Benefits of in house Doctors

In-house company Doctor (1x4hour onsite weekly clinic)

In-house clinics are becoming increasingly popular amongst medium to large-size companies, offering health care, wellbeing and health promotion to the company’s employees. This helps to foster a wellness culture and over-arching support to the health needs of the company. It encourages employees to seek help early for medical conditions, which if ignored, can lead to significant periods off work and subsequent costs to the company. It is not uncommon to wait 3 weeks to get an appointment with your regular NHS doctor, which would take an afternoon off work, as opposed to 20minutes at an onsite clinic. Many investigations can also be done onsite, including blood tests. The costs of the clinic should offset the cost to the company in sickness absence, as well as providing morale to their employees.

Statistics:

The UK’s largest annual survey of sickness absence rates and costs shows that sickness absence was an average of 2.8% of working time per annum, or 6.5 days per employee, during 2014.

According to the Chartered Institute of Personnel and Development/Simplyhealth’s Absence management survey, larger workforces report higher sickness absence. The most common conditions are coughs and colds, muscular neck and back problems, Migraines and mental health issues. All of which can usually be managed by GPs, and if caught early, could prevent late complications and time off work. Health awareness and understanding of wellbeing can drastically reduce recurrent problems and prevent illness. Having a personal company doctor can provide a behavioural and cultural shift in the workplace, to allow employees to take accountability for their health and wellness, and therefore prevent illness.

 

Benefits to employer: 

  • Reduced sickness absence, in the short and long-term.
  • Better workforce morale- the sense of having their health and wellness supported.
  • Treating illness early before it requires time off work.
  • Net cost saving. Employees become less ill, less time off work and increased productivity.
  • If there is an on-site or contactable doctor, the employee will feel obliged to use the service before becoming so unwell they need to take the time off.
  • Rather than taking half a day off work, an onsite GP can offer a 20 minute consultation to diagnose and treat the problem.
  • Yearly flu vaccines can be offered to all staff to prevent flu
  • Senior members of the team can have full medical health screens onsite (including full physical examination, blood tests and other investigations)

 

Benefits to Employee:

  • Feeling supported.
  • Avoiding lengthy waits for appointments with their local GPs at a time inconvenient for them.
  • Supportive to mental and physical wellbeing, and promoting preventative medicine.
  • Continuity of care with a regular doctor they know and trust, with direct telephone/email access to that doctor during the working week, with the opportunity for a face-to-face weekly clinic. Good communication with doctors can positively impact sickness absence levels.
  • Especially helpful for employees with long commutes to work

 

Doctors’ credentials:

Dr Tim Lebens BM DFFP MRCGP is a private GP Baker Street 

Experienced, approachable and highly professional.

I have had experience working as the in-house doctor for LandSecurities.

I have over 8 years of experience working in corporate medicine at Wimpole Street W1, with a specialist interest in preventative medicine.

Qualified as a doctor for over 15 years, highly trained, having completed a 3 year postgraduate training scheme at St.Mary’s Hospital, Paddington. Psychiatric experience completed at The Priory, London.

Esquire’s medical columnist for over 3 years.

‘Tatler’s recommended GP June 2015’

www.drlebens.com

 

Costs:

Estimated costs are around £600/4 hour clinic. These could be run weekly or fortnightly. There can be added back-up via telephone/email directly to the GP any day of the working week.

Premature Vision loss caused by your smartphone

Spending too much time staring at your smartphone or any other digital screen for that matter can lead to a host of eyesight problems including premature blindness.

The main culprit of these vision problems is blue light. It is extremely damaging to the retina and as technology has advanced so has digital screen tech which uses and emits a lot of blue light.

Blue light has a short wavelength, thus creates a higher measure of vitality. Our eyes’ characteristic channels don’t give adequate insurance against blue light beams and studies recommend that, after some time, introduction to the blue end of the light range could cause genuine long haul harm to our eyes, as well as our rest designs, expanding our danger of specific sorts of tumors, and putting us at more serious danger of getting diabetes, coronary illness and experiencing corpulence.

There’s developing medicinal confirmation that blue light introduction may cause perpetual eye damage; add to the decimation of the cells in the focal point of the retina; and assume a part in causing age-related macular degeneration, which can prompt vision misfortune.

Melanin is the substance in the skin, hair, and eyes that assimilates unsafe UV and blue light beams. It’s the body’s regular sunscreen security. Higher measures of melanin bear the cost of more prominent assurance, however as we age we lose melanin, so that by age 65 half of the security is gone making us more powerless to eye sickness, for example, macular degeneration.

The retina is a thin, multi-layered tissue covering the inward eyeball. The retina can be hurt by high-energy visible radiation of blue/violet light that infiltrates the macular shade found in the eye. A low macular shade thickness may speak to a hazard factor for age-related macular degeneration by allowing more noteworthy blue light damage to the retina.

