The samedaydoctor private doctor walk in clinics in London and Manchester offer the services of several GP’s and Advanced Nurse Practitioners with extensive experience in the management of children of all ages. We can manage common skin, respiratory and gastrointestinal conditions, including acute fevers with and without skin rash, colds and chest infections, feeding problems, vomiting and diarrhoea. Furthermore we can also advise on more complex issues including behavioural and development disorders, genetic and familial diseases and the diagnosis of more serious illnesses. We also have the availability of Dr Jennifer Lenhart our specialist Homeopathic Paediatrician plus our close association with the Consultants and diagnostic facilities of our local Paediatric Hospital. Our BabyJabs specialist children’s vaccination service operates out of our City Clinic. These services are available up to seven days per week and can best be accessed by making a telephone or email appointment.
Samedaydoctor has partnered with local cardiology services to offer a comprehensive service in the diagnosis and management of diseases of the heart. We have 12 lead ECG machines on site and can run tests such as Troponin T to check for recent cardiac event eg Myocardial infarction (heart attack). We can also run the full preventative profiles including BMI, Blood Pressure, glucose and lipid profiles with cholesterol. Our Private GP clinic also has rapid access to specialist advice and investigation, including echocardiography, 24 hour Blood Pressure and ECG recording, and heart scans to evaluate the degree of atherosclerosis (hardening of the arteries), as well as Doppler scans to assess Deep Vein Thrombosis and CTPA scans for Pulmonary Emboli.
All of our samedaydoctor private doctor walk in clinics have excellent working relationships with sister radiology teams who can perform X Rays, ultrasound scans, MRI and CT imaging on our patients, sometimes on a same day walk in basis with rapid reporting of results which can be used to obtain onward referrals privately or via the NHS. The most common procedures we undertake are chest X Rays for pre-employment, infection or to rule out tuberculosis, MRI lumbar spine scans. bone and joint scans and X Rays, pregnancy and pelvic/abdominal scans, chest CT scans for lung cancer diagnosis and cardiac investigations including echocardiography. Appointments can be made at any of our Private Clinics but phone or email.
Samedaydoctor is already renowned for offering same day blood and urine results for std and hiv tests- this include, HIV, Hepatitis A, B and C, Syphilis, gonorrhoea and chlamydia, NSU and other sexual health infections. Furthermore, we can provide a similar rapid service for other blood and urine tests including liver and kidney tests, blood group, full blood counts (anaemia) , glucose (diabetes), cholesterol, prostate, thyroid, clotting profiles as well as the full range of specialist blood testing. We can run menopause profiles, impotence tests, rheumatology and cancer screens in addition to genetic testing, drug screens and auto immune profiles. Immunity tests for healthcare workers include tests for measles, mumps, rubella and chicken pox immunity. Most of these results are available within 24 hours- please call or email to book an appointment.
This weekend, as every weekend, our samedaydoctor clinic in Central London is open Saturday and Sunday for walk-in and booked appointments to see a private doctor. Our Clinic in the City is running its monthly child vaccination BabyJabs clinic and we are also open in Canary wharf and Manchester on Saturday. Patients can call or email to book an appointment or simply walk in-we offer the full range of medical services including GP and specialist consultations as well as a Travel Clinic and hiv/std/sti testing with same day results.
Samedaydoctor has been established since 2003 and over the years we have been at the forefront of making rapid hiv and std/sti tests available to our patients with full confidentiality and rapid results. We are also backed up by Consultant level in house advice and our specialists can treat patients with HIV infection as well as offer PEP and PrEp to suitable patients. We have worked closely with our laboratory to develop same day highly accurate tests for chlamydia and gonorrhoea which have given much comfort and support to many people. Furthermore we can test for HIV 1 and 2, syphilis, hepatitis B and C on blood samples, also with same day results. Instant HIV testing is available to suitable patients with exposure over 3 months previously.
Other tests we can perform include herpes simplex virus, ureaplasma, mycoplasma, trichomonas, BV, Human Papilloma Virus (HPV), Non Specific Urethritis (NSU) as well as offering the full range of support for all genital infections and sexual health problems.
NO NONSENSE GUIDE TO THE ZIKA VIRUS
Dr Laurence Gerlis of samedaydoctor reveals all you need to know…
The Zika virus came to public prominence in late 2015 and due to its propensity to lead to birth defects and disability, many people are understandably concerned about contracting the disease. However, although people have seen the shocking pictures of the babies whose mothers had the Zika virus, there is still a considerable amount of confusion over the risks.
Dr Laurence Gerlis, founder of the UK’s largest independent GP practice, samedaydoctor, has noticed a significant increase in the number of patients visiting his clinics with concerns about the virus, with some of his pregnant patients cancelling their trips to Rio and the affected areas. With The Rio Olympics on the horizon, travel to the area is set to increase, and alongside this the public is likely to have more questions about what the risks are and how they can travel safely. With this in mind Dr Gerlis has provided a no-nonsense guide to the Zika virus, answering the key questions we are likely to have.
