Information
The day of the surgery/treatment
To complete your registration and file, please go directly to the Surgical Day Hospital reception desk at the exact time notified. In the case of a child: Report your arrival at the Day Hospital admissions Before and after surgery your child will be examined by an anaesthetist who may administer premedication prior to the move to the operating theatre.   You can remain with your child at all times, except during the surgery itself.  An infrastructure adapted to the child's age is provided (max. 2 adults).  The length of your stay will vary depending on the treatment.   For pain treatment, it is between 1 and 2 hours depending on the type of intervention For surgery or endoscopy it is between 1 and 5 hours depending on the type of intervention If the doctor considers it necessary your stay can be extended with hospitalisation.  On departure you will receive all the instructions needed for continued home treatment and pain relief.  Remember to request the following documents: Personal documents Discharge letter to be passed on to your GP Certificate of incapacity Your insurance documents if applicable Specific documents for home care if applicable
Article
The free practice of medicine: a right and a duty, even under a totalitarian regime
Hamid Ghareh Hassanlou, an Iranian radiologist, has just been sentenced to death in his country for having come to the aid of peaceful protestors opposed to the regime. Such a threat of reprisals for exercising the medical profession is intolerable.  Signed by Sadeghi-Meibodi Niloufar, Director of the Radiology Department; Jean-Michel Hougardy, H.U.B. Medical Director; Renaud Witmeur, H.U.B. General Director; Nicolas Mavroudakis, Professor of Neurology and Dean of the ULB Faculty of Medicine.    We have learned with consternation of the death sentence passed on Dr Hamid Ghareh Hassanlou, a radiologist in Iran, for having come to the aid of peaceful protestors opposed to the regime. This death sentence is a serious violation of the values of humanism and freedom of thought that we strongly defend.    As human beings and more particularly as doctors, nurses and employees of the Brussels University Hospital (H.U.B.), a grouping of the Erasmus Hospital, the Children's Hospital and the Jules Bordet Institute, we cannot remain silent in the face of such a decision! It is our duty to protect the life and dignity of each individual.    The death penalty, used as a tool of repression by a totalitarian regime, is cruel and deeply inhumane. It sows terror, banishes freedom of thought, kills humanism and adds to suffering and grief.    We are also shocked to observe that the Iranian Government is using hospitals and universities to search for opponents, using ambulances as a means of transport for the forces of repression and giving prison sentences to aid workers (with the emblematic case  of a 28-year sentence for Olivier Vandescasteele as part of a macabre attempt at "hostage diplomacy"). We cannot remain silent and appeal for the mobilisation of all.    An affront to fundamental values  Freedom of thought should be a fundamental right for each individual. Every individual has the right to speak freely and to express his or her convictions without fear of reprisals. Everybody should have the right to practice their profession of nurse, teacher or academic without violation of their fundamental rights. The right to health is equally essential. Sentencing to death a doctor, whose action symbolises the profound meaning of his profession while at the same time defending the values of humanism and freedom of thought, is a dramatic affront to the most elementary fundamental values.    As staff and directors at the H.U.B., we protest strongly against any action that opposes humanism, freedom of thought and the very meaning of the act of caring for others. All persons, whatever their origins, their beliefs or their culture, are entitled to health and access to hospitals that must remain inviolable in all circumstances. We are united in defending these unalienable rights and demand respect for the life and dignity of each individual.   
