Severe Asthma

Severe Asthma - What it is

Millions navigate life with asthma symptoms daily, considering them part of the norm. The reality is, asthma persists, posing the risk of enduring, irreversible lung damage. Despite years of coping, if symptoms impede desired activities and persist, it's time for a thorough reevaluation of your understanding of asthma.

Approximately 5-10% of asthma patients grapple with Severe Asthma, enduring persistent symptoms or frequent flare-ups despite adhering to high doses of inhaled preventer medications and occasionally oral steroids.

Recent advancements in asthma science underscore the existence of various asthma types. Identifying your specific type is crucial, as deep lung inflammation, known as Type 2 inflammation, can manifest as "eosinophilic" or "allergic" asthma.

Severe Asthma - Symptoms

Some signs of poor asthma control include:

Frequent symptoms such as shortness of breath, wheezing, coughing, waking up at night with difficulty breathing, and/or limitation of daytime activities
Use of fast-acting reliever medications such as Salbutamol inhaler or additional doses of Budesonide-Formotero several times a week
Recurrent hospital admissions, emergency room Visits, and/or visits to a doctor requiring oral steroids for flare-ups
Impaired lung function

Severe Asthma - Treatments

Treating severe asthma involves the use of biologics.

Biologics are relatively new medications that are not made from chemicals but are made from the cells of a living

organism, such as bacteria or mice.

Patients experiencing uncontrolled severe asthma, despite optimal daily preventer medications, may find biologics beneficial.

Preconditions Before Starting Biologics

Work with your healthcare provider to ensure that you:

You are taking your preventer medications as intended, and are using your inhaler devices correctly
You are avoiding triggers for your asthma, wherever possible
You do not have other medical condltions that are contributing to your poor asthma control

Benefits of Biologics

Reduce frequency of asthma attacks and symptoms
Reduce healthcare visits i.e hospital admission emergency room visits that require oral steroids
For patients on regular oral steroids, the dose required to control asthma may be reduced
Reduce the need for other add-on medications [and hence reduce side effects]
Fewer missed work/school days
Improve quality of life
Some blologics may even mprove lung function and other conditions which are caused by abnormal nflammatlon, similar to the asthma that is affecting you

Types of Biologics

In 2021, Health Sciences Authority in Singapore approved four biologics with more in development and clinical trials.

Omalizumab
Mepolizumab
Benralizumab
Dupilumab,

Choosing a Biologic

Different biologics target different inflammatary and allergic pathways in asthma. Your doctor conducts screening tests to determine the most suitable biologic targeting specific inflammatory and allergic pathways.

How are Biologics Administered?

Given through subcutaneous injections, biologics may be administered bi-weekly, monthly, or bi-monthly, depending on the specific biologic.

Monitoring for improvement may take up to six months, and treatment duration depends on the sustained response.

Side Effects of Biologic

While generally safe, common side effects include soreness at the injection site, headache, sore throat, and fatigue. Rarely, more severe side effects such as swelling of the eyes, hives, rashes, fainting or dizziness, and difficulty breathing may occur.

Severe Asthma - Other Information

Cost of Biologic

Biologics may have a high annual cost (up to thousands per year), but for some, the expense may outweigh the cost of managing symptoms and flare-ups.

How You Can Manage Severe Asthma

Aside from seeking medical treatment, the following are some ways you can manage your health:

Taking regular preventer medications: Do not stop the medications on your own, even when you
feel better wIth the blologic
Exercise: Research has shown that physical activity for people with severe asthma helps improve their quality of life
Eating well: A healthy diet and staying active is good for the heart and lungs even if you have severe asthma
Do not smoke: Find it tough to quit smoking? Let us know and we will refer you to a smoking cessation counsellor
Vaccination: Individuals with severe asthma are more likely to get complications from flu. This can be reduced by an annual influenza vaccination

Proactive management is the key to improving your quality of life. Collaborate with our doctors at the Severe Asthma Clinic to create an asthma management plan, monitor symptoms, and adhere to prescribed medications. Open communication with your doctor positively influences asthma management and enhances daily well-being.

