan, obatobatan selama perawatan di rumah sakit dan dibawa pulang, serta pemulihan di kamar perawatan. Biaya tersebut juga sudah meliputi konsultasi persiapan operasi khusus dengan spesialis ortopedi, biaya operasi, implan, dan rawat inap kelas VIP. Syarat dan ketentuan promo dapat berubah sewaktu-waktu.

Hindari Olahraga High Impact

Usai pelaksanaan operasi pasien masuk pada masa pemulihan selama lima hari. Pada periode ini pasien menjalani latihan atau terapi khusus untuk penguatan otot di daerah sendi. Terapi ini penting dilakukan untuk mempercepat masa pemulihan. Dokter ortopedi MRCCC Siloam Hospitals DR.dr. Andri M. Lubis SpOT(K) menambahkan, setelah operasi penggantian sendi, pasien dapat kembali berjalan tanpa mengalami nyeri. Sementara itu, aktivitas yang harus dihindari pasien pasca operasi adalah olahraga high impact seperti lari atau lompat.

What happens during the procedure? The damaged joint is removed and replaced with a biomedically approved artificial component made of titanium. An artificial kneecap and meniscus, on the other hand, are commonly made of polyethylene. These materials have been tested and proven safe to be implanted inside a human body, causing no physical reaction. Hip or knee replacements are safe procedures to undergo. At all times during the surgery, patients are under the care and supervision of a team of doctors, including a cardiologist and vascular specialist. Special TKR and THR Packages Only at Siloam Hospitals If you are looking into hip or knee replacements procedure and are looking for the best treatment, Siloam Hospitals is ready to serve you. We offer VIP and special packages starting from Rp70 million. Our Total Knee Replacement (TKR) or Total Hip Replacement (THR) packages are inclusive of the medical procedure, implants, your stay during the post-surgery recovery period, and inpatient and outpatient medication. Consultation with our orthopaedic doctor and use of a VIP-class patient room are also included. Terms and conditions apply. Avoid Heavy Exercise Aside from the surgery itself, the hip or knee replacements procedure also includes a recovery stage. After the surgery, you will need to stay in the hospital for five days to heal, and then undergo physical therapy to strengthen the muscles and train you to walk, as well as other treatments that are important to accelerate your recovery. According to Dr. Andri M. Lubis SpOT(K), an orthopaedic doctor at MRCCC Siloam Hospitals, patients would be able to walk again following a surgery, this time without the nagging pain. Patients are also allowed to do light exercises, but they should avoid certain strenuous movements, such as running or jumping. It is also important to follow their check-up schedule after leaving the hospital to make sure they are always in a good condition.

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WE COMMIT

Fajri, Doorman Siloam Hospitals

Tidak Mau Membeda-bedakan Pasien A Tale of a Devoted Doorman Jika anda memasuki lobi Siloam Hospitals Kebon Jeruk yang berada di Jakarta Barat, anda akan disambut oleh petugas dengan busana bernuansa Betawi yang menyapa hangat dan segera menawarkan bantuan. Seketika suasana hati anda akan menjadi lebih nyaman. Itulah doorman yang selalu siap menjemput anda ketika tiba Siloam Hospitals. Pemandangan seperti ini lebih sering ditemui di hotel-hotel berbintang. Itu yang membuat rumah sakit ini menjadi berbeda dengan rumah sakit kebanyakan. Salah satu petugas yang berada di sana adalah Fajri. Ia telah menjalani tugasnya selama tiga belas tahun. Namun, apa yang membuatnya mau melakoni profesi sebagai doorman selama itu. “Saya senang melayani orang lain. Setiap kali ada pasien datang saya siap menyambut. Saya akan bertanya apa yang bisa saya bantu untuk mereka,” kata Fajri yang bangga dengan pekerjaannya.

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The difference between Siloam and most other hospitals is apparent as soon as you enter the lobby of, take for example, Siloam Hospitals Kebon Jeruk in West Jakarta. Every time a visitor arrives at the lobby, they will be warmly greeted by an officer wearing a traditional Betawi outfit, who will immediately ask if they need any assistance. Siloam is determined to offer comfort to its patients from the start, thus the employment of the doorman service commonly found at star-rated hotels, not at hospitals. Fajri is one of the doormen at Siloam Hospitals Kebon Jeruk. He’s been working there for 13 years – definitely not a short period. What has made him stick with this job for that long?

