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Our Geriatric Rehabilitation Center (GRC) is undergoing a major transformation to provide both patients and care teams with a more comfortable, modern, and well-adapted environment. Read more Renovations designed for comfort and safety The building is being fully modernized. Key improvements include:Modernization of technical installations: new boiler, connection to city water network, new main electrical panel, upgraded ventilation, new hot and cold water distribution, radiators, and a new nurse call system.Installation of a new elevator, improving vertical circulation within the building — a benefit for patients with reduced mobility, beds, and medical equipment.These upgrades ensure a safer and more comfortable environment, fully in line with current technical and sanitary standards.Redesigned rooms for more comfort and privacyPatient rooms have been completely rethought:Double rooms increased from 14 m² to 26 m², providing significantly more comfort and dignity.Brighter rooms with warm, contemporary materials.Each room will have a full bathroom: walk-in shower, sink, and wall-mounted toilet — a major improvement for autonomy and comfort.Wider doors for easier bed access and fully equipped bed panels for medical needs (medical gases, electrical outlets).These changes create a more humane, serene, and dignified living environment that meets modern expectations of comfort and privacy.A better work environment for care teamsThese renovations also benefit the daily work of our staff. A modern, functional, and comfortable environment supports efficient care and the well-being of patients. Thanks to all teams Despite the ongoing works, GRC staff remain professional and dedicated, adapting to temporary inconveniences with care and attention, always prioritizing patient well-being.By modernizing the GRC, H.U.B. is investing in high-quality, safe, and welcoming care environments for every geriatric patient. We thank all patients and their families for their patience and trust.ContactReception: +32 (0)2 777 22 00Admission: Tél : +32 (0)2 777 23 38 - Email : admission [dot] CRG [dot] erasme [at] hubruxelles [dot] be (admission[dot]CRG[dot]erasme[at]hubruxelles[dot]be)Secretariat: Tél: +32 (0)2 777 23 33 ou Tél: +32 (0)2 777 23 31 - Email: SecMed [dot] CRG [dot] erasme [at] hubruxelles [dot] be (SecMed[dot]CRG[dot]erasme[at]hubruxelles[dot]be) Visiting hours: De 14h à 20h

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

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.”

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)

