logo
NYP nursing grad who lost father at a young age will now study medicine at NUS

NYP nursing grad who lost father at a young age will now study medicine at NUS

Straits Times25-05-2025

Ms Charmaine Cheng, 21, recently graduated with a diploma in nursing from Nanyang Polytechnic. PHOTO: COURTESY OF NANYANG POLYTECHNIC
NYP nursing grad who lost father at a young age will now study medicine at NUS The TL;DR: Having lost her father when she was just 10, Charmaine Cheng was determined to help others in a vulnerable position. This led her to obtain a Diploma in Nursing at Nanyang Polytechnic and enrol to study medicine at NUS.
Ms C harmaine Cheng was ten years old when her father, who had been diagnosed with stage four colon cancer, died.
During that trying time, the young Charmaine saw the impact doctors and nurses had on patients and their families, which instilled in her the ambition to enter the medical field herself.
On May 7, she graduated with a diploma in nursing from Nanyang Polytechnic (NYP) , having received the Tay Eng Soon Health & Social Sciences Award and the MOH Holdings Gold Medal for being the cohort's top scorer.
And as the next step, Ms Cheng will be joining the NUS Yong Loo Lin School of Medicine in August.
She made the leap after she was nominated by NYP for a Public Service Commission (PSC) Scholarship in 2024 due to her stellar academic performance.
S ince nursing was not listed as one of the PSC Scholarship's professional service career tracks, she decided to pivot to medicine to continue pursuing her passion for healthcare.
Said the now-21-year-old: 'With the help of my lecturers and friends, I started exploring my options, and realised that medicine allowed me to pursue the same goals of addressing chronic illnesses of patients, just with a different job scope.'
She added that her attraction to medicine stems from the spirit of unconditional giving, exemplified by her mother's selfless nature.
After the death of Ms Cheng's father, the family struggled to pay off around $100,000 in medical bills, as he had undergone an expensive – and unsubsidised – trial treatment after chemotherapy proved ineffective.
Her mother, a public servant, took on part-time jobs over the weekends, serving up burgers and fries at McDonald's, to supplement the family's income.
Ms Cheng witnessed her mother's emotional struggles, but said that she 'never looked like she hated (her job) or was ashamed of i t'.
Inspired by their mother's resilience, Ms Cheng and her older sister decided to help as much as they could, working part-time as restaurant servers since they were 14 and 15 years old, respectively.
Ms Cheng recalls doing what she could to alleviate the family's financial burden.
'I remember not buying Milo on some days,' she said, 'so I could save that extra dollar, and then giving whatever little I had accumulated to my mum.
'Looking back, it only helped so much. But I could truly see that my mom was very appreciative of whatever effort that we put in.'
Ms Cheng's mother sold their house, and they moved in with her grandmother when she was 14. They all live there together still.
D espite her family's struggles, Ms Cheng held on to the dream of helping patients in vulnerable situations similar to her own, which led her to pursue nursing at NYP in 2021.
She also received monthly allowances, and her school fees were partially paid for after she successfully applied for a sponsorship bond with Changi General Hospital in 2023.
The bond and the proceeds from selling the house allowed the family to become debt-free when Ms Cheng was 19.
Ms Cheng is now working part-time at the Serangoon Gardens branch of 1doc Mediline Wei Min Clinic, where she has shadowed doctors and supported them as a clinic assistant since November 2024.
During her three years as an NYP nursing student, she interned at different CGH wards as part of the curriculum .
Ms Cheng interned at different wards in CGH for all three years of her polytechnic studies, as part of her curriculum.
PHOTO: COURTESY OF CHARMAINE CHENG
In her final year internship, she spent 14 weeks at CGH's geriatric ward, which provides medical treatment for elderly patients suffering from various conditions like dementia and delirium.
'It was quite overwhelming,' Ms Cheng admitted. 'Everyone was shouting for help or screaming and crying. I remember coming home at the end of some days, telling my family I didn't think the job was for me. '
Families – especially caregivers – would approach her and berate her for occasional delays in updating them on their loved ones' conditions, which added to her pressures.
'(My teachers) taught me how to block off surrounding noise and focus on the patient. They also taught me how to tell if a patient needed medical help or was just venting his or her emotions. I'm very grateful to them,' she said.
Ms Cheng (second from left) was also 'upgraded' to the student nurse position in her final internship, with more responsibilities such as serving medicines, taking patient cases and addressing any updates to the family.
PHOTO: COURTESY OF CHARMAINE CHENG
The staff nurses in her ward also intervened when situations with caregivers got tense, so she was 'seldom in the direct line of their anger', she said.
She vividly remembers an elderly female patient who was suffering from foot gangrene and would throw things on the floor.
After multiple failed attempts to calm the patient, Ms Cheng tried speaking to her in basic Hokkien, which she picked up from her mother.
'When I spoke to her in Hokkien, she finally felt comfortable responding to me, and over time I got to know her better,' said Ms Cheng.
Ms Cheng also learnt to read the woman's body language, and could deliver her the necessary medication when she was in pain.
As a prospective doctor, she hopes to specialise in preventive care, so she can help patients address chronic illnesses like diabetes and osteoporosis.
She said: 'I know what it feels like to be in a vulnerable position, so I want to walk with my patients in everything they go through.'
Join ST's WhatsApp Channel and get the latest news and must-reads.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Singapore to study how widespread food allergies are among children
Singapore to study how widespread food allergies are among children

