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

Possibly the most commonly quoted complication after Achilles surgery is wound breakdown. Even then, the risk is still < 5%.

Torn tendons can also be treated with functional bracing - this involves using a supportive walker boot and starting earlier range of motion 

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.

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 appreciate how you have an awareness that your altered sleep and drinking habits might be due to pandemic fatigue and that something could be done about it if you choose to.

I agree being isolated at home without the freedom to travel causes stress. I empathise with how you feel.

Although you could hold out a little longer to take action to become a better version of yourself, it’s also good to live in the present and make those positive alterations right now. That’s one of the pillars of mindful living. 

A trained life coach could be helpful in motivating you to achieve your goals, and collaborating with you to plot your actions against accountability. 

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 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, your daughter also has to cope with school stress from PSLE 2022. It must be hard for her as she needs to manage not just their own expectations but those of others.

For her 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. After all, as the goal is the child’s education and welfare, unrealistic expectations for each child would be reduced. Every child is unique. Your daughter has many special traits that only you and her Teachers would be able to harness to motivate her. 

I agree it is of concern that she is keeping herself isolated.

A trained life coach could be helpful in motivating her and keeping you in the loop.

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 do, with me.

Dear Serene, 
Yes you can. There is no drug interaction between Fluimucil (or acetylcysteine) and prednisolone.
Take care
mh