Download a copy of our leaflet in your preferred language to learn more:

Severe Asthma (English).pdf

Severe Asthma (Chinese).pdf

Severe Asthma (Malay).pdf

Severe Asthma (Tamil).pdf

Overview

Respiratory ＆ Critical Care Medicine/General Medicine,

Asthma

Article contributed by Respiratory ＆ Critical Care Medicine, Singapore General Hospital

The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth

Clin Assoc Prof Mariko Koh Siyue

Senior Consultant

MBBS, MRCP

Clinical Interests: Severe Asthma, Asthma, Bronchiectasis, Cough

Dr Shalini Sri Kumaran

Senior Consultant

MBBS(Melbourne), MRCP (UK), FAMS

Clinical Interests: General Internal Medicine, Obstetric Medicine

Asst Prof Tiew Pei Yee

Senior Consultant

MBBS, PHD

Clinical Interests: Asthma, Chronic Obstructive Pulmonary Disease

Dr Chew Si Yuan

Consultant

MBBS (S’pore), GDFM, M Med (Int Med), MRCS (Ed), MRCP (UK), EDIC

Clinical Interests: Intensive Care Medicine, Chronic Obstructive Pulmonary Disease, Airway Diseases, Pulmonary Rehabilitation

Dr Kam Li Wei, Michelle

Consultant

MBBS, MRCS(Edin), MRCP(UK), MMed

Clinical Interests: Interstitial Lung Disease, Orphan Lung Disease, Sarcoid

Dr Michelle Koh Siew Hui

Consultant

MBBS, MRCP (UK), MMED (Internal Med)

Clinical Interests: Pulmonary Hypertension, Intensive Care Medicine, Refractory Chronic Cough

