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JEDDAH I RIYADH I MADINAH I ASEER I HAIL I SANAA I CAIRO I DUBAI I SHARJAH I AJMAN
N E W S L E T T E RISSUE NO. 31 QUARTERLY NEWSLETTER ISSUED BY SAUDI GERMAN HOSPITALS GROUP - UAE
SAUDI GERMAN HOSPITAL AJMAN
GRANDSTAFF
MEETING
NEWSLETTERCONTENTS
1
Health Tips
Medical Cases
New Services FAQs
Outreach Programs
Executive on Spotlight
Employee Engagement
SGH Ajman Doctors
SGH QUARTERLY NEWSLETTER
www.saudigerman.com
NEWSLETTERCONTENTS
2
In the United Arab Emirates, the health-
care sector has witnessed an extended
period of high growth in 2019, which is
forecast to continue, driven by the gap
between supply and demand. Saudi
German Hospitals Group – UAE played
a significant role in this market growth
and preparing ourselves to meet the
forecasted demand, because we believe
quality healthcare is the right access to
everyone.
We at SGH Group believe that health
awareness, education and interfacing by
the healthcare providers is the stepping
stone to build the healthy community.
The newsletter is one of the communi-
cation tools we use to interact with our
patients, customers and business
providers. Through this platform, we
communicate to our patients and custo-
mers what we do, our achievements,
recognitions and future plans.
We present our 31st edition of the News-
letter to you and your family, that high-
light achievements, trends, new initia-
tives, accreditation and recognition in
2019. We are confident that as usual, you
will accept this knowledge-based and
informative newsletter. As always
looking forward to your encouragement,
cooperation, and feedback that always
give the energy to move forward to
provide quality healthcare through
person centric approach to everyone in
the society.
EDITORIAL
DR. REEM OSMANChief Executive Officer
Saudi German Hospitals Group - UAE
Issue No. 31 NE
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ED
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With the blessing of Allah, the trust of our customers and the total commitment of our employees who represent our most valuable asset, we have been ableto establish ourselves as the largest and most reputedprivate healthcare provider in the region within a short span of time.
Since its inception we have been focusing on sub-specialties. Our vision and activities go beyond in delivering excellence in quality of care to patients and creating value for all our stake holders. All our efforts are to continuously improve our services to exceed the needs and expectations of our patients.
As corporate citizens, we believe that we have the social responsibility towards the community to improve its healthcare standards and in building healthy community.
As the CEO of SGH – UAE region, I feel privileged to invite you to experience the world-class medical carefor all your family needs designed by Saudi GermanHospitals. We aim to provide quality healthcare withhighest level of ethical standards and personalized care to achieve superior medical outcome and patientsatisfaction.
We are proud to provide the latest & the best innova-tion in medical care at the middle-east to our esteemed patients & stakeholders through our fully committed staff who are essential to instill the drive and determination to achieve vision, mission and goal of the organization and to meet the challenges and realize the opportunities that faced today and in the future.
LEADERSHIP MESSAGE
3
SGH QUARTERLY NEWSLETTER
Engr. Sobhi Abdel Jaleel BatterjeeFounder
Saudi German Hospitals Group
DR. REEM OSMAN
Chief Executive OfficerSaudi German Hospitals Group - UAE
www.saudigerman.com
SAUDI GERMAN HOSPITALS GROUP UAE
Is one of the largest private hospitals group in United
Arab Emirates by number of hospital beds and number of
operating hospitals. It is a part of Saudi German Hospitals
Group, a major healthcare player in MENA (Middle East
& North Africa) region. The group is a multi-functional
Healthcare company & functions as a Healthcare develo-
per. With an array of over 30 years’ experience in Health-
care industry the SGH Group of Hospitals function with a
unique spiritual vision which is derived from the Holy Qu-
ran “AND IF ANY ONE SAVED A LIFE, IT WOULD BE AS
IF HE SAVED ALL OF MANKIND”
(Al Maidah, Verse 32).
4
Issue No. 31
PR
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AB
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VISION:
To be the REGIONAL
HEALTHCARE LEADER
through the largest
network of hospitals
delivering excellence in
quality of care to
patients, and creating
value for all stake-
holders.
MISSION:
To provide quality health-
care in all specialties with
highest level of ethical
standards and persona-
lized care to achieve supe-
rior medical outcome and
patient satisfaction.
