Joy for mother of autistic twins as Dubai clinic pledges support

A mother of autistic twins spoke of her joy after a Dubai health clinic chief stepped in to offer support after hearing about her financial challenges.

Ambreen Suhaib, 35, told The National last month how she and her husband, who live in Dubai, spend more than Dh300,000 ($81,600) a year to provide the best possible care for their nine-year-old boys, Ahmed and Hadi.

She called for insurance cover for vital therapies to be made more widely available to parents.

Her views echoed those of Mohammed Al Emadi, director of Dubai Autism Centre, who in March said insurance companies should be mandated to provide cover for key autism treatment to ease the financial burden on families.

Aviv Clinics Dubai will assist the family through its Aviv Cares initiative, which includes a three-day evaluation for children aged between 4 and 18 with neurological conditions such as autism, as well as cerebral palsy, strokes and traumatic brain injuries.

The assessments look at cognitive and physical abilities using a range of tests, including advanced brain imaging tests, to identify the root cause of the child’s condition and determine suitable treatment options.

Hyperbaric oxygen therapy, neurocognitive training, occupational therapy, and physiotherapy are core components of subsequent treatment, which is delivered free to those children found to be eligible.

Lifeline for family

Ahmed and Hadi will be evaluated under the programme.

“It’s going to be a huge financial and emotional relief for us,” Ms Suhaib said.

“Getting such detailed assessments by professionals requires a hefty amount of money, which obviously is a lot of pressure when you have multiple children with a condition,” she said.

She is grateful that her children will benefit from further medical expertise.

“The procedure at Aviv Clinics is really detailed and they are very precise,” she said.

“After the assessment, they will let us know if oxygen therapy can help our twins or not. We are humbled beyond words for this help.”

The clinic has so far identified 16 children eligible for treatment.

“We saw The National’s article on Ahmed and Hadi and felt we could support them. So the goal is to give back, and to continue to work for insurance cover to make this into a more inclusive society,” said Craig Cook, chief executive of Aviv Clinics.

“I say this not only as the CEO of the clinic but as a parent of a non-neurotypical child myself.

“The key is to correctly diagnose the child, and for that we have a dedicated paediatric and youth team.”

An in-depth analysis will follow the assessments, then results are shared with parents before an individualised programme for each child is designed around the results.

“It’s a unique protocol that combines hyperbaric oxygen therapy with tailored cognitive training and other adjunct therapies.

“It has shown promising results for individuals with autism and cerebral palsy,” Mr Cook said.

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurised chamber, which increases oxygen levels in the blood and brain.

Aviv said the value of individual treatment programmes can be up to Dh200,000, with patients typically seeing results within three months.

What is autism?

Autism is a lifelong neurodevelopmental condition affecting verbal and non-verbal communication, social interaction and behaviour.

About one in 100 children globally are believed to be on the autism spectrum, the World Health Organisation says.

In April 2021, the UAE cabinet approved the National Policy for People with Autism.

It set out ways to provide people with autism with easy access to services, to ensure their inclusion in education and wider society and to train more qualified professionals while bolstering community awareness.

Mother’s inclusive vision

Ahmed and Hadi were found to have moderate to severe autism after a diagnosis in 2017.

Since the diagnosis, Ms Suhaib and her husband have spent a fortune on care centres – moving their children from one to another in search of the best support.

They tried to secure insurance for the cost of treatment but were told the therapies their children need almost every day are not covered.

“The financial aspect of autism is the most draining and frustrating part for a parent, because the only therapies that can help your children are not covered,” she previously told The National.

Ms Suhaib also believes more work must still be done to create a more inclusive society for those with autism, as there remains a lack of understanding and acceptance.

“Inclusion is considered a favour, not a right, for autistic children and much work is needed for that,” she said.

She called for more awareness campaigns to help better integrate people with autism into everyday life.

Ozempic face’: Doctors warn of hidden side effects of rapid weight loss with type 2 diabetes drugs

While Ozempic, Saxenda, Wegovy or Mounjaro may effectively aid weight loss, the post-usage side effects may outweigh the benefits.

Dubbed as the ultimate rapid weight loss solution, a viral TikTok trend for type 2 diabetes drugs has taken the world by storm. However, the alarming truth remains concealed beneath the surface.

Discontinuing the use of Ozempic, Saxenda, Mounjaro or Wegovy, commonly recommended for managing type 2 diabetes or obesity, can unleash a host of unfavourable side effects, UAE-based doctors revealed to Arabian Business.

The TikTok hype caused a global shortage in the lifesaving medicine for diabetes patients earlier this year, including in the UAE, after being sold at pharmacies without prescription at exorbitant prices as people hopped on the TikTok bandwagon to lose weight quickly.

Ozempic face’

“Ozempic face” is one of the common side effects associated with the type 2 diabetes drug, which refers to the sagging and ageing of facial skin as the drug affects skin elasticity.

The term, which has been widely used on TikTok, has raised concerns among many who are taking these drugs.