The Department of Psychiatry at the Brussels University Hospital (H.U.B) is opening a specialised outpatient consultation to provide rapid access to innovative treatment and comprehensive care. ​Read more Interview with Professor Pierre Oswald, Head of the Department of Psychiatry and Dr. Youssouf Ramdani, Psychiatrist Depression is a common illness. It can affect anybody at any point in their life. In most cases treatment permits a significant improvement. For some people, however, despite adhering strictly to the prescribed treatment the symptoms remain all too present, in the form of tiredness, loss of interest or pleasure, pain, anxiety, despair, etc. We then speak of   treatment-resistant depression.What is treatment-resistant depression?This simply means that usual treatment has not helped sufficiently and does not mean that “nothing works”. Treatment-resistant depression is not an incurable illness or in any way inevitable. It is rather a form of recurrent depression that requires other approaches  that are sometimes more intensive or more innovative. Professor Pierre Oswald: ”Treatment-resistant depression is not a life sentence. Today we have numerous effective treatment options that can help.”  Why can depression resist treatment?Because the depression affects the individual in their entirety:  Mood,Energy,Sleep,Concentration,Appetite,Pain,Relationships,The way they perceive themselves, their past and their future.It is therefore logical that no single treatment will always be sufficient. That is why the H.U.B proposes   comprehensive care that acts on the body, the mind and lifestyle.  What solutions does the H.U.B propose?  1. Traditional and enhanced medicationThere are several groups of antidepressants. When an initial treatment fails to produce sufficient results, the psychiatrist can change the molecule, progressively increase the dose or combine two treatments to boost  effectiveness.  These adjustments are common and are simply ways of finding the right formula for the right person as we do not all react in the same way.  In some more severe cases a treatment can be administered by means of an injection or infusion for a more intense action. These procedures are always carried out in a secure environment with support staff present.  2. Psychological therapiesThese therapies play a major role in improving the patient’s condition and preventing a relapse. They do not replace medication but they can be a very effective supplement.  Here are a few examples:Cognitive behavioural therapy (CBT) – This helps to identify negative automatic thoughts (“I am worthless”, “nothing ever changes”) and to replace them with more realistic and reassuring thoughts. It also provides practical tools for taking action in everyday life.  Eye movement desensitization and reprocessing (EMDR) – This approach is used when painful memories or traumas sustain the depression. It makes it possible to “desensitize” the emotion associated with these memories so that they cause less pain. Psycho-corporal therapies such as relaxation, meditation or hypnosis – These techniques engage the body to calm the mind, reduce rumination, reduce anxiety and help the individual to be present in the moment. They are very useful when the depression is accompanied by stress or fatigue. Why are these therapies so important?  Because they make it possible to act on those symptoms that medicines treat less effectively: guilt, intrusive thoughts, psychological pain, relational difficulties or loss of self confidence.  3. Physical treatmentIn some situations treatment that acts on the brain can be proposed.Electroconvulsive therapy (ECTY) that is a modern treatment, administered under close medical supervision and that bears no relation to the images you find in certain films.  Here is the reality of ECT: It is administered under a general anaesthetic of short duration (as for minor surgery),The patient feels nothing, no pain,The whole procedure is monitored by a trained and experienced medical team.ECT is only used in special cases, such as extremely severe depression with a vital risk or when eating has become impossible. In these situations it can be very effective and very rapid and thereby save lives. The psychiatrist always takes the time to explain everything and answer questions. Nothing is done without the patient’s consent. 4. Work on lifestyleThis is not a question of “giving advice” as lifestyle is an inherent part of the treatment. When sleep or diet are disrupted over a long period, or physical activity is very reduced, the brain itself suffers from the effects and the depression deepens. At the H.U.B teams support patients on the road to improvement:   Sleep – Understanding the body’s rhythm, restoring regularity, treating insomnia (unable to get to sleep or waking up often) or hypersomnia (sleeping too much).   Diet – Some people lose their appetite while others eat to calm psychological pain. Personalised support makes it possible to avoid deficiencies and to stabilise energy.  Physical activity – This improves mood as much as certain drugs and helps relieve anxiety. No performance level is required and just a few minutes’ physical activity a day is enough to start with.  Stress management – Breathing, relaxation, total awareness and organisation of everyday life are all tools that make days brighter and avoid relapse. A new outpatient consultation dedicated to treatment-resistant depression: rapid and effective accessThe H.U.B has opened a specialised consultation providing access to an innovative treatment: esketamine. This treatment acts differently to conventional antidepressants and in 60 % of patients a notable improvement is observed where other treatments have failed.  Why is this major progress?The treatment is reimbursed for episodes of treatment-resistant depression (by the terms of INAMI [National Institute  for Health and Disability Insurance] regulations).It requires no hospitalisation: everything takes place as an outpatient, with nursing and medical supervision.Once the treatment is validated by a psychiatrist, appointments can be made quickly whereas other Belgian hospitals have very long waiting lists.  It is a complementary treatment that supplements usual antidepressants.  Dr Youssouf Ramdani : “This treatment does not work miracles, but it does give an additional chance to people who are sometimes locked into a suffering that is lasting.”  Why outpatient treatment?Because today it is no longer necessary to be hospitalised to benefit from specialised treatment. The aim is to:  Propose flexible proximity treatment to people who live in the region,To reduce treatment waiting times,To ensure continuous monitoring by the usual care staff.The H.U.B: a place where we care for the entire personDepression is treated by a team of psychiatrists, psychologists, nurses, sleep specialists, dieticians, algologists, etc. The aim is to ensure that no patient is “shunted around” from one department or hospital to another.  “Mental and physical health are linked. A person can never be defined solely by their symptoms. Our mission is to support the individual in their entirety,” concludes Professor Pierre Oswald Are you seeking help? Do you think this may concern you?Contact The H.U.B Department of PsychiatryTelephone : +32 (0)2 555 43 20Email: Cons [dot] Psy [dot] erasme [at] hubruxelles [dot] be (Cons[dot]Psy[dot]erasme[at]hubruxelles[dot]be) Solutions exist. You are not alone. Make an appointment

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

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) 

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

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