SAU
DI G
ERM
AN
SAU
DI G
ERM
AN
HO
SPIT
AL-A
JMAN
HO
SPIT
AL-A
JMAN
5
www.saudigerman.com
Saudi German Hospital – Ajman is part of the largest private hospitals group in the Middle East. It is the 10th tertiary care hospital of SGH Group, with 200 Beds which will cater to the Health care necessities of Ajman and Northern Emirates. SGH-Ajman offers a wide range of medical services including all Specialties and Sub-Spe-cialties.
6
PROSTATE CANCER PREVENTION, WAYS TO
REDUCE YOUR RISK:
Because many factors can affect PSA levels, your doctor is the best person to interpret your PSA test results. If the PSA test is abnormal, your doctor may recommend more investiga-tions to find out problems.
DR. AHMED HINDAWYSpecialist Urologist
higher in men who have
prostate cancer. The PSA
level may also be elevated
in other conditions that
affect the prostate.
As a rule, the higher the PSA
level in the blood, the more
likely a prostate problem
is present. But many
factors, such as age and
race, can affect PSA levels.
Some prostate glands make
more PSA than others.
PSA levels also can be
affected by—
• Certain medical
procedures.
• Certain medications.
• An enlarged prostate.
• A prostate infection.
There’s no proven prostate
cancer prevention strategy.
But you may reduce your
risk of prostate cancer by
making healthy choices,
such as:
• Exercising (Men who are
obese — a body mass index
(BMI) of 30 or higher
— may have an increased
risk of prostate cancer.) .
• Stop smoking. Using
tobacco is a major cause of
kidney, prostate and
bladder cancer.
• Eating a healthy diet (Choose a low-fat diet,
Increase the amount of
fruits and vegetables you
eat each day).
• Drinking a cup of green tea at least daily
reduce cancer prostate risk
(Anti-Cancer Effects of
Green Tea Polyphenols
Against Prostate Cancer).
• Regular screening for Prostate Specific Antigen (PSA) Test, from age 50 till
75 years old , every 2 years.
PSA is a blood test called
a prostate specific antigen
(PSA) test measures the
level of PSA in the blood.
PSA is a substance made by
the prostate. The levels
of PSA in the blood can be
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IBS (IRRITABLE BOWEL SYNDROME) OR IBD (INFLAM-
MATORY BOWEL DISEASE)
DR. MOHAMED EL HAJJSpecialist Gastroenterology
• Blood test – H.Pylori
antibody / only once, can
be positive longtime even
after successful eradication
therapy
• UBT – Urea Breath test
/ measuring the activity of
H.pylori
• Stool test / measuring
the activity of H.pylori
• Gastroscopy with biopsy
or CLO test
To rule out or to confirm
gallbladder stone disease
we proceed with abdominal
ultrasound
For IBD usually enough
stool tests (occult blood
and calprotectin), and for
hemorrhoids the standard
is per rectum examination.
Decreased motility and
secretion + hyperactivity of
microbiome…Constipation
+ bloating
Usually, 5 diseases can
make above-mentioned
symptoms.
• Helicobacter pylori
infection
• Gallbladder stone
disease
• IBD
• IBS
• Hemorrhoids
So, to confirm that patient
has IBS, doctor needs to
rule out other above-men-
tioned diseases.
To rule out or to confirm
Helicobacter pylori infec-
tion we have 4 tests:
So many patients visit
doctors with complain of
abdominal discomfort/pain,
bloating and change in
bowel habit/constipation or
diarrhea.
Always patient prescribes
his problem saying: I have
problem with my colon /
IBS!!
Briefly about IBS and IBD.
Every organ in our body
had his own structure with
own function.
IBD {inflammatory Bowel
Disease} is a structural
disease/inflammation, but
IBS {Irritable Bowel Syn-
drome} is a functional
disease.
The main functions in our
gastrointestinal system are:
• Motility
• Secretion/absorption
• Microbiome/Microbiota/
good bacteria
So any problem {hyper- or
hypo-} with above-men-
tioned functions, can make
IBS.
For example: increased
motility and secretion
……………. Diarrhea
that are making you sick.
It’s a common symptom of
infections like flu. If it’s 101
For higher, wait until your
child is fever-free for at
least 24 hours before
sending her back to school.