A Harvard medicinal examination expresses that “High Energy Visible (HEV) blue light has been recognized for a considerable length of time as the most unsafe light for the retina. After endless presentation, one can hope to see long range development in the quantity of macular degenerations, glaucomas, and retinal degenerative ailments”. What’s more, a paper distributed by the American Macular Degeneration Foundation (AMDF) reports that “the blue beams of the range appear to quicken age-related macular degeneration (AMD) more than some other beams in the range”.

Blue light blocking glasses also known as blue blockers have orange coloured lenses and are designed to protect the eyes from the harmful effects of blue light.  They are available online on amazon as well as in reputable opticians.

Dangers of Amalgam Fillings

All amalgam fillings contain around 50 percent mercury, and research reliably demonstrates that these fillings uncover dental experts, dental staff, dental patients and unborn hatchlings to mercury vapor, mercury-containing particulate and extra types of mercury tainting. (1) Mercury is a very lethal component, and there’s no known safe level of introduction. Dental practitioners  have been utilizing these mercury-loaded dental amalgams for over a 100 years as filling material for tooth rot. In any case, does a century-in addition to history of utilization settle on this filling decision safe with regards to your wellbeing? The basic answer is NO!

The American Dental Association expresses that dental amalgam is viewed as a protected, moderate and sturdy material that has been utilized to reestablish the teeth of more than 100 million Americans. (2) However, every time a man with an amalgam filling bites, the mercury inside that filling is discharged into that individual’s body. Mercury harming is a genuine wellbeing worry the world over, and amalgam fillings are one of the best contributing causes.

In the event that the Food and Drug Administration conceded the genuine danger of amalgam fillings, then actually a huge number of individuals would need to make sense of whether or not they need to evacuate the fillings and, if yes, how to pay for the expulsion. The FDA’s decision in 2009 renaming mercury and amalgam as both having more serious hazard (class II), however not banning them all together, isn’t that astonishing on the grounds that it would represent a noteworthy bother for such a significant number of. Be that as it may, let me know disclose to you why removable might conceivably be particularly justified, despite all the trouble and why you ought to choose elective fillings for your general wellbeing.

Late History of Amalgam Fillings

In 2009, the FDA checked on logical confirmation exhibited with respect to the genuine wellbeing risks caused by having mercury-based fillings sitting in the mouths of a huge number of Americans. What the FDA realized then rolled out it make a genuine improvement.

On July 28, 2009, the FDA issued a last decide that renamed mercury from a class I (minimum hazard) gadget to class II (more hazard) gadget and likewise characterized dental amalgam as a class II gadget. Also, it assigned an uncommon controls direction archive for dental amalgam. (3)

In this direction record, it even concede that “dental amalgam likewise discharges low levels of mercury vapor, a synthetic that at high introduction levels is all around archived to cause neurological and renal unfriendly wellbeing impacts. Mercury vapor focuses are most noteworthy instantly after arrangement and expulsion of dental amalgam yet decrease thereafter.”

So the FDA concedes that the negative wellbeing reactions are particular and likewise very much recorded, yet despite everything it needs to keep on using mercury in fillings despite the fact that there are better choices? It’s difficult to accept, yet that is precisely what’s happening.

Unmistakably the FDA is conceding amalgam fillings are more unsafe than initially accepted, however this is as yet insufficient security for the American open.

Dr Rashid of Time Dental, a Farnham Dentist based in the UK states that the alternatives are much safer and recommends all his patients to have their amalgam fillings removed.

How early can ASD be recognised in children

Although parents may notice some symptom with ASD before the age of 12 months, diagnoses is usually possible by the age of 18 months – 2 years. According to leading pediatrician  Dr Chelvi Kukendrarajah, characteristic feature of the onset usually delay in the development of speech, regression in language and social skills. The child will also have repetitive stereotyped patterns of behaviour. Dr Chelvi is a leading consultant in autism treatment at the Portland Hospital in London.