“Weight loss can cause dermatological changes and shrinking because the fat that stretches and cushions the skin is no longer in place,” Dr. Mustafa Ghura, Specialist General and Bariatric Surgeon at Abu Dhabi’s Burjeel Day Surgery Centre in Al Reem Island, told Arabian Business.

“Structural integrity is affected when weight loss affects the skin’s ability to retract.”

Board-certified Plastic Surgeon Gary Motykie said in a TikTok video posted in February that rapid weight loss or weight loss through drugs like Ozempic affect the face just as they do the body.

“The thing about rapid weight loss or things like Ozempic, is whatever happens to your body will also happen to your face,” Motykie said at the time, “So what they’re saying is a lot of loss of facial fat volume, volume in the face is also going away.

“It is not necessarily a great look, because everybody knows as we get a little bit older and we lose volume in our face, we tend to look gaunt, tired, and older.”

Signs of rapid ageing such as wrinkles, loose skin or a hollowed-out appearance may be seen in some people taking Ozempic. In addition, it increases their risk of lipodystrophy, a problem with how the body accumulates and stores fat.

“‘Ozempic face’ is a rather derogatory phrase to describe the various effects of rapid significant weight loss on the facial appearance, including extra facial skin, hollow cheeks, or the apparent look of ageing,” Ajith Kumar, Consultant Endocrinologist at Medeor Hospital Dubai, told Arabian Business.

Ghura warned that those taking Ozempic may be “unable to prevent facial side effects,” but can minimise them by reducing the dosage, opting for a different medication, drinking at least 1 litre of water per day, improving protein intake, or using dermal fillers.

“This is not a medical term and should not be used, as it adds to the stigma and discrimination associated with the diagnosis of obesity,” Kumar said.

Weight regain

Losing weight on Ozempic is just as easy as gaining it back once you stop taking it.

Aside from diabetics, these drugs are often prescribed to those grappling with obesity to help them kick-start their weight loss journey. While the results of these medicines are very quick and highly effective, it is important to note that they work to regulate blood sugar and curb one’s appetite. Discontinuing the medicine can mean that one’s appetite may revert back to normal, resulting in overeating and potentially weight gain.

2022 study, which examined the changes in body weight and metabolic risk factors of 1,961 participants one year after taking Ozempic, found that weight regain was a common occurrence after they stopped taking the medicine and that some experienced increased cravings and blood sugar spikes.

“Once you stop taking these medications, the body will gradually revert to its previous state. The body’s metabolism and energy levels will return to their previous state and the patient may experience an increase in appetite and weight gain,” said Ghura.

“Those who stop these effective injectable GLP1 agents tend to have gradual weight regain,” Kumar said.

This is why doctors encourage patients to use the drug in conjunction with a healthy diet and regular exercise for both optimal results and prolonged weight control after discontinuing the medication.

Obesity is becoming more prevalent worldwide, with estimates predicting that over 4 billion will be obese or overweight within the next 12 years, according to the World Obesity Federation.

“While taking these medications, patients should make lifestyle changes that will help them maintain their weight loss once they stop the medication. This may involve adopting healthier eating habits, a regular exercise routine, and managing stress,” said Ghura.

According to Kumar, there is no one ideal duration to suit all patients.

“Generally, the duration of the initial clinical trials on the efficacy and safety of these effective injectable GLP1 agents have been 1 to 2 years. Hence, it is expected that the treatment be continued for 1 or 2 years,” Kumar explained, adding that however continuous treatment is evolving, especially for those who experienced weight regain after drug withdrawal.

Increased risk of thyroid cancer

In clinical trials with rodents, Ozempic and other similar medicines were seen to cause thyroid tumours, including thyroid cancer.

This information is mentioned on the box of the medicine stating that patients who notice any lumps or swelling in the neck or experience hoarseness, trouble swallowing, or shortness of breath should consult with their healthcare provider.

Abu Dhabi shuts down two health facilities over safety violations

Unnamed health complex and health centre closed until action taken to improve hygiene and reduce infection risks.

A health complex and a health centre have been shut by the Department of Health Abu Dhabi due to several safety violations.

Regulators took action against the unnamed facilities after they failed to follow strict rules in dealing with medical waste disposal – including the storage of blood containers.

Other violations reported by the authority were a failure to follow safety protocols and implement effective infection control measures.

The two facilities were also found to be using expired medical equipment and materials, while there was also a lack of qualified medical professionals working there.

An investigation by regulators found medical staff were failing in their duty to complete prescribed vaccinations and a non-compliance with the engineering and technical layout of the facility’s plan according to Department of Health guidelines.

“This decision came mainly to protect the health and safety of patients, and to allow the facilities to take all necessary rectification actions,” the Department of Health said in a press release.

“The Department of Health Abu Dhabi calls on all healthcare facilities operating in the emirate to comply with its policies and regulations to preserve the health and safety of all community members, and to resume its operations and provide healthcare services in accordance with international best practices.”

A follow-up visit will check on a plan to tackle these issues before the facilities will be allowed to reopen.