Diarrhea happens because
of an infection, food poi-
soning, or medications like
antibiotics. It can lead to
dehydration, so give her a
lot of fluids to drink. Keep
your child home until her
stools are solid and your
Does she have an illness like the flu or pinkeye? If you think she might, don’t
let her go back to school
until you know he’s not con-
tagious anymore.
When Your Child Is Sick?Here’s what you need to
keep an eye on:
Fever is a sign that your
body is fighting the germs
Does your child have a fever? Fevers of 101 F or more are
generally a sign of illness, so
children should stay home
from school.
Is your child well enough to participate in class? If she seems too run down
to get much out of her
lessons, keep her home.
IS YOUR CHILD TOO SICK FOR SCHOOL?
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doctor gives the OK.
Vomiting is another way
our bodies get rid of germs.
It’s usually caused by a
stomach virus or infection.
Keep your child at home if
she has vomited twice or
more in the last 24 hours.
She can go back to school
after her symptoms clear
up or the doctor says she’s
no longer contagious.
Severe cough and cold symptoms should keep
your child home. A serious
cough could be a symptom
of contagious conditions
ness and feels fine, she can
go to school.
Rashes can be a sign of
contagious illnesses like
chickenpox, bacterial
meningitis, or impetigo
(a skin infection). Keep your
child home until she’s been
diagnosed. She can head
back to the classroom after
her symptoms are gone and
the doctor gives the OK.
Ear infections aren’t conta-
gious. There’s no need to
keep a child with a mild ear-
ache home, as long as she
feels well enough to con-
centrate.
Mild cold or respiratory symptoms don’t have to
sideline your kid -- but keep
in mind that even if her nose
runs clear and her cough is
mild, she may still pass the
virus to somebody else.
like whooping cough, viral
bronchitis, or croup. It can
also be a warning sign of
asthma or allergies.
Sore throats can be a symp-
tom of a common cold or
strep. If she has a mild cold,
she can go to school. If your
child has been diagnosed
with strep throat, keep her
at home for at least 24
hours after she starts anti-
biotics.
Is contagious, and a child
should stay home for the
first 24 hours after treat-
ment begins. Symptoms
include eye redness, irrita-
tion, swelling, and pus.
Headaches can be a symp-
tom of contagious illnesses
like the stomach flu, flu,
meningitis, and strep throat.
Experts disagree on
whether a child should be
kept home. If she doesn’t
have any other signs of ill-
DR. DOAA ABDELGHAFFARSpecialist Pediatrician
MIGRATORY STONE BETWEEN UPPER URETERIC AND RENAL PC SYSTEM
CT result:
free mobility of the stone
between upper ureter and
pelvicalyceal system of the
left kidney according to
patient position with size
about 14x11x8 mm, and
1240 HU.
Fig 1: stone in left upper ureter, fig 2: stone in left pelvis to lower calyx.
Treatment:The goal is to remove the
stone and discharge the
patient as one-day case
admission, without com-
plications.
For example: migration or
escaping of the stone in
pelvicalyceal system which
is high by flexible uretros-
copy and laser lithotripsy ,
or less effective treatment
which may be happened in
ESWL due to free mobility
and stone multiplicity .
UTI. There was no fever.
There was no family history
of any urological problem.
On clinical examination
there was mild tenderness
on left flank.
Her last surgery was cesa-
rean section 6 years ago,
with no history of other
surgeries or medical
diseases.
Investigations:Patient ultrasound is
showing left mild hydrone-
phrosis with possibility of
left upper ureteric stone .
Serum creatinine was 0.64
mg/dl , and uric acid was 4
mg/dl .
But urine analysis is show-
ing microscopic hematuria
about 35-40 /HFU , blood
+++ , and WBC 8-10 /HFU.
Patient was sent to radio-
logy department for CT
abdomen and pelvis with
and without contrast .
To confirm stone size and
to exclude any other cause
of obstruction .
Abstract: Retrograde ureteric stone
migration, with free mobi-
lity of the stone between
upper ureter and pelvicaly-
ceal system of the left kid-
ney according to patient
position .
We reported this rare case
of urolithiasis in Saudi Ger-
man hospital Ajman.
Management of these cas-
es is difficult due to free
mobility and stone multi-
plicity.
The goal is to remove the
stone without complica-
tions , and with avoidance
of migration or escaping
to pelvicalyceal system, or
less effective treatment as
a one case admission.