Fajri mengisahkan, sebelum bekerja ia selalu memastikan alat-alat yang diperlukan dalam keadan baik. Misalnya saja kursi roda. Ia tahu kursi ini sangat diperlukan jika ada pasien yang tidak mungkin berjalan ketika tiba di rumah sakit. Kecintaan pria asal Lampung itu terhadap pekerjaan, ia perlihatkan dengan melakukan hal-hal yang tidak menjadi tugas utamanya. Sebut saja ketika mencarikan taksi untuk pasien. Ia tidak ragu mencarikan taksi bagi pasien yang akan meninggalkan rumah sakit. “Kadang-kadang ada pasien yang karena kondisinya tidak dapat mencari taksi sendiri. Ya pasti segera saya bantu. Kasihan kalau pasien harus mencari taksi sendirian, “kata bapak dari tiga orang anak ini. Itu memang komitmen Fajri. Ia selalu berusaha memberikan pelayanan yang baik. Jika kebutuhan pasien sudah dipenuhi, ia akan bertanya kembali untuk mengetahui apa lagi yang mungkin dapat dibantu,” tukasnya. Fajri mengaku senang dapat berbuat sesuatu bagi orang lain di Siloam Hospitals. Apalagi selama ini ia selalu didukung oleh kawankawan maupun atasannya. “Di sini kami semua saling mendukung. Saya senang dengan suasana seperti ini. Saya berharap Siloam Hospitals dapat terus maju dan berkembang,” Fajri mengakhiri pembicaraan. Kurnia Pratama Head of General Affair Siloam Hospitals Kebon Jeruk Saya melihat Fajri adalah karyawan yang selalu bekerja dengan hati tanpa membeda-bedakan pasien. Dari bahasa tubuhnya saya dapat menilai ia memberikan pelayanan dengan kesungguhan. Jadi ia memperlakukan pasien dengan baik bukan sematamata karena tuntutan pekerjaan.

“I like serving people. Every time a patient arrives, I’m ready to welcome them. I will ask if they need any help,” says Fajri, who adds that he is proud with his job. He says before starting work every day, he would ensure that equipment like wheelchairs are in good condition and ready for use. Many patients arrive at the hospital in weak conditions, unable to walk, thus requiring the use of wheelchairs. Fajri also shows his love for his job by doing work outside his main duties. For example, he often helps patients by hailing a taxi for them when they’re leaving the hospital. “Some patients, due to their condition, cannot look for a taxi by themselves. I would immediately help,” says the father of three. Fajri says he’s happy being able to help people through his work at Siloam Hospitals. In addition, he says his peers and supervisor support him well. “We support each other here. I like this kind of work environment. I hope Siloam Hospitals will continue to grow and expand,” Fajri concludes.

I see Fajri as an employee who always works with all his heart, and he treats all the patients who come here equally. I can judge from his body language that he serves our patients sincerely. He treats them nicely, and not only because this is demanded by his job. Fajri also never fails to pay attention to his surroundings. For example, he always ensures that wheelchairs are ready for use anytime they are needed.

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What’s On

Siloam Hospitals Berpartisipasi di Hospital Expo 2015 Siloam Hospitals’ Showcase of Excellence at Hospital Expo 2015 Pada 21 – 24 Oktober lalu, Perhimpunan Rumah Sakit Seluruh Indonesia (PERSI) mengadakan Hospital Expo ke-28 yang bertempat di Jakarta Convention Center, Gelora Bung Karno, Jakarta. Siloam Hospitals sebagai salah satu anggota PERSI turut mendukung kegiatan ini dengan membuka booth. Dalam kegiatan yang berlangsung selama empat hari ini, Siloam Hospitals memperkenalkan dan menawarkan produk-produk pelayanan terbaik (Center of Excellence) yang terdapat di seluruh jaringan rumah sakit Siloam. Seluruh layanan di Siloam Hospitals didukung dengan tim dokter dan medis yang kompeten dan berpengalaman dibidangnya. Juga, ditunjang dengan fasilitas dan alat pendukung medis yang berteknologi canggih dan bertaraf internasional. Pada kesempatan tersebut, Siloam juga menggelar Walk in Interview yang membuka peluang kepada para profesional muda untuk berkarier di Siloam. Hospital Expo ke-28 ini juga bersamaan dengan penyelenggaraan Seminar Tahunan PERSI, dimana Siloam Hospitals turut berperan sebagai salah satu pembicara. Adapun tema seminar yang diberikan Siloam adalah ‘Penanganan Pihak Rumah Sakit Terhadap Tuntutan Pasien’, yang menghadirkan dr. Anastina Tahjoo, MARS - CEO Siloam Hospitals Lippo Village sebagai pembicara. “Hampir setiap tahunnya Siloam berpartisipasi dalam event yang diselenggarakan PERSI ini. Melalui ajang ini kami berharap masyarakat bisa mengetahui dan memperoleh informasi lebih lanjut seputar layananlayanan yang ada di Siloam,” ujar dokter Anastina.