1. WHAT IS THE ZIKA VIRUS AND HOW DO YOU CONTRACT IT?
“Zika is a relatively new virus which does not occur naturally in the UK. It is spread in the same way as malaria, via mosquitos. It is contracted by being bitten by a mosquito which carries the virus it has picked up from another human.”
2. WHAT ARE THE MAIN RISKS OF THE ZIKA VIRUS?
“The main risk of Zika is to women in early pregnancy as the virus is known to cause microcephaly. Microcephaly is a condition where a baby’s head is much smaller than usual, as their brain has not yet developed fully. This causes severe brain defects and disability. The virus seems to have a very high incidence of causing deformity if caught in early pregnancy. It is usually a mild virus infection in other demographics, but occasional serious complications have been reported, including paralysis.”
3. IF I HAVE HAD ZIKA CAN I STILL HAVE A BABY WITHOUT THE BIRTH DEFECTS ASSOCIATED WITH ZIKA?
“Yes, this is a very low risk situation. The virus clears the body in 14 days and therefore, you should wait 28 days after returning home before trying to conceive.”
4. WHAT ARE THE SYMPTOMS OF ZIKA?
“The main symptoms of Zika are headaches, rash, itching all over, fever, back pain, joint pain, red eyes and eye pain. The illness is usually mild,with symptoms lasting for several days to a week after being bitten by an infected mosquito. People usually don’t get sick enough to go to the hospital, and the symptoms can be confused with a relatively normal infection. Therefore, many people might not realise they have been infected.”
5. HOW LIKELY AM I TO CONTRACT THE ZIKA VIRUS?
“If you go to an area with poor sanitation in one of the known risk countries, and you are bitten by mosquitos, you run some risk of contracting the virus, although this is not guaranteed and there are precautions you can take. The key areas of risk are South America, Central America, parts of the Caribbean and Mexico.”
6. IS THE ZIKA VIRUS CONTAGIOUS?
“The Zika virus is not contagious person to person usually, although there have been some reports of sexual transmission. Men who are planning pregnancy with their partners need to take special care as Zika can stay in semen longer than in blood. Therefore, if a man has had Zika, a couple should consider not trying for a baby and having sex without a condom for 6 months.”
7. WHAT CAN I DO TO PROTECT MYSELF AGAINST THE ZIKA VIRUS?
“It is important to seek travel advice before your trip. Pack some long sleeved tops and trousers and also obtain some DEET to apply to the skin to reduce the risk of being bitten by mosquitos. In addition, once in the high-risk countries, ensure there are mosquito nets for sleeping.”
8. DOES ZIKA HAVE A CURE
“Sadly, at the moment there is no vaccine to prevent or medicine to treat Zika virus.”
9. IS THE SPREAD OF ZIKA LIKELY TO INCREASE DUE TO THE OLYMPICS BEING HELD IN RIO?
“Experts believe that the larger than usual number of visitors to the area will increase the spread. This is primarily due to the Olympics taking place in an affected area and the sheer volume of people who will be in Rio during the summer. If you are concerned about your trip, seek advice before you leave and if you are unwell either during your trip or on returning home, please consult your doctor.”
• samedaydoctor is the largest independent GP practice in the UK with eight clinics. Founded by Dr Laurence Gerlis in 2003, its popularity with patients’ stems from its convenience – samedaydoctor is open seven days a week and patients can see a doctor within 20 minutes and receive test results that very same day.
As part of our private GP walk in clinic service we have reminded you how social smoking is bad for you-see below
We like to think we’re pretty health-conscious but hands up if having a cheeky ciggie every now and then feels like it’s not really a big deal? You’re in a pub garden or at a house party — drink in hand because alcohol is always involved — someone lights up and all of a sudden having ‘just the one’ feels like a really good idea. Fun as it might feel, just how harmful is ‘social smoking’? We asked Dr Laurence Gerlis of Samedaydoctor, for the low-down…
What is so-called social smoking?
It’s difficult to define social smoking with an exact number of cigarettes, but it’s often associated with alcohol and going out, so is usually an irregular or low consumption. I also notice people smoking a few cigarettes in the week before suddenly doubling their intake over the weekend. Usually a social smoker won’t consider themselves addicted to nicotine and can easily go substantial amounts of time without smoking or having any cravings. However, a very large proportion of people will still find it difficult to quit.
What health risks are associated with social smoking vs regular smoking?
The bottom line is however often you smoke, there are still significant risks — smoking isn’t like alcohol where binge drinking can be worse for you than controlled amounts and because there are no definite limits, social smoking can easily morph into a more regular, addictive habit.
It’s important to realise that any form of smoking makes you more susceptible to lung cancer and heart disease. The one difference is that, with cancer, your risk is proportional to the amount smoked, whereas with heart disease your chance of developing the condition is high even after a small number of cigarettes.
So having the odd cigarette now and again can really harm your health?