Case Presentation:A married female patient
36 years old , presented by
left recurrent flank pain ,
which is unstable and
started 2 months ago,
sometimes related to
position, with recurrent
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DiscussionIn SGH AJMAN, we re-corded a rare case of migratory upper uretericstone, with multiplicityand mobility of the stone which made its manage-ment difficult .Urolithiasis is one of thecommon diseases in gulfarea, and proper mana-gement in a full equipped hospital , makes it easy and all solutions are available according to each case and every situation .
Our goal was to choose the best treatment option for the patient without complication in a very short time .
We succeeded her to have the prober techno-logy to get a prober visualization , instrumen-tation and documenta-tion for every case .
Injection of contrast slowly
to show the renal system,
then puncture was done
single time,
nephroscope was insert-
ed in sheath after dilata-
tion of the track , stone
was in front of the scope
, removed one piece ,
small gravels were there
removed, examination of
renal system, which was
good, nephroscope was
removed during inspection
of the wound , sheath was
removed, would is closed
(tube less PCNL).
JJ stent 6 “ 26 cm was inserted . No biopsy material tak-en No intraoperative com-plication Blood loss was nil.
Outcome and follow-upPostoperative follow up, urine was clear next day, no pain, catheter was removed and patient discharged next day morning .
We planned to do:
The left ureteral retro-
grade study to assess the
stone site then Percutane-
ous nephrolithotomy
( LT PCNL ) was chosen to
remove the stone .
Patient consent: Obtained
Under general anesthesia,
patient was in spine
position, sterilization of
the LL and genitalia, diag-
nostic cystoscopy was
done, with insertion of
ureteric catheter on cobra
guide wire in the left ureter
plain image was taken to
show that the stone away
from the ureter and inside
the kidney.
Stone is a way from the ureteric catheter, in the pelvis.
Patient was put in prone
position with the help of
the anesthesia team . and
a new image was taken to
the stone to show a new
different site .
Stone is too close to the ureteric catheter, means it tried to go upper ureter.
DR. AHMED HINDAWYSpecialist Urologist
CARDIOLOGYDEPARTMENT FAQs
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DR. TAREK FARGHALI
Consultant Cardiologist, Head of Department
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the current pace we are moving it,
we are rapidly growing in both the
outpatient, invasive and non-inva-
sive procedures.
Who are your target audience for the said services?
The target audience for the said
service is for all our current and
future patients suffering from
cardiac problems to be provided
with the best healthcare services
with the maximum advancement as
possible while ensuring that the
internal protocols and guidelines
are followed.
What are the services the department offers?
Our Cardiology Department in SGH
Ajman is one of the biggest depart-
ments in the North Emirates.
We provide clinical cardiology
services for our patients in the clinic
and inpatient CCU department.
We currently also have the Non-
Invasive Lab which is carrying out
all the cardiac procedures.
Moreover, we have a cath lab which
is fully equipped for coronary angio-
graphy and intervention with highly
specialized equipment which
enables us to insert all types of
cardiac devises.
What is your vision for the services mentioned? How do you see it working in the hospital?
I feel that the services we provide
is at the highest level possible thus
enabling us to provide all the
required services for our cardiac
patients to ensure they are in the
best health and satisfied as much as
possible. I have observed that with
APPRECIATIONCORNER
Patient Appreciation to Dr. Ahmed Azmy,
Specialist Orthopedic Surgeon
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Patient Appreciation to Dr. Reham Abdelaal,
Internal Medicine (General Practitioner)
OUTREACH PROGRAMS
Indoor and Outdoor Events
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SGH QUARTERLY NEWSLETTER
Since the inception of Saudi
German Hospital Ajman, the
hospital was very keen in inter-
facing with the society through
various health awareness initia-
tives as part its goal to build a
healthy society.
During the last quarter of 2019,
the hospital focused its com-
munity activities in line with the
global awareness campaigns,
including Breast Cancer Cam-
paign, the events and cam-
paigns organized highlighting
the importance of early detec-
tion and prevention. These cam-
paigns focused on girls’ schools
and colleges both government
and private sector institutions.
Also in line with the diabetes
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awareness campaign, the hos-
pital organized number of
activities inside and outside
the hospital during the month
of November under the slogan
“Protect your family from
diabetes.”