TOP

[{"SHPageId":"261","BodyPart":"#Lungs#","BodyPartLst":["lungs"],"Institution":null,"SHDoctorConditionsTreatments":"#Bronchiectasis#, #Asthma#, #Chronic Obstructive Pulmonary Disease#, #Lung Cancer#, #Severe Asthma#, #Lung Infection#","SHDoctorConditionsTreatmentsLst":["bronchiectasis","asthma","chronic obstructive pulmonary disease","lung cancer","severe asthma","lung infection"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Senior Consultant","SHDoctorClinicalDesgInstText":"48d80a29-eabe-421e-aa61-202648168f9e|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Senior Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;3c9e64be-225f-45de-b30b-7f327afd2447|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Director|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Senior Consultant","ClinicalDesgId":"48d80a29-eabe-421e-aa61-202648168f9e","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"},{"ClinicalDesgName":"Director","ClinicalDesgId":"3c9e64be-225f-45de-b30b-7f327afd2447","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Director","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"\u003cul\u003e\u003cli\u003eSevere Asthma, Asthma, Bronchiectasis, Health Services Research\u003c/li\u003e\u003c/ul\u003e","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"\u003cul\u003e\u003cli\u003eJan 2018- current\u0026#58; Director of Clinical Trials and Research Centre, Singapore General Hospital \u003c/li\u003e\u003cli\u003eApril 2016 – current\u0026#58; Clinical\u0026#160; Associate Professor, Office of Clinical \u0026amp; Academic Faculty Affairs, Duke-NUS Medical School\u003c/li\u003e\u003cli\u003e2012 – current\u0026#58; Senior Clinical Lecturer, Yong –Loo-Lin School of Medicine \u003c/li\u003e\u003cli\u003e2019-2020\u0026#58; Senior Advisor, Singapore National Asthma Program-2\u003c/li\u003e\u003cli\u003e2019 to current – Co-chair, ACE Asthma Clinical Practice Expert Group.\u003c/li\u003e\u003cli\u003e2021-2023- Committee Member, Singapore National Asthma Programme- 3\u0026#160; \u003c/li\u003e\u003cli\u003e2018- current\u0026#58; Chairman, Clinical Trials and Research Centre Advisory Committee, SGH\u003c/li\u003e\u003cli\u003e2018- current\u0026#58; Member, SGH Research Executive Committee\u003c/li\u003e\u003cli\u003e2020- current\u0026#58; Editorial Board\u0026#58; Annals Academy of Medicine, Singapore \u003c/li\u003e\u003c/ul\u003e","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"\u003cp\u003eMBBS, MRCP\u003c/p\u003e","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/doctors/portrait-photos/doctor-2019/Mariko-Koh.png","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/doctor-2019/Mariko-Koh.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"Dr Mariko Koh from SGH","BorderWidth":0,"Height":251,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":199},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/doctor-2019/Mariko-Koh.png","Description":"Dr Mariko Koh from SGH"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/doctor-2019/Mariko-Koh.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"Dr Mariko Koh from SGH","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/doctor-2019/Mariko-Koh.png","Description":"Dr Mariko Koh from SGH"},"Email":"","SHDoctorRole":"Doctor;#Researcher;#","SHDoctorSalutation":"Clin Assoc Prof","SHDoctorFirstName":"Koh Siyue","SHDoctorLastName":"Mariko","SHDoctorOtherName":"","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Respiratory and Critical Care Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"261","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Senior Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Respiratory ＆ Critical Care Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"koh-siyue-mariko","SHDoctorClinicalDisplayOrder":1},{"SHDoctorClinAppPageItemId":"261","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Director","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Clinical Trial Resource Centre","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"koh-siyue-mariko","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Severe Asthma","SHSpecialtyLinkDisplayOrder":2,"SHDoctorSpecPageItemId":"261","SHDoctorSpecialityFURL":"koh-siyue-mariko"},{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Asthma","SHSpecialtyLinkDisplayOrder":1,"SHDoctorSpecPageItemId":"261","SHDoctorSpecialityFURL":"koh-siyue-mariko"},{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Bronchiectasis","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"261","SHDoctorSpecialityFURL":"koh-siyue-mariko"},{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Cough","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"261","SHDoctorSpecialityFURL":"koh-siyue-mariko"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Respiratory ＆ Critical