CNA

time3 days ago

  • CNA

Singapore to study how widespread food allergies are among children

SINGAPORE: Ms Amanda Chan's son Corey was about four months old when she learnt that he had food allergies, setting off an "incredibly tough" first year of his life. "Three meals a day became a bit of a traumatic experience, because at that point, he couldn't speak. So anything I put in his mouth, I didn't know whether I was going to be harming him," said Ms Chan. Corey, now 10, has been allergic to eggs, dairy, peanuts and dust mites since infancy. In the early years, the lack of awareness and information on food allergies in the local context was a challenge for Ms Chan. "We didn't understand that food allergy could actually be airborne. And even though he was not eating solids, he was still reacting," she said. A new clinical study announced on Thursday (Jun 26) aims to answer questions about the prevalence and impact of food allergies among children in Singapore. This comes amid a steady rise in paediatric food allergy cases seen at clinics under the National University Hospital (NUH) and KK Women's and Children's Hospital (KKH). The four-year study is led by NUH and the National University of Singapore (NUS) Yong Loo Lin School of Medicine, in collaboration with KKH, National University Polyclinics (NUP) and NUS Saw Swee Hock School of Public Health. Named the Singapore Food Allergy Story, it is the first and largest study to provide a holistic overview of the burden of food allergies in Singapore, according to a media release by the health institutions. Common allergens in the clinic cases seen at NUH and KKH include eggs, milk and peanuts in younger children, and shellfish in adolescents and young adults. Food allergies have no definitive cure apart from natural outgrowing, and those caring for children with food allergies may face challenges like anxiety, hypervigilance and stress, according to the release. On the ground, NUH and KKH have reported more emergency department visits for childhood anaphylaxis between 2015 and 2022, driven mainly by an increase in visits for food-related anaphylaxis. Anaphylaxis refers to a severe and immediate allergic reaction, with symptoms that can affect breathing and blood circulation. The increase in emergency department visits has not translated into a rise in severe anaphylaxis, shock or high dependency admissions, said the study's lead principal investigator, Assistant Professor Elizabeth Tham. At NUH and KKH, the number of food allergy evaluations carried out on children has also risen by 60 per cent from 2022 to 2024. While this may reflect increasing awareness and concern among parents, it potentially highlights food allergy as an emerging condition in Singapore, said the health institutions. There is no formal data showing a rise in the prevalence of childhood food allergies in Singapore at this time, hence the need for the study, said Asst Prof Tham, who is a senior consultant in paediatrics at NUH. Food allergy prevalence is rising worldwide in developed countries, and while historically thought to be uncommon in Asia, this is based on outdated data from 10 to 15 years ago, she added. One possible cause is the adoption of more westernised lifestyles and diets. Dietary changes and changes in the environment can increase the risk of allergies, said Asst Prof Tham. Other factors are more awareness around food allergies and changing severity around them, prompting parents to seek medical intervention, she said. There is also scientific evidence that lower exposure to bacteria and germs can be a contributory factor, said Dr Chong Kok Wee, the study's co-investigator and senior consultant in paediatric medicine at KKH. Aside from prevalence, the Singapore study also aims to determine the impact of childhood food allergies on nutrition, growth, metabolism and mental health, and gain insights on the social and economic burden of food allergies. "Our goal is to create a safer environment for children with food allergies, enabling them to reach their fullest potential at school and work. "Additionally, we aim to improve mental health and overall well-being, especially for older children and adolescents," said Asst Prof Tham. In the first phase of the study, which started this February, at least 2,000 parents and caregivers of children aged one to two years will be given questionnaires during their routine visits to NUP polyclinics. Those reporting possible allergic reactions to food will be referred to NUH or KKH for further evaluation. The second phase, starting in July, will involve about 400 children and adolescents aged up to 18 who have diagnosed allergies to milk, eggs, peanuts and shellfish. They will participate in questionnaires, growth and nutritional assessments, and blood and stool collection. Findings from the study are expected to inform future guidelines and educational materials on nutrition, dietary management and mental health support for affected families. Studies in other places have found that food allergies are on the rise among children. In Asia, data from South Korea, Taiwan and Hong Kong show that the incidence of childhood anaphylaxis has risen.

