Did you know?
In the case of a tick bite, it is advisable to remove the tick within the first 24 hours in order to reduce the risk of Lyme disease.
How do we deal with tick bites?
You are more likely to see the tick, than feel the bite. That is why you should check for tick bites on yourself and your children after spending time in grasslands or woodlands. It is common knowledge that contracting Lyme disease is the main concern. There are special kits available from pharmacies to remove ticks, but you may also simply use tweezers or even a couple of credit cards. It is important to grasp the tick as close to the skin surface as possible, to gently pull upwards and to disinfect the area afterwards.
When shall I see a doctor?
Blood tests shortly after a tick bite are unreliable. You should look out for a circular red rash developing around the bite a couple of days later but it may even occur up to three months later. Blood tests at this stage may still be unreliable and you will normally be prescribed a three-week course of antibiotics to avoid the late stages of Lyme disease. Lyme disease can more rarely simply start with flu-like symptoms. In this case repeated blood tests at longer intervals will usually be necessary to confirm the diagnosis.
Is there anything else we should be aware of?
Another disease transmitted by ticks is tick-borne encephalitis, which does not occur in the UK but does occur in large parts of Central and Eastern Europe. Fortunately, there is a vaccination available against it, which is available at Roseneath Medical Practice.
by Dr Robert Arlt MD – GMC Reg: 6135708
Herzlich willkommen in unserem Team!
In Roseneath Medical Practice freuen wir uns sehr Dr. Robert Arlt, einen bekannten und seit Langem in Richmond etablierten Facharzt für Kinder- und Jugendmedizin, in unserem Team begrüßen zu dürfen.
Dr Robert Arlt hat seine Weiterbildung zum Facharzt für Kinder- und Jugendmedizin nach seinem Grundstudium in Straßburg in Tübingen und Böblingen absolviert. Er ist seit Februar 1992 im Saarland niedergelassen und ist auch weiterhin teilweise dort tätig und daher mit dem deutschen Gesundheitssystem bestens vertraut. NHS Erfahrung könnte er am Royal Free Hospital und am Royal Hospital for Integrated Medicine sammeln. In privater Praxis in UK ist Dr Arlt seit zehn Jahren tätig.
Dr Arlt hat auch Zusatzausbildungen über drei Jahre in Homöopathie (bei Professor Matthias Dorsci im Kinderzentrum München) und in Akupunktur (Universität Paris XIII) absolviert.
Er hat auch langjährige Erfahrung in Allergologie und mit Ultraschalluntersuchungen (Hüfte, Abdomen, Harnwege und Säuglingsschädel hauptsächlich).
Did you know that abdominal fat is a predictor of Type 2 diabetes, heart disease and some cancers?
In fact, abdominal (central) obesity is more closely related with cardiovascular disease than general obesity.
Why does ‘abdominal’ or ‘central’ obesity arise?
- Because one may consume more usable calories than he/she expends
- Alcohol and a high meat consumption has been associated specifically with abdominal obesity
- Conditions that predispose to central obesity are Cushing’s syndrome or Polycystic ovary syndrome (PCOS)
Why does abdominal fat become more of an issue with age?
- This is predominantly due to a drop in metabolic rate (the number of calories the body needs to function)
- Menopause – with the associated change in hormones women tend to hold weight in their abdominal area
What are the possible problems that may arise from central obesity?
- Osteoarthritis of weight bearing joints eg hips and knees
- Insulin resistance, resulting in Type 2 Diabetes
- Cardiovascular disease
- Asthma- people with obesity are more likely to be hospitalised for asthma
- Alzheimer’s disease
What can you do to help ?
- Exercise (combining aerobic exercise with resistance training is more effective than cardiovascular exercise alone in getting rid of abdominal fat). Also exercise leads to a reduction in cortisol production – a hormone that leads to more abdominal fat deposits
- Eating healthily – consume the same number or fewer calories than used
How can we help?
See Dr Soori at Roseneath Medical Practice for abdominal measurement, exploration of possible causes, assessment of your health risks, and advice and treatment of your excess weight condition. Advice will be provided on how one can improve their metabolic rate through diet and lifestyle changes. Medication can in some cases help to reduce fat absorption, and anti-diabetic drugs can be prescribed which can help diabetes and central obesity.
Heart Disease & Cancer Information, provided by our Richmond Doctors
Did you know that women over 50 years of age are at an increased risk of heart disease and certain cancers?
- The hormonal changes that occur during the menopause cause a rise in cholesterol levels. The metabolism also slows down during this time, causing weight gain and increasing cardiovascular risk further.
How you can help:
- Focus on healthy diet and lifestyle ( stay active, eat healthily, maintain a healthy weight, reduce stress, avoid too much alcohol, don’t smoke)
- Take part in regular health screening- body mass index check, blood pressure screening, cholesterol and diabetes screening, baseline electrocardiogram, ten year cardiovascular risk assessment
- Cancer becomes more common after the age of fifty, especially breast cancer, lung cancer, bowel cancer and gynaecological cancers (womb, cervical, ovarian)
How you can help:
- Regular breast self- examination and mammogram screening every three years; colorectal cancer screening through stool sample plus possible sigmoidoscopy or colonoscopy; gynaecological cancer screening via cervical smear and HPV infection test every five years from 50 years age, regular pelvic examinations plus possible tumour marker testing and pelvic scan
At Roseneath Medical Practice we believe that health promotion and disease prevention are key to living a long, healthy life. To help you achieve this, for women over the age of fifty, our practice offers a variety of health assessments and screening tests, all with same day results.
A fantastic Review of our Richmond Doctors
The team here has been invaluable to me recently, and in particular Dr Soori, who has provided a level of care and support I have never quite encountered before here in London. Her follow up and aftercare is outstanding and certainly worth paying for. We will, without a doubt, be returning to the practice in future. – Jacinta Kerr