Polycystic Ovaries Disorder (PCOS)

Gynecologist Dr Mahantesh Korishi states that Polycystic Ovaries Disorder (PCOS) is an ovulation problem and also inability to conceive that takes place in numerous ladies. Polycystic ovaries disorder goes back to 1845 where it was defined in a French manuscript as being “modifications in the ovaries”. It was called “sclerocystic”. Polycystic ovaries disorder is a trouble that takes place in with the ovaries. A “polycystic ovary is defined as being a hard, thick, glossy white covering overlaping a layer of several tiny cysts simply under the ovarian surface area.” (Thatcher, 10). That was the summary that was discovered in the French manuscript as well as is still being made use of to now for physicians to specify polycystic ovaries. A wedge resection in the very early 1900’s was the initial kind of therapy for this disorder. PCOS includes greater than simply the ovaries full of little cysts. Polycystic Ovaries Disorder creates the inability to conceive in ladies.
Polycystic Ovaries Disorder could create a variety of signs and symptoms. Its could create whatever from weight problems to missed out on durations. It likewise creates females to have even more of the man hormonal agent in their bodies, which create male hair development. Not all PCOS people have too much hair development some might have various other skin problem, like acne. PCOS is the among one of the most infamous reason if missed out on menstruations and also “inability to conceive as a result of the absence of ovulation”. (Thatcher, 12).
There are 3 primary factors ladies with PCOS obtain clinical focus. The initial is that they have actually missed out on menstruations. A female’s duration need to not be light, brief, or uneven. There are actions that a female’s body should undergo in order for ladies to end up being expecting. There is a regular menstruation that a lady’s body.
Need to experience and also if it does not after that the females has an uneven cycle. This procedure the motion of an egg to a feeding setting, establishing a cellular lining in the womb, after that the dropping of that cellular lining when the egg does not come to be fed.

Finding a reputable Gynecologist

To a few, setting off to the gynecologist interestingly might be unnerving. Be that as it may, in all actuality, it’s one of the initial steps that ladies and people with vaginas take toward adulthood — perhaps like getting your period or purchasing your first bra. Shockingly, in our general public, we’ve been molded to see our vaginas as something dishonorable, just to be discussed when “proper” —, for example, amid labor.

This propagation of hush and disgrace is the thing that makes the superfluous dread that develops around setting off to the gyno. Truth be told, an overview done of 79 ladies between the ages of 18 and 71 demonstrated that 66% of them felt on edge or uncomfortable while setting off to a gynecological exam. In a world in which protection suppliers secured Viagra more regularly than contraception, this disgrace is reasonable.

Be that as it may, so as to assume liability for our wellbeing, we should move past the disgrace shame and encompassing our vaginas and conceptive organs and be as open and educated as could reasonably be expected.

To help you do that, we needed to impart to you what’s in store at a commonplace visit to the gynaecologist london. That way, you can be as educated and engaged as would be prudent about your conceptive wellbeing (as you ought to be!).

The Waiting Room at the Gynaecologist

The holding up room is quite clear like some other time you visit the doctor’s. The receptionists will normally give you a group of structures to round out.

There might be a few inquiries that make you feel uncomfortable. So simply go gradually and answer painstakingly and genuinely.

You will be solicited to record the number from sexual accomplices that you have had (assuming any) and in addition the quantity of times that you typically have sex and the date of your last period.

If you don’t mind be straightforward! I can’t let you know how often I’ve had companions educate me that they lied regarding the quantity of sexual accomplices they’d had (whether zero or 100) since they felt embarrassed or humiliated to let it out.

This is a case of the disguise of the virgin or prostitute division that has been exhibited to us since birth — no accomplices, you’re a wet blanket; more than two, you’re a skank. The specialist’s occupation is not to judge, and we have to quit judging ourselves also.

“In any case, it’s not their issue to worry about!” you may state. Really, as the essential therapeutic parental figures of your sexual wellbeing it is their business. It additionally helps them best figure out which exams or STI tests are fundamental in light of your own understanding.

Got tried for a Sexually Transmitted Infection (STI) is not an esteem judgment on you (i.e. try not to listen to the virgin/prostitute complex). Getting tried means you’re assuming liability for your wellbeing and being worried about the strength of any past, present, and future sexual accomplices. What’s more, on the off chance that you believe it is highly unlikely you can have a STI despite the fact that you’re engaging in sexual relations, inspire confirmation to show you’re correct – just on the off chance that you’re off-base.

The Exam Room

Uh-goodness, the feared exam live with all its alarming instruments of death prepared to bounce out and nibble you! (Signal the music from JAWS.)

This is the part the vast majority fear the most about the Gyno Experience. One of the best cures for this is to simply be straightforward with your medical caretakers and specialists. On the off chance that you let them know it is your first time, they are regularly extremely understanding and will make a special effort to make you feel great.

In the event that you are apprehensive about conversing with a specialist that you are meeting surprisingly, this is what to anticipate:

 

  • A medical attendant will bring you back and take your estimations, much the same as at a standard specialist’s office. That implies tallness and weight and circulatory strain.

 

  • After the rudiments have been secured, you will be left in the room independent from anyone else to change into the run of the mill specialist’s office paper outfit. You will be requested that expel all dress, including your clothing.

 

  • After you’ve changed, the specialist will thump on your entryway, come in and present themself.