Menopause in the workplace: Is your company doing enough to support you through this transition?
Menopause in the workplace: Is your company doing enough to support you through this transition?

CNA

time6 days ago

  • CNA

Menopause in the workplace: Is your company doing enough to support you through this transition?

If you've been struggling with menopause symptoms while at work, you're not alone. A recent study found that, in Singapore, 74 per cent of female employees (aged 45 years and older) experiencing at least two menopause-related symptoms reported that it interfered with their ability to do their job and diminished their quality of life. The results of the study were released in a White Paper by the NUS Bia-Echo Asia Centre for Reproductive Longevity and Equality (ACRLE) at the National University of Singapore's Yong Loo Lin School of Medicine, and HeyVenus Integrated Healthscience, a women's health technology company. It is the first regional White Paper on menopause at work, with more than 1,700 participants from five countries – Japan, Australia, Vietnam, Indonesia and Singapore. The findings, presented in April, reveal the impact that menopause has on women's work and careers in the Asia-Pacific region. In Singapore, 66 per cent of women said that social stigma prevents them from openly discussing menopause symptoms – and seeking support in the workplace. One respondent said: 'I would like to talk about it. At the moment, it is not even acknowledged', while another hoped 'for managers to be understanding and considerate to those experiencing severe symptoms and help with timetable adjustments'. The White Paper also found that, locally, 71 per cent of female employees and 68 per cent of people managers say a menopause-friendly policy would benefit the organisation. However, only 31 per cent of companies have such policies in place. Christina Ang, founder and CEO of HeyVenus Integrated Healthscience, said that when unmanaged, menopause symptoms like fatigue, brain fog and anxiety can undermine performance, confidence and career progression. 'According to our APAC White Paper, over 50 per cent of women in Singapore who report that menopause symptoms affect their quality of life and work are in middle to senior leadership roles,' she told CNA Women. 'Yet most women don't speak up – 63 per cent report productivity loss due to symptoms but few seek support due to stigma or fear of being misunderstood.' This silent strain widens the gender gap in leadership by increasing absenteeism, contributing to talent attrition and disrupting succession planning, she added. In an ageing workforce, this is no longer just a women's issue – it's a structural leadership challenge. A SHIFT IN HEALTH CONVERSATIONS AT WORK In 2019, KK Women's and Children's Hospital (KKH) co-authored a local qualitative study involving perimenopausal women aged between 47 and 54 years, seen at the hospital, with the aim to increase the understanding of the experiences and needs of perimenopausal women with symptoms. 'Some women shared that they received good support from their employers, while others felt constricted by the nature of their work due to the gender bias placed against them,' said Associate Professor Rukshini Puvanendran, head and senior consultant, Family Medicine Service, KKH. 'While women hoped for better support, they did not expect it given the nature of Singapore's busy lifestyle.' Assoc Prof Rukshini, who is also co-director of KK Menopause Centre, said that, with more women in the workplace and rising retirement age, menopause-related health information in the workplace deserves more attention. Audrey Neo, senior partner at Page Executive, which specialises in human resources and consumer executive search, spoke with clients and industry leaders to gather views on the impact of menopause on the workplace. Menopause has long been a taboo subject in many cultures, including Singapore, and is not commonly discussed in the professional setting, she said. It can also be awkward to be singled out that one is going through menopause. 'However, as we move forward from the pandemic, there has been a noticeable shift in how we approach conversations around health and well-being at work,' said Neo. 