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The hospital and YOU
Your hospital’s magazine Whether you are a patient, relative of a patient, future patient or visitor, we invite you to discover the H.U.B’s new magazine:  “The hospital and YOU”. Packed with information and news on our care and care staff, our fields of expertise and innovations! Your health is at the centre of our concerns.  Discover all the issues here and keep up to date on all that is happening at the H.U.B! N°1 - DECEMBER 2023 Discover the first issue File hub_decembre_2023.pdf
Article
The H.U.B adopts collaborative governance in psychiatry
Inspired by international models, this unique approach marks a turning point in our conception of the way mental health is treated. Read more Rethinking psychiatry: network diagnosis For a long time, psychiatry was based on a traditional biomedical model that sought a relationship of cause and effect between life events and psychiatric symptoms — “He is depressed because he has lost his job,” for example. This linear and causal vision is no longer sufficient.The new approach adopted by the H.U.B is based on a network model in which every element in a person’s life — health, family relations, job, administrative procedures, environment — is regarded as part of an interconnected knot. Together these form a living cartography of the patient’s issues.Each member of the care team (psychiatrists, psychologists, nurses, occupational therapists, social workers, etc.) brings his or her own reading to the situation to build a shared and evolving understanding of the situation.“A person cannot be reduced to their psychiatric symptoms or to a single cause. This collaborative model makes it possible to interconnect the medical, psychological and social elements. The patient is no longer “treated” from a single perspective, but supported by a genuine team that thinks and acts together,” explains Professor Pierre Oswald, Head of the H.U.B Department of Psychiatry.A truly collaborative governanceWithin this new dynamic, every professional has a voice. Every week the team defines, discusses and reappraises the patient’s care priorities as part of a horizontal dynamic in which communication and trust take precedence over traditional hierarchical frameworks.The role of nurse takes on a new dimension as the guarantor of trust, motor for the link between disciplines and spokesperson for the patient’s day-to-day reality. ​“This model gives new meaning to our work. We are no longer content to simply act on instructions: we reflect together, we share our views, we learn to listen to contributions from other disciplines. This strengthens team cohesion and, above all, the quality of the care and support for the patient,” explains Anthony Arend, Head Nurse at the H.U.B Department of Psychiatry.More a change of culture than a hospital protocolThe aim of this approach is above all human and organisational. It aims to encourage truly multidisciplinary care that is not focused on the diagnosis but rather on all the dimensions that influence the patient’s life and recovery. This model is also an invitation to rethink connections with the exterior: family network, first line actors and community structures are all included in the hospitalisation reflection so as to prepare a more fluid discharge and more stable return to everyday life.An inspiration for the future of psychiatric careThe H.U.B Department of Psychiatry aims, in the long term, to become a reference for this kind of integrated collaboration and encourage other institutions — psychiatric hospitals as well as general psychiatry services — to draw inspiration from it. ​“It is not a miracle method but rather a necessary development,” stresses Professor Oswald. “We want to open up a space for reflection and cooperation between care staff and give new life to our practices in which the patient is central, not as the recipient of care but as a an individual at the heart of a living network.”
Article
The H.U.B and its three institutions in pictures
Discover the H.U.B, its spirit and its values, in pictures. A reference centre at international level located at the heart of Brussels, the Brussels University Hospital proposes general, oncological and paediatric care of the highest quality, leading edge research and high level teaching through its three institutions: the Jules Bordet Institute, the Erasmus Hospital and the Queen Fabiola Children’s University Hospital (HUDERF)
Article
The kangaroo method in the spotlight
The neonatology department was featured in a TV report by RTL It explains the kangaroo method or "zero separation": a practice that consists of placing the premature infant skin-to-skin against the mother and thus maintaining the bond for as long as possible. This reduces stress for the newborn, helps to reduce mortality by 25% and promotes the baby's healthy development. Report
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The Patient Partnership
The Erasmus Hospital, and by extension the Brussels University Hospital (H.U.B), awards particular importance to developing the Patient Partnership. What does the approach cover? We encourage and support patients in acting as a partner in their own care:  By ensuring they receive a maximum of information throughout the care pathway;  By listening to what the patient has to say about their situation and experience with the illness; By taking into account the patient’s priorities and goals; By encouraging shared decision-making; By taking account of the patient’s suggestions regarding the care pathway. We want to enable patients who so wish to be involved at the institutional level This can take a number of forms: Cooperating in training professionals; Being involved in research; Supporting patients who are experiencing similar health problems to their own; Participating in the institutional reflection on how to improve quality, safety and patient satisfaction. How is the Patient Partnership organised? The Patient Partnership project revolves around four main lines of approach that impact at various levels of care and that include the patients as:  Actors in their own care project; Resources within teams of professionals to improve the patient’s experience (testimonies, discussion groups, patient coach, etc.);  Interlocutors with whom the professionals work to improve the various processes (patients committee, etc.);  Active members in reflections on the pertinence and coherence of research and training projects within the Erasmus Hospital and the H.U.B.  