The number of people who
got the benefits of these cam-
paigns were more than 2000
community members, during
which they obtained free medi-
cal examinations and consulta-
tions.
OUTREACH PROGRAMS
Indoor and Outdoor Events
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SGH QUARTERLY NEWSLETTER
During the Month of November
and December, Saudi-German
Hospital Ajman celebrated
number of national and official
occasions to express the
feelings of love and loyalty to
the UAE. The hospital celebra-
ted martyr’s day, which falls
on 30 November in memory of
the people who sacrificed their
life for the nation, as well as the
flag Day and 48 UAE National
Day, with the participation of
hospital staff and visitors, this
celebration reflected the spirit
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of the Union build the image of
harmony among the different
segments of society and their
love for the UAE. Also, the hos-
pital celebrated the 89th Saudi
National Day in line with the
UAE’s celebrations showcasing
the UAE’s strong bond with
Saudi Arabia and reflected the
depth of relations between the
two countries bilateral level.
EXECUTIVE ON SPOTLIGHT
Consultant in Critical care and Anaesthesia, Acting Chief Medical Officer Saudi German Hospital, Ajman.
Dr. Essam El-Din MahranConsultant Anesthesiologist, Acting Chief Medical Officer
surgery, Internal medicine, Cardio- logy,Neurology, Orthopedics, plastic surgeon. d. Long term care facilities. e. Women Health Clinic: Pre-concep- tion screening, Obs/Gyn/Breast surgeon/radiology/Genetic testing • Fetal clinic- Includes radiology +/- genetic testing+/- test for Downs • Ante-natal care • Family planning clinic • Post menopause clinic f. Allergy clinic: One of the current Internal Medicine consultants will run it by March 2020 g. Genetic Testing clinic: Adult/ Paediatric h. Neonatology clinic. Have a neonatologist
• Cath lab: Will market accordingly and get a consensus with SKMC-Ajman• National Ambulance services to deliver insured patients to us• Dedicated 2 beds for burns…The only hospital that have Burn unit is Sharjah and Abu Dhabi.• Fully functional Histopathology lab• Oncology services and dedicated few beds for that• Dialysis beds: This is for completion of services rather than income generating• Need to search for affiliation with an other well-known university/ organization• Child friendly Hospital status
• Develop the site as an educational hub for Ajman• Ensure the hospital in the primary choice to get a very high quality service at affordable price• Make Ajman the most income generating hospital for the group• Work hand in hand with our sister hospitals to provide a complete medical service.
Targets are:• Credentials: JCI accreditation, plan for Mid 2020, we already planning for it since my appointment in May 2019• Educational: 5 symposiums already planned for 2020, Antenatal classes, breast feeding classes (have breast feeding nurse)• Clinical and services: a. Back pain clinic… Nurosurgery and anaesthesia. b. Diabetology clinic: This will include Endocrinologist, Cardiologist, Internal medicine, neurology. c. Diabetic foot clinic: General
What are your roles in SGH?
What are your ideas or plans for the business?
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Once I am allocated a target, I had to finish it to perfection. I strongly believe in client’s right to good medical care.
What is your greatest strength?
They describe me as a fair person. I believe injustice anywhere is a threat to justice everywhere.
What is your favorite childhood memory?
When my parents bring us story books to read
How would your friends describe you?
McDonald’s
What’s your favorite fast food chain?
What Small Things Make You Happy?
Smile of a child
Born in Cairo, had a beautiful park nearby with a big TV that I used to go, play and watch. Still remember the taste of Sugar cane juice I used to drink in summer. It was a wonderful friendly atmosphere.
Safari in Kenya
If You Had A Free Plane Ticket, Where Would You Like To Go?
Where Did You Grow Up? What
Was It Like?
“Eyes Can’t see what mind doesn’t know”. The quote is appli-cable to all our lives, not just in medicine. It is an encouraged to learn so you benefit yourself and others.
What are some of your favorite quotes and why do
you relate to them?
E M P L O Y E EE N G AG E M E N T
Birthdays
Education is like a lamp which
lights your way in a dark alley...
- Ranjith Radhakrishnan -Infection Control Officer
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SAUDI NATIONAL DAY
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- Mohamed Salama -Public Relations Manager
SGH Group UAE
The harder you work, the greater you will feel when
you achieve...