'Singapore is becoming increasingly progressive in addressing topics once considered off-limits.' She cited the fact that Singapore's median age is rising. In 2000, the median age was around 34 years. In 2023, it was 42.7 years and is expected to hit 53years by 2050. 'Organisations will need to recognise the needs of employees in their forties and fifties, and hormonal shifts will be a health and wellness consideration and starting point,' said Neo. 'In the broader scheme of things, hormonal shifts affect men too, albeit differently, making this a conversation for everyone to empathise and participate in a safe environment. 'Additionally, framed within the broader context of diversity and inclusion, what kind of wellness practices that organisations incorporate to support employees going through hormonal shifts could be a good starting point to raise awareness on this front.' WORKPLACE MENOPAUSE SUPPPORT IS SMART BUSINESS Two women CNA Women spoke to shared how menopause symptoms affected them at work. Juanita Mega, 54, recalled two occasions in her previous job two years ago when she suddenly had heavy menstrual flow while in the office, resulting in her skirt being badly stained. Two of her colleagues saw what had happened and even though they were supportive, Mega felt embarrassed. 'Luckily, I had a shawl to cover up but I had to rush home to change, cancel face-to-face meetings and give an excuse about a family emergency,' she said. Mega also had other perimenopause symptoms – heart palpitations, night sweats and sleepless nights – and often had to rely on caffeine to perk her up in the mornings. Hazleen Ahmad, 53, experienced menopause symptoms such as brain fog, hot flashes and night sweats. It was while going through menopause that she was also diagnosed with attention deficit hyperactivity disorder (ADHD). Hazleen, who is deputy CEO of the Institute of Neurodiversity Global and president/chair of the Institute of Neurodiversity Singapore, said that 'the workplace of tomorrow must recognise that neuro developmental differences like ADHD and menopause aren't just medical issues – they're part of the rich tapestry of human experience'. Some companies in Singapore do offer menopause support. Standard Chartered expanded its medical coverage in 2023 to include treatment for menopause-related symptoms. It also has menopause toolkits, offers counselling support and organises talks for staff. HSBC Singapore also offers coverage for medical consultation and treatment of menopause. At S&P Global, a ratings and financial information provider, employees going through menopause can access an on-demand online education resource, a spokesperson told CNA Women. A Managing Menopause Toolkit is available to all employees and flexible work arrangements are on offer, including adjusted working hours and work-from-home options. There are also colleague-led support communities, to get together virtually or in person to share experiences and advice in a safe and supportive space. Dr Claudine Hyatt, a clinical psychologist and traumatologist, and a partner at mental wellbeing agency Cognitive Approach to Life Management (CALM) International, revealed that companies supporting women through menopause are not only compassionate – it's smart business. 'Midlife women are often at the peak of their professional expertise; failure to support them risks losing key institutional knowledge and leadership potential,' she said. 'Addressing menopause bridges a critical gap in gender-inclusive workplace policy – just as how maternity leave became standard, menopause support is the next frontier in fair workplace design,' she added. Dr Hyatt said that companies that prioritise women's health signal that they are forward-thinking and inclusive. And employees who feel seen and supported are more loyal, engaged and motivated. 'A workplace that supports women through menopause is a workplace that values longevity, equity and wellbeing. It's not just good ethics – it's good economics,' she said.

Muscles, fats and simple blood test can predict menopausal women's health
Muscles, fats and simple blood test can predict menopausal women's health