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The 28th Hospital Expo 2015 held from October 21-24, 2015, gathered members of the Indonesian Hospital Association (PERSI), which organizes and hosts the annual exhibition and networking event. Throughout the four-day expo at the Jakarta Convention Center, Bung Karno Stadium, Siloam Hospitals stood among other participants, proudly showcasing the services of the hospitals as centers of excellence – all manned by skilled and experienced medical team. Siloam Hospitals’ exhibition booth also displayed its cutting edge, high-tech medical equipment and devices that comply with international standards. Walk-in interview sessions were set up for applicants who aspired to join the prestigious healthcare provider. More than being one of the exhibitors, Siloam Hospitals also contributed its insights to Indonesia’s healthcare industry. Dr. AnastinaTahjoo, MARS, the CEO of Siloam Hospitals Lippo Village, took to the podium as one of the speakers in a seminar held as part of the expo. “Siloam participates in this event almost every year. We hope that this will be a fruitful gathering, where the public can learn more about Siloam and its services,” Dr. Anastina said. This year the seminar, organized annually by PERSI, focused on the theme “Handling Grievances”. Hospitals shared their perspectives and experiences regarding this topic.

Seminar Edukasi: Kenali Rematik Sedini Mungkin Education Seminar: Catching the Early Signs of Rheumatism Bagi Siloam, layanan kepada masyarakat tak hanya dengan menghadirkan sistem pengobatan yang baik, tetapi juga menyediakan program dan informasi bermanfaat bagi masyarakat. Dengan latar belakang tersebut, pada Sabtu (31/10) lalu bertempat di Ballroom lantai 11, Siloam Hospitals Lippo Village (SHLV) kembali mengadakan seminar rutin bulanan. Head of Department, Out Patient Department SHLV Aloysius Wihartana mengatakan, seminar tersebut merupakan bagian penting program layanan rumah sakit dalam mengedukasi masyarakat. Oleh karenanya, seminar pun tidak dikenakan biaya. Dengan tema “Deteksi Dini Penyakit Rematik”, seminar menghadirkan dr. Sandra Sinthya Langow, SpPD.KR dan dr. Rima Natasha, SpKFR selaku pembicara. Di kesempatan tersebut, keduanya memberikan berbagai penjelasan, informasi, serta contoh-contoh yang dapat dipraktikkan dalam kehidupan sehari-hari. Pemaparan yang jelas dan contoh yang mudah dipahami membuat seminar berlangsung menarik dan atraktif. Peserta pun tampak puas dengan informasi dan pengetahuan yang diberikan oleh kedua pembicara. Di antaranya pasangan Dharmawan (60) dan Betty (53) yang ikut serta dalam seminar tersebut. “Banyak informasi baru yang kami peroleh dari sini. Seperti soal mitos mandi malam yang dapat menyebabkan rematik, ternyata faktanya tidak demikian. Sangat memuaskan informasinya,” tegas mereka.

Delivering the best health care services to the public is not merely about providing the best medical facilities. It is also about spreading knowledge, and to that end Siloam Hospitals have been conducting regular education programs, including monthly seminars that highlight different topics each time. The public education seminar in October discussed “Catching the Early Signs of Rheumatism”. Held on a Saturday, October 31, at the 11th-floor ballroom of Siloam Hospitals Lippo Village (SHLV), the seminar featured Dr. Sandra SinthyaLangow, SpPD.KR and Dr. Rima Natasha, SpKFR as the speakers. Their clear and informative explanations, as well as relevant examples, made the event a success, with participants actively taking part in exciting discussions about the topic. Dharmawan, 60, who attended the seminar with his wife, Betty, 53, said: “This seminar gave us a lot of new information. It also clarified some myths. For instance, it’s not true that taking an evening shower can cause rheumatism. Overall, we are very satisfied.” Public education has always been an important part of Siloam Hospitals’ services, says Aloysius Wihartana, the head of the Outpatient Department at SHLV. As proof of this commitment, Siloam Hospitals’ education seminars are for free for all.

