Bunions can be corrected without surgery - using splints and spacer devises. Bunions are typically treated surgically once the deformity is quite significant and the patient is symptomatic

The typical anaesthesia is a general anaesthesia. This is quite routine with a very good safety profile and therefore very safe. ( risk of adverse events are < 5-10% ) 

Thanks for this question. I'm a Family Physician and always enjoy hearing from patients to get an idea of the current trends in management for neurological issues. 

In recent years, there's been a focus on multimodal treatment - meaning that healthcare providers have been combining different treatments together that affect different systems inside the body in order to have a more robust effect on treating stroke-related issues. 

A lot also depends on the causes of the stroke as well as the context of the patient. 

Some examples of these treatments include: 
-Medications - either pharmaceuticals designed specifically to help fight against potential future strokes or medications used to treat another medical issue but which also have side effects that work well for patients who've had a stroke 
-Physical therapy - used both while recovering from a stroke and afterward as needed by many individuals.

There is certainly a hereditary component. However, the commonest reason why bunions recur is because of poor footwear - tight, pointed heels with a minimal toe box. Tight calf muscles and ligamentous laxity are also risk factors

I have pictures of scarring on my arms as well but i’m unable to post more than one picture, but i believe there are the same kind of scars as the one i’ve posted above.

There should be no problem with getting the Covid vaccine after an abortion but if you feel too weak you may want to wait until you feel better, and it is probably appropriate to consult the gynaecologist that performed your procedure as there may be circumstances that are unique to you.

Hello! I appreciate how you’re thinking of your family whilst struggling through the pandemic. They must be important to you. 

You must have had some shared memories that are significant to your family & you. In order to stay positive, you might find solace in remembering these unique experiences.

It’s helpful also to share with them that you’re struggling so they can support you in ways that may not have occurred to you but could come up for them.

Finally, in order to stay positive mentally, it helps to keep good personal physical health. Drink plenty of water, and sleep well. 

If you would like to take the conversation further with me, you may contact me via my personal coaching website: www.jadelifeandwellness.com as many clients share the same struggles as you with me.

Hello! I appreciate how on top of all the stress you must be facing from the pandemic, you’re considering how to take care of others, like the elderly. 

Engaging them in conversations so they understand what is happening helps to reduce misinformation and help them understand the changes going on. 

They too experience mental and physical stress. In fact the concept of mortality and debilitating mental illness is top most on their minds, compared to many younger people.

As to your second question about breaking bad news, it’s important to have open conversations even if they’re difficult. It’s also important to monitor them closely as they cope with this bad news after. Other than focusing on what is said, there is also the unsaid, and other than focusing on their actions, also watch for things they’re neglecting to do.

A trained life coach could be helpful in motivating the elderly and their caregivers like yourself in getting though the pandemic. 

If you would like to take the conversation further with me, you may contact me via my life coaching website: www.jadelifeandwellness.com as many clients share similar struggles as you’ve shared, with me.

It’s probably safe to say Covid-19 has affected all of our mental health! 

Some signs might be feelings ranging from overt anger and sadness to quieter feelings of losing interest in career, relationships and life in general. Those feelings of languishing are cumulative and can have damaging effects to ourselves and those around us. 

Some physical signs might range from behavioural outbursts out of anger and sadness, resulting in verbal and physical conflict, to quieter actions indicating resentment- like a failure to show up for work or in relationships. Those quieter actions- like failure to groom or putting on excessive weight, can be cumulative and have long term effects.

Regardless it’s wonderful that you’re asking these questions. A trained life coach could be helpful in motivating you and helping you become a better version of yourself.

If you would like to take the conversation further with me, you may contact me via my life coaching website: www.jadelifeandwellness.com as many clients share the same struggles as you have, with me.

Hello! I’m sorry that your son is grieving, on top of stress at varying levels from the pandemic and school work. It must be hard for him to deal with death of a schoolmate, both at such a young age.

Every child is unique, and I appreciate how you’re looking out for him as a parent. Some children need more time to process bad news, as well as to formulate awareness of the impact on their own actions. Left unchecked it could have an impact on other aspects of his life including school work, relationships with others, even years later. Post-traumatic psychological stress can take time to manifest and take time to heal. Pay more attention to him, to what he says and more importantly what he doesn’t say, what he does and also what he is neglecting to do. 

A trained life coach could be helpful in speaking with him and keeping you in the loop. However if he requires therapy or psychiatric help, then this needs to be escalated. It’s difficult for me to be sure where he is at the moment. 

If you or your child would like to take the conversation further with me, you may contact me via my life coaching website: www.jadelifeandwellness.com I have other clients share about with coping with death, with me.

Hello! I appreciate how on top of all the stress from the pandemic, students also have to cope with school stress. They need to manage not just their own expectations but those of others.

For their own expectations, it’s good to encourage students to be curious and learn, so they don’t hate school. Rewarding effort is more important than focusing on grades.

For school and parental expectations, it’s important to encourage two-way conversations so the child can benefit. If both sides agree the goal is the child’s education and welfare, unrealistic expectations for each child would be reduced. Every child is unique. 

For external factors including other classmates’ parents and competition amongst various parties, the priority shouldn’t be on managing them. You can only manage your own expectations as the adult, and try to nurture the child.

If you would like to take the conversation further with me, you may contact me via my personal coaching website: www.jadelifeandwellness.com as many clients share the same struggles as you do, with me.

Hi @Healthcomesfirst unfortunately I am unable to view your image. However, from what you describe - it sounds like you would benefit from a visit to your optician to check your refraction and vision, as incorrect/inadequate vision correction or improper fit can lead to this. If that turns out to be corrected adequately, you would need a physical examination by your general practitioner or family physician for further evaluation. 

An iron saturation of 5.64% shows that you most likely have iron deficiency anemia. It would be good to consult a doctor and show him/her the full results of your full blood count (haemoglobin levels) and the full iron studies (including ferritin level).
Iron deficiency anemia could be caused by dietary iron deficiency. But more importantly, it could be due to blood loss which could be due to various reasons. In females, one common cause of iron deficiency anemia due to blood loss is menstrual blood loss. Another important source of blood loss is the gastrointestinal tract (eg stomach or large intestine).
I would suggest that you consult a doctor and he/she will be able to help you further.

Dear @GiuliaManfredi  There are different types of COVID-19 vaccination-eg MRNA, inactivated virus etc.  Covid-19 vaccination should not affect your control of Graves's disease and taking Methimazole is not a contraindication to COVID-19 Vaccine in Singapore. (https://www.moh.gov.sg/covid-19/vaccination/faqs---safety-and-efficacy-of-the-covid-19-vaccine)

You might wish to have a personalised discussion with your Endocrinologist about your condition and whether the COVID-19 vaccines available in your country is suitable for you.

Hope this helps.