Treatment | Description | |
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Cholecystectomy (including laparoscopic method) and per operative cholangiogram |
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Cortisone Injection of Joint or Soft Tissue |
Cortisone Injections & Knee Injections
If you have been suffering from persistent or debilitating knee pain, you should consider asking your doctor about the possibility of a cortisone knee injection. Whether your knee pain is from an injury, most types of arthritis, bursitis, or even an unknown cause, an injection of cortisone may be able to provide you with effective and long-lasting relief. Here is more information about cortisone knee injections, including the risks and potential benefits.
Causes of Knee Pain
Chronic, or lasting, knee pain can have any number of causes. Perhaps you twisted your knee during a run or game of football. Maybe you have just begun an exercise programme, and your knee is giving you persistent trouble. You could be suffering from an episode of gout, tendinitis, or arthritis, including rheumatoid arthritis, osteoarthritis, or psoriatic arthritis.
A cortisone knee injection may be able to help with pain control in each of the above cases. Along with pain control, a cortisone injection may also assist with swelling, heat, and redness in your knee.
Before proceeding with a cortisone knee injection, your physician may first ask you to try more conservative measures. These efforts include applying ice to your knee, giving your knee a few days of rest, and using non-prescription anti-inflammatory drugs such as ibuprofen or paracetamol.
What is a Cortisone injection?
Cortisone is a synthesised hormone. While it is similar to the cortisol hormone produced by your body, cortisone has an anti-inflammatory effect. Inflammation can occur when your body is sick or injured and causes swelling, increased temperature, reddened skin, and pain. Inflammation is the result of a hyper-reaction in your immune system. In other words, your immune cells attack healthy cells instead of harmful microorganisms. Cortisone inhibits this immune response.
When administered by a physician, cortisone is generally safe. However, some side effects are possible, especially with repeated and prolonged use. These side effects include increased susceptibility to infections, puffiness of the face, increased blood sugar levels, bone integrity problems, and damage to nearby cartilage.
What Can You Expect from a knee injection?
If you and your doctor decide together to proceed with a cortisone knee injection, you can have the injection in your doctor’s office. Your physician will clean your knee and inject the cortisone into the appropriate location. The cortisone often contains an anaesthetic to minimise pain from the injection. Your doctor may use an x-ray to help guide the injection.
Follow your doctor’s aftercare instructions precisely. They may recommend icing your knee, and they might want you to follow up in a few days or to collect blood samples. You will likely notice relief from your knee pain in as little as 48 hours, and the effects can last for several months.
It is important to realise that cortisone injections cannot be given too often due to potential side effects. Generally, your physician will limit you to an injection every few months. Also, while cortisone is often effective for pain control, it will not resolve the underlying cause of your pain if your discomfort is due to a factor such as osteoarthritis or a major injury, like a torn knee meniscus. Your doctor can recommend more definitive treatments for these conditions.
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Cataract surgery on one eye |
Cataract Surgery
Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye that has developed opacification or become cloudy, which is referred to as a cataract. The cloudy lens is replaced with an artificial intraocular lens.
What is Cataract Surgery?
You have likely heard of cataracts since this condition is one of the chief causes of vision loss, particularly among those over 55 years old. However, contrary to what some may think, a cataract is not a growth of skin or tumour over the eye. Instead, cataracts are foggy eye lenses. Here, we will tell you all about cataracts, including treatment in the form of cataract surgery.
What is a Cataract?
A cataract is an opacification - or fogging - of the ocular lens. Each of your eyes has a lens that aids in focusing light onto your retina. In turn, your retina receives the light and transmits it along your optic nerves to your brain for interpretation. In essence, this is how you see.
Although cataracts can end up causing total or near-total loss of vision, most cataracts begin with only mild symptoms. The initial symptoms are usually blurred vision, difficulty seeing in bright light, double vision, poor night vision, faded colours, seeing “halos” or “auras” around light sources, and trouble with seeing electronic screens like televisions or computer monitors.
Why do Cataracts Form?
Cataracts form when the tissue that makes up the eye lenses changes. For the vast majority of cataracts, this change is simply the result of aging. Less often, cataracts may form as a result of eye injury. The injury may be caused by exposure to bright light, as seen in welders. The injury may also be eye trauma caused by accident or a foreign body. In a few cases, cataracts may arise from exposure to radiation, such as during certain types of cancer therapies.
While increasing age is the top risk factor for cataract formation, other risk factors include obesity, frequent exposure to bright sunlight without eye protection, diabetes, and hypertension (high blood pressure). Eye inflammation from disease and previous eye surgeries can also raise your risk for cataracts.
What is Involved in Cataract Surgery?
When vision impairment from cataracts reaches the point that it negatively impacts your daily life, your ophthalmologist may recommend cataract surgery. Cataracts can prevent you from driving, reading, watching television, and more. Cataract surgery is generally very successful and can help restore your vision.
Typically, cataract surgery is in the form of an intraocular lens (IOL) implantation. IOL implantation is a relatively straightforward procedure where your ophthalmologist removes your clouded lens and inserts an artificial lens. Of course, IOL implantation begins with a consultation with your ophthalmologist.
If your ophthalmologist determines that IOL implantation could be helpful in your case, they will take measurements of your eyes, usually using a painless ultrasound procedure. They will also select the best type of IOL for your situation.