E M P L O Y E EE N G AG E M E N T
Grandstaff Meeting
The strength of the team is each indivi-
dual member. The strength of each
member is the team...
- Bibin Mohanan -IT Support
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E M P L O Y E EE N G AG E M E N T
DiwaliCelebration
There may be shortcuts to
success but there is no shortcut
to skill...- Dr. Ahmed Azmy -
Specialist Orthopedic Surgeon
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Doctors Meeting
Tumor Board Committee Meeting
Infection Control Committee
Privileging & Credentialing Committee
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AJMAN DOCTORSSaudi German Hospital
DR. ESSAM EL-DIN MAHRAN
Consultant Anesthesiologist
DR. MANISH INDORIYASpecialist Anesthesiologist
Heart & Critical Care Center
Neuroscience Center
DR. TAREK FARGHALIConsultant Cardiologist
Head of Department
DR. MAHMOUD FAROUKConsultant Interventional
Cardiologist
DR. MAHMOUD SALEM ABBAS
Specialist Anesthesiologist
DR. AL MUSTASIM BELLAHSpecialist Neurosurgeon
DR. NOHA ABDELWAHEDSpecialist Neurologist
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DR. MOHAMED HUSSEINSpecialist General Surgeon
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DR. TASNEEM SALEEMSpecialist General Surgeon
Surgical Center
DR. AHMED HINDAWYSpecialist Urologist
DR. ALEKSANDAR MILADINOVIC
Specialist Urologist
DR. MOHAMMED HAMDY
Specialist General Surgeon
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DR. REHAB ALI ELSAYEDSpecialist Internal Medicine
Medical Center
DR. SALWA IBRAHIMConsultant Internal Medicine
DR. MOHAMMAD EL HAJJSpecialist Gastroenterologist &
Hepatologist
AJMAN DOCTORSSaudi German Hospital
DR. NUSAIBA ALI GHANEMSpecialist Rheumatologist
Orthopedic & Rehabilitation Center
DR. AHMED AZMYSpecialist Orthopedic
Surgeon
MS. HIRA TARIQPhysiotherapist
(Doctor of Physical Therapy)
MS. UROOJ MEHDIClinical Dietitian
DR. MOHSIN E AZAMSpecialist Orthopedic Surgeon
Otorhinolaryngology (ENT) Center
DR. MOHAMED MAGDY ZAKARIA
Consultant Otolaryngology
DR. AYMAN YAKOUTSpecialist Otolaryngology
DR. ASHRAF ALHAJ ALISpecialist Otolaryngology
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Dental Center
DR. SURAJ PAWARSpecialist Oral Surgeon
DR. SAMAR FARIDDentist
Dermatology Center
DR. AMBREEN RAUFSpecialist Dermatologist
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Women Center
DR. RASHA ROSHDY SHENODA
Specialist Obstetrics & Gynecologist
DR. MANAL MUNLASpecialist Obstetrics &
Gynecologist
DR. MADLEEN GAMAL ALSAQAF
Obstetrics & Gynecologist (GP)
DR. FOLASADE OLUWABUNMI
Obstetrics & Gynecologist (GP)
DR. TALAL MOHAMMADConsultant Obstetrics &
Gynecologist
AJMAN DOCTORSSaudi German Hospital
Children Center
DR. NAFISA MOHAMEDSpecialist Pediatrician
DR. DOAA ABDELGHAFFARSpecialist Pediatrician
DR. SARRA M SAADALLAPediatrics (GP)
DR. ISRAA WALEED KHALIDPediatrics (GP)
DR. FAREEHA FARRUKHPediatrics (GP)
Emergency Center
DR. BASHIER KAMAL ELDINEmergency (GP)
DR. AYHAM MAATOUKSpecialist Emergency
33
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DR. RIAM SALEH MOHAMMADEmergency (GP)
DR. ALGAILY ADAMEmergency (GP)
Diagnostic Center
DR. AHMED ABDELWAHEDConsultant Radiologist, Head of Department
Issue No. 31
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JEDDAH RIYADH MADINAH
ASEER HAIL SANA’A
DUBAI CAIRO SHARJAH
AJMAN DAMMAM
BATTERJEE MEDICAL COLLEGE
ASEER MEDICAL COLLEGE
CENTERS OF EXCELLENCEALEXANDRIAMAKKAH