| Treatment | Description | |
|---|---|---|
| Cholecystectomy (including laparoscopic method) and per operative cholangiogram |
|
|
| Consultation for Dermatology, rash, acne, allergy, lump, abscess, cyst, wart or mole purposes at the practice |
Dermatology, lump, wart or mole consultation
Do you have a troublesome rash that keeps reappearing? Perhaps you suspect you have a skin allergy of some sort. Are you suffering from frustrating warts? Do you have numerous moles and want expert advice? A dermatology consultation can help with all these concerns and more.
Dermatologists are physicians specialising in the skin, nails, and hair. A dermatologist can competently handle any complaints or questions concerning these body areas. Let’s take a closer look at how a consultation with a dermatologist can benefit you.
What is Covered In a Dermatology Consultation?
A myriad of problems and topics can be covered in a dermatology consultation. Your concerns may include brittle hair, nail issues, skin infections, chronic skin conditions such as eczema or psoriasis, skin swelling or oedema, skin wounds, allergic skin conditions, warts, moles, rashes, insect stings, and more. If you are worried about skin pain, a mysterious lump, or scars, these concerns can also be addressed. Furthermore, you can consult a dermatologist about skin manifestations of non-dermatologic conditions like diabetes or multiple sclerosis.
Your dermatology consultation can also include services such as mole mapping. Mole mapping is a valuable procedure where your moles are recorded for surveillance in the future. Moles with changing characteristics can potentially be a sign of skin cancer, so your dermatologist needs to keep track of any changes.
What Happens During a Dermatology Consultation?
When you first visit a dermatologist for a consultation, you will be asked standard questions about your medical history, including your current medications and doses, as well as any prior surgeries. You will also be asked about habits such as drinking and smoking, your family medical history, allergies, and the reason for the consultation.
When you meet the doctor, they will make you comfortable and may ask further questions. Your dermatologist will then conduct an examination of the area in question. They may also take your vital signs and examine other locations, such as your ears and eyes.
Of course, you will have the chance to ask any questions you like of your dermatologist. They will provide advice, recommendations, and any necessary treatment plans.
Additionally, you may receive in-office treatment. This treatment could include mole mapping or removal of warts or verrucae. If your dermatologist finds a suspicious lesion, you could undergo a skin biopsy as well.
At the conclusion of the consultation, your dermatologist will instruct you on scheduling a follow-up visit. They will also write down any recommendations for home care or lifestyle changes. Finally, you will receive prescriptions for any necessary medications.
Get the Care You Need
There is no need to keep wondering about your skin rash, painful skin, or other issues. A dermatology consultation can answer your questions, provide you with a diagnosis, and get you started on the correct course of treatment. You can trust a skin specialist with all your dermatology needs and get the care and answers you deserve.
Don’t neglect your skin. Schedule your dermatology consultation now.
|
|
| 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.
|
|
| Full Body Mole Mapping |
Mole Mapping - Dublin & throughout Ireland
Moles are incredibly common skin features, and the vast majority of moles are completely harmless. Ranging from beauty marks to large “birthmarks,” nevi - the medical term for moles - are typically a normal part of the skin present from early childhood. However, moles can sometimes be an indication of an underlying problem.
In fact, certain types of moles may be a sign of melanoma, the deadliest form of skin cancer. Ireland has one of the highest rates of skin cancer in Europe, and data from 2017 indicates that melanoma cases are on the rise, according to the National Cancer Registry Ireland. Like all types of cancer, early detection is crucial to the effective treatment of melanoma.
For this reason, it is vital to have your skin checked by a dermatologist. These skin specialists can perform mole mapping, which is invaluable for cataloguing and tracking your moles and other skin characteristics and engage in mole removal when necessary.
What is Mole Mapping?
Much like a map of terrain records geographic features, mole mapping involves logging your skin features. Your dermatologist will perform a visual inspection of your skin and record the location, size, colour, shape, and other descriptions of your moles and any other lesions. You may very well have no suspicious or concerning moles. However, mole mapping is also essential for future surveillance.
Unchanging moles are low-risk for melanoma, yet moles that are new, growing, or shifting in size, shape, or colour may require further investigation. Your dermatologist may want to check your moles using dermoscopy, a specialized skin microscope. They may also decide to take a skin biopsy - a simple and largely painless procedure that can be accomplished in the clinic - to have your mole analysed by a pathologist.
What is Involved in Mole Mapping?
Mole mapping is straightforward. Your dermatologist will ask you to undress and will survey your skin. They will mark all your moles on a chart and list their characteristics. They may also take close-up photographs of your skin for comparison to future examinations. As stated above, your dermatologist may elect to perform dermoscopy or skin biopsies as necessary.
Who Should Undergo Mole Mapping?
Really, anyone can benefit from mole mapping. In particular, patients with many moles should certainly consider mole mapping. Speak with a dermatologist if you have questions or concerns. You should also be aware of the risk factors for melanoma. These factors include:
Fair or light-coloured skin
Frequent exposure to sunlight
A history of frequent sunburns
Numerous moles, especially moles that are unusual or irregular in appearance
A family history of melanoma
Melanoma has excellent survival rates, but only when the disease is caught in its early stages. If melanoma is detected late, the chances of survival can decrease significantly. Therefore, it is paramount to have regular skin surveillance, especially if you have one or more risk factors for melanoma. Make certain that you have a dermatologist examine your skin and undergo mole mapping if your dermatologist recommends it. Mole mapping is a brief, non-invasive procedure that could possibly save your life.
|
|
| 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.
|
|
| 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.
|
|
| Baby Gender Determination Scan |
This scan:
Determines the sex of your baby
Assesses the location of the pregnancy to make sure that it is the correct place
Checks that the baby is viable by looking for the heart beat
Measures the heart rate of the baby
Measures the head, abdomen and femur bone to check for normal foetal growth
Identifies some of the main organs to make sure that they appear normal for this gestation
Looks at the amount of amniotic fluid
Assesses the placenta and umbilical cord vessels.
This scan:
Cannot calculate foetal weight under 20 weeks
Cannot exclude all chromosomal or anatomical abnormalities
|
|
| 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.
|
|
| Detailed Anomaly Pregnancy Scan |
This scan is probably the most important diagnostic scan that takes place in a pregnancy.
The fetus is the correct size to have all the organs assessed so that the sonographer can see whether your baby has an obvious defect such as spina bifida or a cleft palate. If you are concerned about chromosomal problems this scan can detect subtle markers that may suggest that your baby is at higher risk for these syndromes. Examples of these markers are thickened skin behind the neck, excess fluid in the kidneys, short arms or legs, bright areas in the heart or abdomen or cysts in the brain.
Most babies are normal so this scan provides reassurance to the majority of patients. It is also important to note that this is a screening test and that positive or negative findings detected during the scan cannot guarantee either outcome.
This scan cannot exclude all abnormalities and syndromes.
|