 

  • They will solicit you an arrangement from inquiries in light of the printed material you rounded out in the holding up room. On the off chance that you are sexually dynamic, they will get some information about preventative utilize and about your periods – on the off chance that they are standard, when your last one was, and to what extent they regularly last. They will inquire as to whether you need to have any STI or HIV testing alongside your exam.

 

Once more, in spite of the fact that it might be uncomfortable to discuss it, this is not the place to be humiliated about your sexual history and hold back on the quantity of accomplices you’ve had or to not tell about the circumstances that you didn’t utilize a condom. It’s totally classified.

 

After you have addressed every one of the inquiries, the specialist then will start to look at your body.

The Breast Exam

You will be asked to lay back and they will check your bosoms and under your armpits for any protuberances. This may feel peculiar on the grounds that somebody is touching your bosom.

In any case, recall that bosoms aren’t exclusively sexual parts of your body. Society has prepared us to see our bosoms as serving just a sexual capacity (that is the reason such a variety of individuals are uncomfortable with open breastfeeding). In any case, much the same as lips have numerous capacities (kissing and eating), bosoms can likewise be non-sexual and simply be—well—bosoms.

Also, with bosom growth being the second driving reason for malignancy in ladies, it’s super essential that you figure out how to take a look at yourself for potential tumors.

In the event that you aren’t doing bosom self-exams consistently, they can demonstrate to you how. They will inquire as to whether you have any inconvenience when they do this or in the event that you have encountered any release originating from your areolas.

Your specialist will then press tenderly on a few regions of your lower stomach to inquire as to whether you have any distress before the pelvic exam.

The Pelvic Exam

Despite the fact that the instruments look unnerving, it ordinarily doesn’t hurt (however it might be physically uncomfortable) to experience a pelvic exam unless you have a vaginal disease, which makes your vagina feel delicate.

There will be two ways that they look at your vagina:

 

  • The first path is by utilizing the “speculum.” This is fundamentally a contraption that permits specialists to glimpse inside your vagina. They lube it up and painstakingly embed it into you before opening it up somewhat. You will feel some weight yet in the event that you unwind, it will be significantly more agreeable.

 

  • If you requested that get any tests, they will embed what look like long Q-tips into your vagina now to swab your cervix. It feels a tad bit like a stimulating sensation.

 

After they expel the speculum, they will direct a manual exam. The specialist will apply oil to gloved fingers and embed them into your vagina. They will press upward tenderly while the other hand is on your stomach area to check whether there are any variations from the norm.

 

After this is done, they will inquire as to whether you have some other inquiries, and that is it! You’re altogether done. You ought to get the aftereffects of any tests via the post office.

You Made It!

 

Enduring your first gynecologist arrangement is unquestionably a vital stride in taking control of your body and your wellbeing.

In the event that regardless you feel apprehensive, I would prescribe conversing with another companion or relative who has been through it who can ease some of your nervousness. Furthermore, was, ready to talk straightforwardly and honestly with your gyno is critical to setting up a trusting relationship amongst you and your specialist.

Also, above all, it helps you build up control over your regenerative wellbeing and sexual prosperity!

For Survivors of Sexual Violence

Heading off to the gynecologist can be uncomfortable, as well as traumatic for a few survivors of sexual savagery. While numerous survivors aren’t activated by the pelvic exam, some are — and it’s a genuine concern.

Furthermore, if it’s your first time, you may not know how you’ll respond. Here are some extra tips to consider so as to explore this visit.

  • Ask to explicitly observe a female or male specialist (contingent upon who you’re OK with). You don’t have to clarify why and the secretary will more often than not inquire as to why either. Furthermore, regardless of the possibility that they do, you don’t have to let them know whether you would prefer not to. That is your decision.
  • Tell your specialist you’re not certain how you will respond to the pelvic exam and that you may respond severely. You don’t need to clarify that you’re survivor unless you feel good sharing that.
  • Know the specialist may make inquiries to screen for potential manhandle. It’s totally your decision to reveal or not.
  • Ask for a hand-held mirror so you can see what the specialist is amid the exam.
  • Make beyond any doubt the sheet covering the lower half of your body isn’t obstructing the specialist’s head.

Keep in mind that you are not the primary survivor the specialist has seen. In view of the way of their work, their patients most likely impart the reality they were disregarded to them more frequently than with different specialists. Like different specialists, gynecologists are regularly prepared to be touchy to mishandle and given their work, to be particularly delicate to sexual injury.

Yet, regardless of the possibility that they’re not, recollect that you have the privilege to a sheltered situation where you control what transpires amid the exam.

In the event that the specialist or office won’t regard your desires, you can simply change to another specialist. It’s not reasonable and it’s more badly designed, but rather you should have your desires regarded and feel great amid the exam.

If you are in London one that we can recommend is http://mahanteshkaroshi.co.uk/