There is much debate about the use and over prescribing of antibiotics for patients with sore throats. Most sore throats are caused by viruses, however streptococci (“strep throat”) are bacteria and untreated streptococcal infections can be serious. In order to aid our clinicians who work in in our private doctor samedaydoctor clinics we often take rapid strep throat swabs with same day results. Furthermore we can run same day blood tests for C-reactive protein (CRP) whereby levels help us distinguish between viral and bacterial infections.
In doing so we do find approximately 25% of sore throats are caused by bacterial infections and denying antibiotics to these patients can result in serious long term consequences. Samedaydoctor runs 4 walk in clinics in the UK open up to 7 days per week for private GP consultations, sexual health tests and travel vaccinations as well as some specialist and Consultant services.
We have been running more routine checks during this winter on vitamin D levels.
Vitamin D can be synthesized if the skin is exposed to sunlight, but in the middle of a long English winter the opportunities for sun exposure are limited. Most vitamins cannot be synthesized (hence the name which comes from vital amines) -we have been surprised at how low the levels can drop during the winter.
It is not clear if this causes symptoms as such, but vitamin D is essential for bone growth and strength and can be found in foods especially dairy products. A severe lack of vitamin D causes rickets, rarely seen in the UK now, but we have been doing blood tests on several vitamin levels and advising supplements where appropriate.
Samedaydoctor private GP walk in clinics are open up to 7 days per week.
Samedaydoctor private doctor walk in clinics have the benefit of having a Consultant led service in sexual health. As such we can treat people with established HIV infections with antiretroviral medications and monitor their progress.
We are also able to supply Pre and Post exposure prophylaxis (PEP and PrEP) to prevent HIV transmission. Samedaydoctor GP clinics offer a range of HIV tests including the same day instant (60 second) test and well as the 28 day HDUO test (result in 4 hours) and the early detection 10 day test (result in approximately 5 hours) .
We also offer the full range of STD/STI tests and treatment. We are open up to 7 days per week on a walk in basis and appointments. can be made in advance by email or telephone via the website.
We have finished filming a documentary for TV Channel 5 which included the services we offer to workers in the adult industry.
This included our instant HIV test and same day chlamydia and gonorrhoea testing. We also offer same day testing for syphilis and hepatitis A, B and C. A recent addition to out testing regimen is the early detection HIV test which we can run 10 days after exposure- we can now get results in approximately 5 hours rather than 4 working days as previously. This means that at 10-14 days we can offer reliable and rapid results on most STI/STD infections.
The UK is currently experiencing the first flu epidemic for 7 years and GP’s and hospitals are overloaded with the additional workload. The influenza virus strain H3N2 seems to be particularly virulent. Most people do not need to see a doctor if they have influenza- rest, fluids and analgesics such as paracetamol should normally suffice.
People with the flu should avoid going to work as this will spread the infection. Some people are especially vulnerable -the elderly, young children, pregnant women and those will respiratory illnesses such as bronchitis and asthma.
We are seeing some patients in our private GP walk in clinics who have secondary infections such as bronchitis and pneumonia and some of these have been investigated with blood tests and chest x ray and treated with antibiotics, but in general terms antibiotics do not help in viral influenza. Antiviral medication such as oseltamivir may be helpful in the early stages of influenza infection. Samedaydoctor private doctor clinics are open up to 7 days per week and patients can walk in or call/email to book an appointment.
There are reports of an outbreak of diphtheria among refugees from Myanmar. Diphtheria is rarely seen although we have seen 2 patients with this disease recently. Fortunately neither patient we saw had a bacterium producing diphtheria toxin which cause the damage in this rare infection.
Our standard vaccination regime for travellers abroad includes diphtheria, tetanus, polio, hepatitis A and typhoid. We also offer vaccines against a wide variety of other infections and prevention against malaria. We are a private GP doctor walk in clinic open 7 days per week in Central London and appointments can also be made by email or telephone.
An off duty doctor from our clinic in Manchester plus our Advance Nurse Practitioner successfully performed life support on a member of the public with a cardiac arrest in a square near our clinic . They used the defibrillator plus they maintained life support with cardiac massage and keeping the airway open until the ambulance arrived. This was excellent training put into practice and we all keep our skills up to date for just this eventuality- well done to the Manchester team.
As usual in the post-Christmas phase thoughts of the media and advertisers turn to holidays and diets. Paul Ross of Talk Radio had a discussion with us about the new advice to eat a 1600 calorie per day diet in order to combat obesity which is common in the UK.
I reminded him that most people forget to count alcohol, fizzy drinks and coffee drinks as part of their diet and these are often heavy in calorie content. Furthermore, research has shown that patients become bored with diets after around 14 days and revert to their normal eating pattern which is generally based upon certain habits of reward and availability as much as it is about true hunger.
While we feel that personal responsibility is the answer to controlling food intake, there are measures the food and drink manufacturers can take to reduce the sugar and fat content of readily available products. Samedaydoctor private doctor walk in GP clinics have GP’s with a special interest in diet, diabetes and obesity.
Samedaydoctor Private Doctor walk in GP Clinics in London and Manchester offer a full range of vaccinations against Hepatitis A and B, Typhoid, Diphtheria, Tetanus and Polio. We also offer anti malaria prevention and specialist vaccines including Rabies, Yellow Fever, Pertussis (Whooping Cough), Varicella, Measles, Mumps, Rubella, HPV, Japanese Encephalitis, Influenza, Pneumococcus, Shingles, Mantoux Testing and BCG, Meningitis B and ACWY, and Tickbourne Encephailitis.
We see a lot of patients who return from overseas with tropical infections and we have diagnosed and treated Malaria, Dengue Fever, Tuberculosis, Pertussis, Mumps, Amoebiasis, Giardia, Salmonella, Campylobacter, Typhoid Fever, hepatitis A B and C-we have even recently see 2 cases of Diphtheria. Our experience in dealing with these infections is very broad and appointments can be made by phone or email to see one of our doctors.
Fortunately we have not yet had the predicted influenza epidemic this winter but we have seen a significant number of upper and lower respiratory infections as usual, partly because our cities are damp, polluted and crowded. The worst polluting agents appear to be nitrogen dioxide from diesel fumes, and Oxford Street in Central London is the worst in the world for this type of pollution.
Nevertheless, the NHS is already under strain and we have now been advised that there is an outbreak of Norovirus which is affecting patients and staff and adding to the already stretched NHS resources. Samedaydoctor Private Doctor GP walk in clinics are open every day apart from Christmas day and we can take the workload off the NHS if patients are willing and able to use a Private GP service. Appointments can be made by phone or email or you can walk in during our opening hours.