Care Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"http://sgh.com.sg","Description":"http://sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"261","SHDoctorInstitutionFURL":"koh-siyue-mariko"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/koh-siyue-mariko","LastUpdatedOn":"\/Date(-62135596800000)\/","LastUpdatedOnString":null,"SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"koh-siyue-mariko","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null},{"SHPageId":"1326","BodyPart":"","BodyPartLst":[],"Institution":null,"SHDoctorConditionsTreatments":"#Acute and Chronic Kidney Disease#, #Asthma#, #Gout#, #Heart Failure#, #Pregnancy Induced Disorders such as Pre-eclampsia, Intrahepatic Cholestasis of Pregnancy, Gestational Diabetes#, #Sepsis#, #Thromboembolism#, #Thyroid Disorders#, #Type 2 Diabetes Mellitus#, #Anaemia#, #Hypertension#","SHDoctorConditionsTreatmentsLst":["acute and chronic kidney disease","asthma","gout","heart failure","pregnancy induced disorders such as pre-eclampsia, intrahepatic cholestasis of pregnancy, gestational diabetes","sepsis","thromboembolism","thyroid disorders","type 2 diabetes mellitus","anaemia","hypertension"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Senior Consultant","SHDoctorClinicalDesgInstText":"48d80a29-eabe-421e-aa61-202648168f9e|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Senior Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;278548e2-0556-498e-a240-f825599e0485|607a2275-3dee-4aff-8eeb-ff49077be347;Visiting Consultant|607a2275-3dee-4aff-8eeb-ff49077be347;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Senior Consultant","ClinicalDesgId":"48d80a29-eabe-421e-aa61-202648168f9e","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Senior Consultant","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"\u003cdiv\u003e\u003cul\u003e\u003cli\u003eMember of the Future Hospital Workgroup (Medicine) Committee, Singapore General Hospital (2023)\u003c/li\u003e\u003cli\u003eMember of the MICA/MICU Review Committee, Singapore General Hospital (May-Nov 2016)\u0026#160;\u003c/li\u003e\u003cli\u003eChairman of the registrar workgroup, Singapore General Hospital (2014-2015)\u0026#160;\u003c/li\u003e\u003cli\u003eMember of the registrar workgroup, Singapore General Hospital (2013-2014)\u003c/li\u003e\u003c/ul\u003e\u003c/div\u003e","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"MBBS(Melbourne), MRCP (UK), FAMS","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/shalini-sir-kumaran.png"},"Email":"","SHDoctorRole":"Doctor;#","SHDoctorSalutation":"Dr","SHDoctorFirstName":"Sri Kumaran","SHDoctorLastName":"Shalini","SHDoctorOtherName":"","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Internal Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"1326","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Senior Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Internal Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"sri-kumaran-shalini","SHDoctorClinicalDisplayOrder":1000},{"SHDoctorClinAppPageItemId":"1326","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Visiting Consultant","SHDoctorClinicalInst":"KK Women\u0027s and Children\u0027s Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/KKH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/KKH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"http://www.kkh.com.sg","Description":"http://www.kkh.com.sg"},"SHDoctorClinicalDept":"Department of Maternal Fetal Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":{"Url":"http://www.kkh.com.sg/Services/Women/MaternalFetalMedicine/Pages/Home.aspx","Description":"http://www.kkh.com.sg/Services/Women/MaternalFetalMedicine/Pages/Home.aspx"},"SHDoctorClnicApptsFURL":"sri-kumaran-shalini","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Internal Medicine","SHSubSpecialtyLink":"General Internal Medicine","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"1326","SHDoctorSpecialityFURL":"sri-kumaran-shalini"},{"SHSpecialtyLink":"Internal Medicine","SHSubSpecialtyLink":"Obstetric Medicine","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"1326","SHDoctorSpecialityFURL":"sri-kumaran-shalini"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Internal Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"http://sgh.com.sg","Description":"http://sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"1326","SHDoctorInstitutionFURL":"sri-kumaran-shalini"},{"SHDepartmentLink":"#Department of Maternal Fetal Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":{"Url":"http://www.kkh.com.sg/Services/Women/MaternalFetalMedicine/Pages/Home.aspx","Description":"http://www.kkh.com.sg/Services/Women/MaternalFetalMedicine/Pages/Home.aspx"},"SHInstitutionLink":"#KK Women\u0027s and Children\u0027s Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/KKH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/KKH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"http://www.kkh.com.sg","Description":"http://www.kkh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"1326","SHDoctorInstitutionFURL":"sri-kumaran-shalini"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/sri-kumaran-shalini","LastUpdatedOn":"\/Date(1656057600000)\/","LastUpdatedOnString":"24 