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LEISURE

Menikmati Mewahnya Masakan Nusantara dalam Pesawat A New Dining Experience: Tasty Indonesian Cuisine on Board a ‘Grounded’ Aircraft Jika Anda bosan menikmati hidangan dengan suasana restoran kebanyakan, Taman Santap Rumah Kayu dapat menjadi destinasi wisata kuliner yang tepat. Restoran yang terletak di Taman Impian Jaya Ancol ini menawarkan sensasi berbeda dengan menghadirkan pesawat Boeing 737- 400 yang terparkir di sudut resto. Tak sekadar hiasan, kabin pesawat ini dimanfaatkan sebagai tempat bersantap makanan. Kesan mewah langsung terpampang kala kita memasuki pesawat. Makanan yang ditawarkan di Taman Santap Rumah Kayu adalah masakan Khas Nusantara. Menu makanan yang menjadi favorit di antaranya Cumi Telur Bakar Rumah Kayu, Ikan Gurame Goreng, serta Ayam Bakar Rumah Kayu. Sementara Green Fresh Rumah Kayu yang merupakan campuran dari jus sawi hijau dan nanas serta perasan jeruk lemon segar dapat menjadi pilihan minuman sambil menikmati indahnya pemandangan nyiur melambai Pantai Ancol dari jendela pesawat. Ingin suasana lebih santai? Pengunjung dapat duduk di saung lesehan dengan kapasitas sekitar 500 orang. Selain itu, terdapat fasilitas VIP Room dan Hall Open Air. Tak usah khawatir, bagi Anda yang ingin membawa si kecil turut serta, dalam waktu dekat akan hadir arena bermain anak-anak. Khusus untuk menikmati makanan di dalam kabin pesawat, pengunjung sebaiknya melakukan reservasi terlebih dahulu.

Taman Santap Rumah Kayu Jl. Lodan Timur 11 No. 7 Taman Impian Jaya Ancol Jakarta Utara Phone: 021 64716395 Opening hours: 10.00- 22.00

Getting tired of dining in restaurants that all have the same look and feel? Taman Santap Rumah Kayu offers a fresh alternative to the usual culinary destinations in Jakarta. Situated inside Taman Impian Jaya Ancol amusement park, the restaurant offers a different attraction – a Boeing 737-400 aircraft parked inside its compound. The plane does not only serve as an ornament. In fact, its cabin is used as one of the dining areas. Visitors will feel a sense of luxury as soon as they step into the cabin. Taman Santap Rumah Kayu offers a variety of traditional Indonesian dishes. Among customers’ favorites are Rumah Kayu Grilled Egg Squid, Fried Gurame, and Rumah Kayu Roast Chicken. Then there is the restaurant’s trademark, Green Fresh Rumah Kayu, which is a mixed juice of brassica leaves, pineapple, and lemon. You can enjoy the refreshing drink while taking in the beautiful scenery of swaying palm trees along Ancol Beach, from your seats behind the cabin’s windowpanes. Want an even more relaxing experience? Visitors may dine at one of the ‘saungs’ – small raised and roofed platforms – which in total can accommodate up to 500 people. VIP Rooms and the Open Air Hall are other options available at the restaurant. And if you’re thinking about bringing your kids along with you, the place will soon be equipped with a small playground for children. Visitors are advised to reserve a table if they wish to dine inside the cabin.

*Diskon 10% sampai dengan akhir Februari 2016 bagi Anggota Siloam Senior Health Community jika membawa majalah Silver (edisi Desember 2015 )

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QUIZ 1

Isilah teka-teki silang di bawah ini Mendatar 2. Penyakit gangguan gerak yang disebabkan oleh rusaknya sel otak yang memproduksi dopamine 4. Penanganan gejala parkinson tingkat awal 6. Dokter spesialis yang menangani penyakit parkinson Menurun 1. Gejala penyakit parkinson 3. Cabang Siloam Hospitals yang memiliki layanan dan fasilitas pengobatan parkinson 5. Operasi untuk mengatasi gejala parkinson (singkatan) Inilah para pemenang Quiz Silver edisi November. Selamat! 1. 2. 3. 4. 5.

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Hadi Haryanto Elisabeth Sugita Djoemadi Eddy Tjahjono Arif Iskandar

Kirim jawaban melalui email ke [email protected] dengan mencantumkan subject: KUIS Silver+ Edisi Desember 2015.Cantumkan nama lengkap, nomor identitas (KTP/SIM/Paspor), tanggal lahir, alamat lengkap dan nomor telepon. Setiap edisi akan dipilih beberapa orang pemenang yang berhak mendapatkan souvenir menarik Jawaban diterima paling lambat 18 Desember 2015. Pengumuman pemenang dapat dilihat di Majalah Silver+ edisi Januari 2016.

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