Discover the testimony of Mme AnhThi Nguyen, oncology patient-expert, who is a member of the Quality, Security and Patient Partnership team and contributes her experience as peer-accompanier. The Committee of Partner Patients (CPP) To put this patient institutional involvement into practice, a Committee of Partner Patients (CPP) has been set up at the Erasmus Hospital as well as in each of the H.U.B institutions.  Why become a member of the Committee of Partner Patients (CPP)? If you have had experiences of care at the Erasmus Hospital and would like to share them, you can join the committee.  As member of the CPP you are a genuine partner of the institution and contribute actively not only to   improving the quality and safety of care for yourself and other patients, but also to the continuous training of carers. You attend regular meetings where focus groups consider questions concerning the patient experience at the hospital. You are of course free to refuse or agree to participate in what is proposed.  You are invited, for example: To give your opinion on documents addressed to all patients; To put forward suggestions on how to improve the care pathway;  To propose measures or changes concerning the quality and safety of care (prevention of infections or falls, checking patient identity, etc.)  To suggest possible approaches concerning certain aspects of care.  What conditions must you meet? Aged over 18; Attend the Erasmus Hospital on a regular basis; The desire to input ideas or constrictive opinions; The desire to help other people and to help work towards a goal that transcends your own health situation;  Fluency in French and/or Dutch; The ability to listen and empathy; The demonstrated desire to be involved in regard to other patients, other clinical teams or the institution;  Be available and motivated to commit during the required time; at least five two-hour meetings are held each year.  How to become a member of the Committee of Partner Patients (CPP)?  Simply send an email to Partenariat-patients [dot] qualite [at] hubruxelles [dot] be (Partenariat-patients[dot]qualite[at]hubruxelles[dot]be)  briefly describing (the equivalent to one A4 page maximum) your reasons to participating in the Committee of Partner Patients. Remember to give your full details (first name, last name, address and telephone number).  If you are unable to send us an email you can also contact us by post at:  Direction Qualité, Sécurité et Partenariat Patient H.U.B – Campus Anderlecht 808 Route de Lennik 1070 Bruxelles Your application will be carefully considered and we will get back to you within 30 days.  What are you committing to? Actively participating in at least 3 the 5 CPP meetings held every year; During a period of 2 years; Strictly respecting the confidentiality of exchanges.  Information shared within the CPP is subject to the rules of confidentiality comparable to professional secrecy. To ensure compliance each member receives training on the subject. Each committee member signs a charter of confidentiality ; Listening to others and adopting a constructive approach; This is a voluntary commitment with no remuneration; You are covered by insurance when present at the hospital; Your travel and parking expenses are borne by the hospital. How are the meetings organised? The committee meets physically at least 5 times a year (October, December, February, April and June); The dates and times are set in cooperation with the participants; The committee meets on the Anderlecht campus; Additional meetings are possible depending on the projects; Each meeting is chaired by a coordinator representing the institution and a patient committee member; An agenda is drawn up and communicated at least one week before the meeting; Minutes are drawn up  no later than 1 month after the meeting and sent out to participants for validation ; The minutes are approved at the start of each meeting. Can I resign from my commitment? You are free to resign from the committee at any time. You must notify us of this by email to Partenariat-patients [dot] qualite [at] hubruxelles [dot] be   Contact Service Qualité, Sécurité et Partenariat Patient  Partenariat-patients [dot] qualite [at] hubruxelles [dot] be (Partenariat-patients[dot]qualite[at]hubruxelles[dot]be) 
Health issues
Thoracic Oncology Clinic