June 2022","SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"sri-kumaran-shalini","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null},{"SHPageId":"358","BodyPart":"","BodyPartLst":[],"Institution":null,"SHDoctorConditionsTreatments":"#Chronic Obstructive Pulmonary Disease#, #Asthma#, #Severe Asthma#, #Bronchiectasis#","SHDoctorConditionsTreatmentsLst":["chronic obstructive pulmonary disease","asthma","severe asthma","bronchiectasis"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Senior Consultant","SHDoctorClinicalDesgInstText":"48d80a29-eabe-421e-aa61-202648168f9e|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Senior Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Senior Consultant","ClinicalDesgId":"48d80a29-eabe-421e-aa61-202648168f9e","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Senior Consultant","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"\u003cp\u003eCOPD, Asthma, Bronchiectasis, microbiome, Mycobiome, fungal sensitization\u003cbr\u003e\u003c/p\u003e","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"MBBS, PHD","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2024%20NOV/Tiew-Pei-Yee.png"},"Email":"","SHDoctorRole":"Doctor;#Researcher;#","SHDoctorSalutation":"Asst Prof","SHDoctorFirstName":"Pei Yee","SHDoctorLastName":"Tiew","SHDoctorOtherName":"","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Respiratory and Critical Care Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"358","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Senior Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Respiratory ＆ Critical Care Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"tiew-pei-yee","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Asthma","SHSpecialtyLinkDisplayOrder":2,"SHDoctorSpecPageItemId":"358","SHDoctorSpecialityFURL":"tiew-pei-yee"},{"SHSpecialtyLink":"Respiratory and Critical Care Medicine","SHSubSpecialtyLink":"Chronic Obstructive Pulmonary Disease","SHSpecialtyLinkDisplayOrder":1,"SHDoctorSpecPageItemId":"358","SHDoctorSpecialityFURL":"tiew-pei-yee"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Respiratory ＆ Critical Care Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"http://sgh.com.sg","Description":"http://sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"358","SHDoctorInstitutionFURL":"tiew-pei-yee"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/tiew-pei-yee","LastUpdatedOn":"\/Date(-62135596800000)\/","LastUpdatedOnString":null,"SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"tiew-pei-yee","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null},{"SHPageId":"2223","BodyPart":"","BodyPartLst":[],"Institution":null,"SHDoctorConditionsTreatments":"#Chronic Obstructive Pulmonary Disease#, #Asthma#, #Bronchiectasis#, #Chronic Cough#, #Lung Cancer#, #Pulmonary Rehabilitation#, #End-Stage Chronic Lung Diseases#, #Dyspnea and Dysfunctional Breathing#, #Pulmonary Infections#, #Pleural Effusions#, #Critical Care#","SHDoctorConditionsTreatmentsLst":["chronic obstructive pulmonary disease","asthma","bronchiectasis","chronic cough","lung cancer","pulmonary rehabilitation","end-stage chronic lung diseases","dyspnea and dysfunctional breathing","pulmonary infections","pleural effusions","critical care"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Consultant","SHDoctorClinicalDesgInstText":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Consultant","ClinicalDesgId":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Consultant","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"\u003cul\u003e\u003cli\u003eCritical care\u003c/li\u003e\u003cli\u003eAsthma\u003c/li\u003e\u003cli\u003eCOPD\u003c/li\u003e\u003cli\u003eBronchiectasis\u003c/li\u003e\u003cli\u003ePulmonary Rehabilitation \u003c/li\u003e\u003c/ul\u003e","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"\u003cul\u003e\u003cli\u003eMember, Clinical Performance Improvement Committee, SGH\u003c/li\u003e\u003cli\u003eMember, Advanced Care Planning (ACP) Workgroup, SGH\u003c/li\u003e\u003cli\u003eTreasurer, Singapore Thoracic Society (2019 to 2023)\u003c/li\u003e\u003c/ul\u003e","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"\u003cp\u003eMBBS (S’pore), GDFM, M Med (Int Med), MRCS (Ed), MRCP (UK), EDIC\u003c/p\u003e","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg","Description":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg","Description":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/ChewSiYuan_thumbnail.jpg"},"Email":"","SHDoctorRole":"Doctor;#Researcher;#","SHDoctorSalutation":"Dr","SHDoctorFirstName":"Si Yuan","SHDoctorLastName":"Chew","SHDoctorOtherName":"","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Respiratory and Critical Care Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"2223","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Respiratory ＆ Critical Care Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"chew-si-yuan","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Intensive Care Medicine","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2223","SHDoctorSpecialityFURL":"chew-si-yuan"},{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Chronic Obstructive Pulmonary Disease","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2223","SHDoctorSpecialityFURL":"chew-si-yuan"},{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Airway Diseases","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2223","SHDoctorSpecialityFURL":"chew-si-yuan"},{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Pulmonary Rehabilitation","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2223","SHDoctorSpecialityFURL":"chew-si-yuan"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Respiratory ＆ Critical Care Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"2223","SHDoctorInstitutionFURL":"chew-si-yuan"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/chew-si-yuan","LastUpdatedOn":"\/Date(-62135596800000)\/","LastUpdatedOnString":null,"SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"chew-si-yuan","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null},{"SHPageId":"2224","BodyPart":"","BodyPartLst":[],"Institution":null,"SHDoctorConditionsTreatments":"#Interstitial Lung Disease#, #Asthma#, #Bronchiectasis#, #Chronic Obstructive Pulmonary Disease#, #Emphyema#, #Pneumonia#, #Sarcoid#, #Lymphangioleiomyomatosis#, #Birt Hogg Dube#, #Pulmonary Langerhans Cell Histiocytosis#, #Hereditary Hemorrhagic Telangiectasia#","SHDoctorConditionsTreatmentsLst":["interstitial lung disease","asthma","bronchiectasis","chronic obstructive pulmonary disease","emphyema","pneumonia","sarcoid","lymphangioleiomyomatosis","birt hogg dube","pulmonary langerhans cell histiocytosis","hereditary hemorrhagic telangiectasia"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Consultant","SHDoctorClinicalDesgInstText":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Consultant","ClinicalDesgId":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Consultant","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"\u003cdiv\u003e\u003cul\u003e\u003cli\u003eInterstitial Lung Disease\u003c/li\u003e\u003cli\u003eOrphan Lung Diseases\u003c/li\u003e\u003cli\u003eSarcoid\u003c/li\u003e\u003cli\u003ePulmonary Genetics\u003cbr\u003e\u003c/li\u003e\u003c/ul\u003e\u003c/div\u003e","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"\u003cul\u003e\u003cli\u003e\u003cp\u003ePhysician Faculty Member, Singhealth Respiratory Medicine Senior Residency Programme\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"\u003cp\u003eMBBS, MRCS(Edin), MRCP(UK), MMed\u003cbr\u003e\u003c/p\u003e","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg","Description":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg","Description":"/sites/shcommonassets/Assets/doctors/portrait-photos/Respiratory%20and%20Critical%20Care%20Medicine/MichelleKam.jpg"},"Email":"","SHDoctorRole":"Doctor;#Researcher;#","SHDoctorSalutation":"Dr","SHDoctorFirstName":"Li Wei Michelle","SHDoctorLastName":"Kam","SHDoctorOtherName":"Kam Li Wei, Michelle","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Respiratory and Critical Care Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"2224","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Respiratory ＆ Critical Care Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"kam-li-wei-michelle","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Interstitial Lung Disease","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2224","SHDoctorSpecialityFURL":"kam-li-wei-michelle"},{"SHSpecialtyLink":"","SHSubSpecialtyLink":"Orphan Lung Disease","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2224","SHDoctorSpecialityFURL":"kam-li-wei-michelle"},{"SHSpecialtyLink":"","SHSubSpecialtyLink":"Sarcoid","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2224","SHDoctorSpecialityFURL":"kam-li-wei-michelle"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Respiratory ＆ Critical Care Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"2224","SHDoctorInstitutionFURL":"kam-li-wei-michelle"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/kam-li-wei-michelle","LastUpdatedOn":"\/Date(-62135596800000)\/","LastUpdatedOnString":null,"SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"kam-li-wei-michelle","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null},{"SHPageId":"2722","BodyPart":"","BodyPartLst":[],"Institution":null,"SHDoctorConditionsTreatments":"#Asthma#, #Bronchiectasis#, #Chronic Obstructive Pulmonary Disease#, #Pulmonary Hypertension#, #Tuberculosis#, #Pneumonia#, #Pleural Effusions#, #Critical Care#, #Refractory Chronic Cough#, #Interstitial Lung Disease (ILD)#","SHDoctorConditionsTreatmentsLst":["asthma","bronchiectasis","chronic obstructive pulmonary disease","pulmonary hypertension","tuberculosis","pneumonia","pleural