drsarah_hk

25/10/2025

12/08/2025

Lush jungle trails. Steep, punishing hills. A quiet river flowing beneath the Bridge Over the River Kwai.

Beneath the stunning trails and jungle-covered hills lies the story of the Death Railway: tens of thousands of POWs and labourers forced to work under horrific conditions.

Cycling through Kanchanaburi, Thailand, was beautiful — and brutal. I certainly felt like I was suffering on some of those climbs… until I stood at Hellfire Pass, where emaciated men carved through solid rock by hand while starving, sick, and barefoot. My own discomfort melted into perspective.

The graves, the silence of Hellfire Pass, the courage of the doctors — it’s a part of WWII history I knew so little about.

“When you go home, tell them of us and say: We gave our tomorrow for your today.”

04/08/2025

Just returned from an excellent Menopause Conference in Kuala Lumpur — I'm grateful to the Federation of Medical Women of Hong Kong for facilitating my registration 🙏 and to all the amazing speakers and delegates.

A few key takeaways 💡:
🌿 HARMONY for lifestyle in midlife:�
Healthy eating�
Active arts engagement�
Restful sleep�
Mental wellness�
Ongoing activity�
No smoking
Your social Connections

😴 Sleep first. Exercise only reduces mortality risk if you sleep >6hrs/night. Menopause often disrupts sleep—talk to your doctor.

🩺 Early menopause (before 45) requires hormone treatment to protect heart & bones (unless due to cancer).

💊 In perimenopause, consider birth control pills to suppress & substitute chaotic hormones. Newer estrogen options like estetrol and estradiol may be ideal.

📆 When to stop HRT? No fixed age! If there are no contraindications, it may not be necessary to stop. It’s about the right time, right patient, right treatment — with regular reviews.

📉 Dosing changes with age. Reassess what you're taking every few years!

🔥 Not keen on hormones? Non-hormonal options like Veozah target brain chemistry (neurokinin B) to reduce hot flushes — science is amazing!

Great to see so much progress in helping women thrive in midlife and beyond. 💕