Straits Times

time20-06-2025

  • Straits Times

Muscles, fats and simple blood test can predict menopausal women's health

Madam Sabarina Jumarudin, a participant of the Integrated Women's Health Programme (IWHP) at NUH and the NUS Yong Loo Lin School of Medicine, with IWHP lead Yong Eu Leong. PHOTO: NUHS SINGAPORE – A simple blood test can predict which woman will have less muscle and will be walking more slowly later in life. It is also practical and cheaper than current methods of measuring muscle, such as the current gold standard magnetic resonance imaging scans or strength tests, which are also more time-consuming. This new insight from a longitudinal cohort study of midlife women in Singapore shone light on how muscle strength, visceral fat and their association with the physical decline after menopause can potentially lead to downstream health impacts among women here. Researchers from the National University Hospital (NUH) and National University of Singapore (NUS) found that women with a lower creatinine-to-cystatin C ratio (CCR) – a marker derived from blood tests – had less muscle and walked more slowly as they age. Creatinine is a by-product of normal muscle function and energy use, and a higher level indicates higher skeletal muscle mass or poor kidney function. Cystatin C is a protein produced by the body's cells that is filtered out by the kidneys. A normal cystatin C level rules out poor kidney function. A low CCR of under 8.16 was associated with a lower muscle volume of 0.350 litres in the thigh, and a slower gait of 0.049 metres per second. This suggested that CCR could be a useful early warning sign for age-related muscle loss, which may lead to falls, frailty and reduced quality of life. The findings were published in Menopause, a monthly peer-reviewed journal, in March 2025. The scientists are from the Integrated Women's Health Programme (IWHP) at NUH and the NUS Yong Loo Lin School of Medicine. The IWHP was initiated to identify and address the health care needs of midlife Singaporean women. It recruited a cohort of 1,200 Chinese, Malay, and Indian women aged 45 to 69 years between 2014 and 2016 – about 70 per cent of whom were postmenopausal . Their health metrics were then tracked over time. In the first study based on this cohort, published in international journal Maturitas in October 2023, the researchers shared a ranking of menopausal symptoms – with joint and muscular discomfort found to be the most reported symptom among women in Singapore. Called arthralgia, it had moderate or severe impact on a third of the midlife women of the cohort. A subsequent study, published in Diabetes, Obesity & Metabolism in October 2024, found that women with both weak muscle strength and high levels of visceral fat – the deep belly fat around the internal organs – had the highest risk of developing prediabetes or type 2 diabetes. Their risk was 2.63 times higher than that of women who had normal muscle strength and lower fat levels. Having just one of these conditions also increased risk, though to a lesser degree. The risk from having high visceral fat alone is 1.78 times higher. Among those with weak muscle strength, women with high visceral fat had a 2.84 times higher risk compared to those with low visceral fat. Explaining the impetus for the study, IWHP lead Yong Eu Leong said: 'Muscle... burns up fat. What about those who have weak muscles? Does it affect the risk for diabetes in the future?' The cohort's initial muscle and visceral fat measurements served as a baseline for researchers to track changes over the years. Researchers then analysed how changes in fat and muscle measurements taken about six years later – by then, about 90 per cent of the women were postmenopausal – related to whether women had developed diabetes. Professor Yong, who also heads the division of benign gynaecology in the Department of Obstetrics and Gynaecology at NUH, noted that a large proportion of women in Singapore are 'skinny fat', where their body mass index is in the normal range, but they have high levels of visceral fat and low muscle mass. ' One way (to know what your risks are) is to measure your walk and the speed at which you walk. If you cannot walk fast and straight, then your health is not so good. We wanted to see if we can develop a test that can predict gait speed. We wanted to look at molecules that actually measure muscle functions,' he said. 'These findings validated our previous (IWHP) research that showed that women should not just focus on weight loss, but on building muscle strength through exercise for diabetes prevention,' Prof Yong said. One participant of the IWHP, administrative assistant Sabarina Jumarudin, is living proof of the findings. The 59-year-old grandmother used to weigh 93kg and suffered from sleep apnoea. Since she underwent the bariatric surgery at NUH in 2018, a procedure that modifies the digestive system to help people with obesity lose weight, she lost more than 30kg. Mindful of keeping her weight down, Madam Sabarina walks to the MRT station every day instead of taking the shuttle service, and takes the stairs instead of the escalator to catch the train. 'On my way home, I usually take a longer route to ensure I clock at least 10,000 steps a day, and practising stretching and breathing exercises to strengthen my core,' she said. 'I realised that small but consistent changes do make a big impact on my health, so I do what I can on a daily basis, and it gives me confidence to not only stay healthy physically and mentally but also stave off diabetes,' she added. Join ST's WhatsApp Channel and get the latest news and must-reads.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store