effusions","critical care","refractory chronic cough","interstitial lung disease (ild)"],"SHDoctorAwards":null,"SHDoctorAwardsFullHtml":null,"SHDoctorClinicalDesgDisp":"Consultant","SHDoctorClinicalDesgInstText":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;Consultant|8e9834e6-3ccb-4ee2-bdb9-45837e8602f8;","ListSHDoctorClinicalDesgInst":[{"ClinicalDesgName":"Consultant","ClinicalDesgId":"9b7b3341-8e0f-48aa-8d37-d46b0085d6c0","ClinicalDesgInst":"Singapore General Hospital","ClinicalDesgInstId":"8e9834e6-3ccb-4ee2-bdb9-45837e8602f8"}],"ListSHDoctorClinicalDesg":null,"SHDoctorClinicalDesgInstFirst":"Consultant","SHDoctorAltDesgDisp":"","SHDoctorEducation":null,"SHDoctorEducationFullHtml":null,"SHDoctorProfile":null,"SHDoctorProfileFullHtml":null,"SHDoctorResearchInterests":"","SHDoctorResearchInterestsFullHtml":null,"SHDoctorResearchTrials":null,"SHDoctorResearchTrialsFullHtml":null,"SHDoctorProfAppointments":null,"SHDoctorProfAppointmentsFullHtml":"\u003cul\u003e\u003cli\u003eSGH Results Acknowledgement Workgroup Member\u003c/li\u003e\u003cli\u003eSGH Code Blue team\u003c/li\u003e\u003c/ul\u003e","SHDoctorPublications":null,"SHDoctorPublicationsFullHtml":null,"SHQualification":null,"SHQualificationFullHTML":"\u003cp\u003eMBBS, MRCP (UK), MMED (Internal Med)\u003c/p\u003e","SHDoctorThumbnailPhotoRender":"/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png","SHDoctorThumbnailPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorThumbnailPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png"},"SHDoctorPortraitPhoto":{"ImageUrl":"/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png","Hyperlink":"","OpenHyperlinkInNewWindow":false,"Alignment":"","AlternateText":"","BorderWidth":0,"Height":0,"HorizontalSpacing":0,"VerticalSpacing":0,"Width":0},"SHDoctorPortraitPhotoUrl":{"Url":"http://authoring.sppub.healthgrp.com.sg/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png","Description":"/sites/shcommonassets/Assets/SGH/Doc/2023/Michelle%20Koh%20Siew%20Hui_resized.png"},"Email":"","SHDoctorRole":"Doctor;#","SHDoctorSalutation":"Dr","SHDoctorFirstName":"Koh Siew Hui","SHDoctorLastName":"Michelle","SHDoctorOtherName":"","SHDoctorHideProfile":false,"SHDoctorPrimarySpecialty":"Respiratory ＆ Critical Care Medicine","SHDepartmentLink":null,"SHSpecialtyLink":null,"SHSubSpecialtyLink":null,"ListDoctorAcademic":null,"ListDoctorClinical":[{"SHDoctorClinAppPageItemId":"2722","SHDoctorCorporateDesg":"","SHDoctorClinicalAltDesgText":null,"SHDoctorClinicalDesg":"Consultant","SHDoctorClinicalInst":"Singapore General Hospital","SHDoctorClinicalInstLogo":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHDoctorClinicalInstUrl":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHDoctorClinicalDept":"Respiratory ＆ Critical Care Medicine","SHDoctorClinicalDeptLogo":null,"SHDoctorClinicalDeptUrl":null,"SHDoctorClnicApptsFURL":"koh-siew-hui-michelle","SHDoctorClinicalDisplayOrder":1000}],"ListDoctorSpecialty":[{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Pulmonary Hypertension","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2722","SHDoctorSpecialityFURL":"koh-siew-hui-michelle"},{"SHSpecialtyLink":"Respiratory ＆ Critical Care Medicine","SHSubSpecialtyLink":"Intensive Care Medicine","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2722","SHDoctorSpecialityFURL":"koh-siew-hui-michelle"},{"SHSpecialtyLink":"","SHSubSpecialtyLink":"Refractory Chronic Cough","SHSpecialtyLinkDisplayOrder":1000,"SHDoctorSpecPageItemId":"2722","SHDoctorSpecialityFURL":"koh-siew-hui-michelle"}],"ListDoctorInstitution":[{"SHDepartmentLink":"#Respiratory ＆ Critical Care Medicine#","SHDepartmentLogoLink":null,"SHDepartmentUrlLink":null,"SHInstitutionLink":"#Singapore General Hospital#","SHInstitutionLogoLink":{"Url":"http://authoring.sppub.healthgrp.com.sg/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg","Description":"/_catalogs/masterpage/HealthXChange/images/logos/SGH-logo.jpg"},"SHInstitutionUrlLink":{"Url":"https://www.sgh.com.sg","Description":"https://www.sgh.com.sg"},"SHInstLinkDisplayOrder":1000,"SHDoctorInstPageItemId":"2722","SHDoctorInstitutionFURL":"koh-siew-hui-michelle"}],"DoctorProfileInstitutionString":null,"DoctorProfileDepartmentString":null,"DoctorProfileSpecialtyString":null,"DoctorProfileSubSpecialtyString":null,"ListDoctorResearchAppointment":[],"DoctorResearchAppointmentItem":null,"StartDate":"\/Date(-62135596800000)\/","Path":"/profile/koh-siew-hui-michelle","LastUpdatedOn":"\/Date(-62135596800000)\/","LastUpdatedOnString":null,"SHDoctorAcademicProgLogo":null,"SHDoctorAcademicProgURL":null,"SHContentTagType":null,"SingHealthInstitution":"","SingHealthSpecialty":"","TypeOfContent":null,"DoctorFriendlyUrl":"koh-siew-hui-michelle","DoctorSpecialtyFriendlyUrl":null,"SHDoctorResearchEmail":null}]

Discover articles,videos, and guides afrom Singhealth's resources across the web. These information are collated, making healthy living much easier for everyone.