There’s no doubt that any smoking increases your risk of disease and health problems. Research has shown that just one to four cigarettes a day can almost triple your risk of dying from lung cancer and heart disease. All smokers also exhibit higher stress levels than non-smokers and experience more frequent coughs and breathlessness. Furthermore, when a social smoker lights up, they expose their brain to nicotine, which encourages tolerance and addiction, so over time they will naturally tend to increase the quantity they smoke socially.
Can an occasional cigarette cause long-term health problems?
Yes, even a low level of smoking can have a long term impact; however this can be reduced the younger you are. Some evidence has suggested that light smokers or those who give up in their twenties stand the best chance of preventing heart problems and restabilising the body’s natural physiological state.
What other risks do social smokers expose themselves to besides lung cancer and heart disease?
I’m afraid all of the same health risks apply. Cancers of the bladder, mouth and kidney, as well as all respiratory diseases, increase in line with the number of cigarettes smoked. Due to the toxicity of cigarettes, your blood also thickens, promoting clots and circulatory problems. It’s also important to note that any level of smoking can have adverse effects on fertility. Additionally, as social smoking often starts during our teens or early twenties, it also ages skin prematurely, especially around the lips and eyes.
Finally, is social smoking worse than experiencing second-hand smoke?
Yes, social smoking is worse for you than second hand smoke; however both are damaging to your health. Every year, second hand smoke kills 12,000 people in the UK from cancer, lung disease and strokes, causing similar effects to actual smoking.
samedaydoctor clinics offer the full range of contraceptive services from the provision of oral and injectable contraceptives and the insertion and removal of intrauterine devices. In addition we are able to implant and remove subcutaneous contraceptive devices. Appointments should be made for these services-please call or email to organise this.
Laurence Gerlis: Is private medical practice that bad?
12 Oct, 16 | by BMJ
During my 30 years as a private GP I have become used to being insulted by other doctors. Some see us as mercenary quacks, with little genuine interest in patients’ needs, who overprescribe and bombard NHS GPs with useless health screening reports.
NHS doctors are not volunteers, they are paid. All patients pay for NHS treatment, even the poorest who pay via taxes including VAT. The money just takes a more circuitous route than it does in our clinic. So there is no moral discrepancy. My patients pay again, mainly because they cannot get an NHS appointment soon enough and they work in Central London where I am based. My average patient is not a rich oligarch, but a 30-something working person on a slightly above average salary. I don’t see this as vicious queue jumping, just being practical. I have never had any income apart from what I can earn in fees from individual patients, whereas NHS doctors have a guaranteed patient flow and income plus pension. One NHS GP confided to me, “I wish I had the nerve to take a chance as you did, but I need to know that I have regular income.”
In our clinic we strive to work to high standards and we were the first group of doctors to be inspected by the forerunner to the CQC (the National Care Standards Commission began solely by inspecting private doctors in 2003). As a Responsible Officer for my Designated Body I am appraised by the NHS since revalidation is run by NHS England. This week we had our regular annual meeting with our GMC Employment Liaison Adviser.
Our samedaydoctor protocols forbid the prescription of controlled drugs and we do not prescribe benzodiazepines except in rare situations. We swab throats for strep and we check CRP levels to confirm bacterial infections. We find that approximately 20% of our patients with sore throats have streptococcal infections. I can still remember the effects of rheumatic fever from untreated strep infections.
We work seven days a week and deal with enquiries, emails, and results every day from 6 am to 10 pm. I do this because I wish to offer a first rate service to patients, and if in doing so we make a living, so be it. I am still guided by Hippocrates not Mammon. We see many emergencies, and take a large workload off the NHS and often pick up the pieces.
I have personally subsumed my life and that of my family into my work—we do not have holidays for more than one week and I always take a laptop with me so that I can deal with enquiries from my colleagues and regular patients, all day every day. We never talk of work/life balance. There is none. Margaret McCartney questioned the safety of some types of private medicine and also suggested that it draws resources from the NHS. She feels that the independent contractor status of GPs and private services will cause “NHS fragmentation and destruction.” In my (slightly detached) view the only problem with the NHS is that it tries to do too much for too many people, and that the demands on the NHS need to be controlled. Although I am a private doctor, I do not support the idea of charging fees to NHS patients (too complicated, too many exemptions), but I do support early triage: for example, the A+E specialist near the entrance to the hospital and similar systems in general practice to allocate resources better, and maybe sometimes even turn people away—to the pharmacy for example.
When the private Medicentres (walk in clinics in stations) first opened, a spokesperson for the NHS was clearly determined to find a criticism, and eventually came up with “The doctors have no access to NHS GP records,” but neither do NHS A+E departments. Reflex tribal reactions to private practice should be replaced by mutual respect and, dare I say it, working together.
Laurence Gerlis is a private GP with samedaydoctor in London and Medical Adviser to the National Theatre and the charity the Independent Diabetes Trust.
Conflicts of interest: no further interests declared.