If you have cataracts in both eyes, you will undergo surgery on a single eye at a time. The operation can be carried out in a clinic, and there is typically no need for an overnight stay in hospital. You will be sedated for the procedure, and your surgeon will remove the lens with the cataract. Next, they will insert the IOL and awaken you from sedation.
It is crucial to follow your surgeon’s postoperative instructions. Any discomfort should resolve after a few days, but it may take up to eight weeks for your eye to heal completely. Do not worry - you should have good vision during most of this time. Your new artificial lens will not degenerate over time, and most patients who have undergone cataract surgery enjoy decades of useful vision.
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3D/4D Pregnancy Scan |
The purpose of this scan is:
To view your baby in 3d and 4d and capture pictures and videos.
When to have a 3D/4D Well Being Pregnancy Scan
The 3D/4D pregnancy scan can be performed from 16-34 weeks. 28-34 weeks pregnant are usually the best stage.
How to prepare for a 3D/4D Well Being Pregnancy Scan
Make sure that you drink plenty of fluids in the week leading up to your scan. This may help increase the amniotic fluid around the baby allowing for better pictures. Feel free to empty your bladder before the scan. This can move the baby’s head into a better position. You can also have something sweet to eat or drink just before your scan to get the baby moving.
What to expect from a 3D4D Wellbeing Pregnancy Scan
You will be asked to lie down on the ultrasound examination couch. Some gel will be put on your tummy and an ultrasound probe with be moved over your belly to examine the pregnancy. The baby scan image will come up on a big screen television so that you can see your scan live. The presentation of the baby and location of the placenta will be checked. Standard measurements will be taken of the baby’s head, abdomen and femur bone. Some of the main organs that can be seen at this stage will be examined. The baby’s weight can be estimated after 20 weeks. Foetal movements and breathing will be surveyed throughout this pregnancy scan. The amniotic fluid volume, placenta location and umbilical artery resistance index will be sampled and checked for normality. Multiple 3D baby scan pictures and 4D clips will be taken of your baby throughout the scan. Duration of the 3D/4D Wellbeing Pregnancy Scan Depending usually takes about 30 minutes to perform this scan.
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Hip replacement |
If you decide to go privately, you can book with the hospital listed. You can either book and pay the provider later, book and pay a deposit online now directly to the hospital or book and pay in full online now. The provider will then be in contact with you directly to make an early appointment with one of their consultants. Once he/she has seen you they will advise as to the timing of any surgery. The surgery price shown includes
- All medical and professional costs during your inpatient stay
- A consultation before your operation and after your operation
- Semi private accommodation
A GP referral letter is required when you attend to see a consultant.
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Foetal Well-Being Pregnancy Scan |
The purpose of this scan is to:
Determine the presentation/lie of the baby
Locate the position of the placenta
Measure the amniotic fluid index
Assess the fetus’ growth by measuring the head, abdomen and femur bone.
Establish a current estimated foetal weight
Identify and measure foetal heart rate
Check the Doppler flow in the umbilical cord to check placental function (umbilical artery Doppler)
Determine the gender of the foetus if requested
This scan does not replace the 20 week Detailed Anomaly Scan It cannot exclude all chromosomal or anatomical abnormalities
What to expect from a Fetal Well-being Pregnancy Scan
The sonographer will put some ultrasound gel on your abdomen and move a scan transducer over your skin. The image will come up on a big screen television in front of you so that you can see all the structures that are being examined. The presentation of the baby and location of the placenta are established. Standard measurements are taken of the baby’s body parts. This includes measurements of the head, abdomen and femur bone in the leg. The main organs are examined. The baby’s weight is then estimated. The fetal breathing and movements will also be monitored throughout the duration of the scan. The amniotic fluid volume, placenta location and umbilical artery resistance index is assessed. The sex of the baby can also be determined at this stage so feel free to ask the sonographer to disclose this information.
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Knee replacement |
If you decide to go privately, you can book on our website by directly paying the hospital listed. You need only pay the hospital their deposit at this stage. They will then be in contact with you directly to make an early appointment with one of their consultants. Once he/she has seen you they will advise as to the timing of any surgery. The surgery price shown includes - All medical and professional costs during your inpatient stay - A consultation before your operation and after your operation - Semi private accommodation A GP referral letter is required when you attend to see a consultant.
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Non-invasive prenatal test (NIPT) |
Non-invasive prenatal testing (Nipt) analyses cell-free fetal DNA circulating in the mother’s blood. It is a screening test for Down syndrome (trisomy 21) and other conditions such as Edward’s syndrome and Patau syndrome (trisomies 18 and 13), as well as X and Y chromosome conditions. This blood test must be performed in conjunction with a dating ultrasound.
In addition to this the fetus’s sex can be determined with >99% accuracy. Accuracy for detecting other sex chromosome anomalies varies by condition. More importantly, the number of women who are required to have invasive testing (amniocentesis or CVS) after undergoing NIPT is
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Late Dating Pregnancy Scan |
Dating the pregnancy is still fairly accurate. This scan does not include umbilical artery Doppler or amniotic fluid index volume calculations as the pregnancy is too early for these assessments. Please note that this scan:
Is not the Nuchal Translucency / first trimester screening / Down Syndrome scan
Cannot calculate fetal weight at this stage
Cannot exclude all chromosomal or anatomical abnormalities
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