Clinic Mission: Management of Thoracic Cancers The Thoracic Oncology Clinic at H.U.B specializes in the multidisciplinary management of patients with lung, pleural, and mediastinal cancers, including:Bronchopulmonary cancers (non-small cell and small cell)Pleural tumors (mesotheliomas and others)Mediastinal tumors (thymomas and others)Pleuro-pulmonary metastasesDiagnostic management is provided through an advanced pulmonary endoscopy unit (bronchoscopic fiberoscopy, GPS navigation, endobronchial ultrasound [EBUS], cryobiopsies, etc.) and close collaboration with a highly skilled team of pathologists and the molecular biology laboratory.The weekly multidisciplinary thoracic oncology meeting (CUB Erasme Hospital and Jules Bordet Institute) brings together top specialists in radiology, nuclear medicine, pneumology, thoracic oncology, thoracic surgery, radiotherapy, pathology, ISO, and other fields. This collaboration is the foundation for evidence-based therapeutic decisions aligned with the latest scientific research and best practice guidelines.Surgical management is provided by the Thoracic Surgery Department, in line with our institution’s long-standing integrated medical-surgical model.Radiotherapy management is provided by the Institut Jules Bordet team.Collaboration with the Gamma Knife Center of the Neurosurgery Department at Erasme Hospital and the Radiotherapy Department at Institut Jules Bordet ensures optimal management of brain metastases. Learn more about lung cancer care at the Jules Bordet Institute Academic Mission Training of medical residents in Pneumology and Internal MedicineTraining in Thoracic OncologySupervisor: CUB Erasme Hospital – J. Bordet Institute (ULB): Dr Mekinda Ngono Zita LéaOthers Research Mission Les activités de recherche clinique et fondamentale sont réalisées en collaboration avec l’Institut Jules Bordet et la faculté de médecine de l’ULB.Depuis la Création de l’Hôpital Universitaire de Bruxelles (HUB) en 2021, la prise en charge des pathologies oncologiques thoraciques se fait dans le cadre d’un projet de soins inter-inhospitalier CUB Hôpital Erasme et l’Institut Jules Bordet. Clinical and fundamental research activities are conducted in collaboration with the Jules Bordet Institute and the ULB Faculty of Medicine.Since the creation of the Brussels University Hospital (HUB) in 2021, the management of thoracic oncological diseases has been organized within an inter-hospital care project between CUB Erasme Hospital and the Jules Bordet Institute. Multidisciplinary Thoracic Oncology Team Dr Mekinda Ngono Zita: Pulmonologist, Thoracic OncologistProf. Thierry Berghmans: Medical OncologistProf. Dimitri Leduc: PulmonologistProf. Benjamin Bondue: PulmonologistDr Blandine Jelli: Pulmonologist, Thoracic OncologistDr Olivier Taton: Pulmonologist, Thoracic OncologistProf. Mariana Brandao: Medical OncologistDr Anouk Goudsmit: Medical OncologistDr Alice Carrette: Pulmonologist, Thoracic OncologistDr Bogdan Grigoriu: PulmonologistDr Youri Sokolow: Thoracic SurgeonDr Maria Ruiz: Thoracic SurgeonDr Maarten Vander Kuylen: Thoracic SurgeonDr Elena Prisciandaro: Thoracic SurgeonProf. Pia Di Campli: Thoracic SurgeonProf. Myriam Remmelink: AnatomopathologistProf. Luigi Moretti: RadiotherapistProf. Caroline Keyzer: Radiologist
Thoracic Oncology Clinic
Health issues
Thrombotic Thrombocytopenic Purpura (TTP)
What is Thrombotic Thrombocytopenic Purpura? TTP or Thrombotic Thrombocytopenic Purpura is a rare disease of the group known as thrombotic  microangiopathies. These are diseases  in which the platelets or thrombocytes (involved in coagulation) clog together in an abnormal manner leading to the formation of blood clots.  This phenomenon causes three problems:A reduction in the number of available platelets = Thrombocytopenia.The red blood cells collide with these clots and break up leading to a reduction in number = Anaemia.The clots can block the blood vessels and reduce the oxygenation of tissues with possible serious consequences for the heart, brain, kidneys, etc.  A number of causes can be responsible for the occurrence of these thrombotic microangiopathies. The TTP is caused by the deficiency of a protein known as   "Adamts 13". This deficiency is most frequently due to the presence of an antibody (= immune TTP) or otherwise it may be a genetic anomaly (congenital TTP).   Treatment TTP must be treated as a vital emergency. Without treatment the mortality rate is 90%. A rapid diagnosis is essential followed by optimal treatment at an expert centre.  Initial treatment of immune TTP consists of two action plans:1.Acute treatmentIncreasing the level of Adamts 13 proteins by means of plasma exchanges: The plasma (the liquid component of the blood that contains cells) is replaced with healthy plasma that serves to increase Adamts 13 levels and remove antibodies.    Since 2019 an innovative medicine specific to TTP has made it possible to prevent the platelets from attaching themselves to each other, thereby resolving the three problems indicated above. This has permitted a clear improvement in the treatment of acute stage patients. Our centre always has this medicine on hand for rapid administration.    2.Fundamental treatmentStopping the production of antibodies that act against Adamts 13. First line treatment consists of the administration of corticoids and a monoclonal antibody that targets the cells that produce the antibodies  Treatment of congenital TTP is based on the administration of plasma. The administration of  synthetic Adamts 13 is not yet reimbursed but is accessible.  All persons suffering from TTP require lifelong monitoring by a haematologist specialising in this type of pathology.    Our specialists Advice TTP can present various and variable symptoms as it can affect a number of organs. The primary clinical manifestation is abnormal bleeding, major hematomas or petechiae (multiple small red/violet marks on the skin).  More severe symptoms can be the signs of a heart attack or stroke.  A blood test showing anaemia and a thrombocytopenia can quickly suggest the diagnosis .Useful links:   Thrombotic Microangiopathies - MaRIH – Rare Immuno-Haematological Diseases Health Network National Reference Centre Microangiopathies TTP Community - Home (Dutch language site)  Make an appointment Focus Our hematology team has gained extensive experience in managing this condition and regularly receives requests for the care of patients from external centers.We regularly collaborate with expert centers from various European countries (France, United Kingdom, Italy).We participate in multidisciplinary consultation meetings with French expert centers. Discover our Hematology Department
Thrombotic Thrombocytopenic Purpura (TTP)