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0
Hi @Jo_c sorry to hear about this accident! De-roofing the blister yourself is not recommended due to the infection risk which can make things worse. Do take some pain killers and go for a review with a GP near your home as soon as you can, especially if there is no pain or decreased sensation.
Before you leave, check your vaccination records and bring the latest ones along with you if you can (specifically check "Tetanus" vaccine or "DTP" vaccine if you have them). Hope this helps!
Before you leave, check your vaccination records and bring the latest ones along with you if you can (specifically check "Tetanus" vaccine or "DTP" vaccine if you have them). Hope this helps!
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Hi!
From what I can see on the image it does not appear to look like hives. Secondly I would avoid giving antihistamines like benadryl I'm a child less than 6 months. The safest antihistamine one can give at the age of 6 months can be fexofenadine or cetirizine which are second generation anti- histamines.
I would suggest a visit to the pediatrician to have a better look at this rash.
From what I can see on the image it does not appear to look like hives. Secondly I would avoid giving antihistamines like benadryl I'm a child less than 6 months. The safest antihistamine one can give at the age of 6 months can be fexofenadine or cetirizine which are second generation anti- histamines.
I would suggest a visit to the pediatrician to have a better look at this rash.
0Hi!
I'm sorry to hear about your occular stroke last month, I do hope you have managed to recover without much deficits. This full ache in your left calf sounds non specific, however as it is only isolated to your left calf and it has been there for a few days I would suggest you get this checked out. One possibility like you rightly pointed out is a blood clot.
I would suggest you get an ultrasound scan done of your leg to rule out a blood clot and avoid vigorous exercise till you get the scan done.
I'm sorry to hear about your occular stroke last month, I do hope you have managed to recover without much deficits. This full ache in your left calf sounds non specific, however as it is only isolated to your left calf and it has been there for a few days I would suggest you get this checked out. One possibility like you rightly pointed out is a blood clot.
I would suggest you get an ultrasound scan done of your leg to rule out a blood clot and avoid vigorous exercise till you get the scan done.
0
Hi ladymouse
Sorry to hear about your injury! The small joints of the finger can be quite prone to develop stiffness after an injury and tendon repair. It’s quite common not to be able to regain full function/motion after such an injury.
Nonetheless, if the result is not satisfactory, it might be worth getting an ultrasound scan done to look at how the tendon repair is doing and also how much excursion (sliding) of the tendon is possible. Options for adhesions can include more therapy, a steroid injection and manipulation of the joint and surgery for adhesiolysis. As for shockwave, I’m not aware of data that it’s useful though I don’t see how it can be harmful.
Hope that helps!
Sorry to hear about your injury! The small joints of the finger can be quite prone to develop stiffness after an injury and tendon repair. It’s quite common not to be able to regain full function/motion after such an injury.
Nonetheless, if the result is not satisfactory, it might be worth getting an ultrasound scan done to look at how the tendon repair is doing and also how much excursion (sliding) of the tendon is possible. Options for adhesions can include more therapy, a steroid injection and manipulation of the joint and surgery for adhesiolysis. As for shockwave, I’m not aware of data that it’s useful though I don’t see how it can be harmful.
Hope that helps!
0
Hi Lunarorbit,
Thanks for your detailed description! Whether an ankle ligament reconstruction (Brostrom) would benefit you or not, boils down to the assessment of whether your symptoms are due to ankle ligament laxity.
A lot of times, we expect a torn ligament to manifest as a “loose” ankle that rolls over or gives way easily.
However, that’s not always true and there are many people who instead have symptoms of an achy and sore ankle with activity instead. This is because the ankle joint mechanics is off due to the loss of ligament function.
If you’ve had an MRI done already which shows the ankle is healthy except for the ligament tear and bone avulsion, then there’s a pretty good chance your symptoms are due to the laxity and altered mechanics from the incompetent ligament. Another soft sign is if your ankle feels better or more secure when you wear a brace - this can also be an indicator that the symptoms are due to loss of ligament function.
Thanks for your detailed description! Whether an ankle ligament reconstruction (Brostrom) would benefit you or not, boils down to the assessment of whether your symptoms are due to ankle ligament laxity.
A lot of times, we expect a torn ligament to manifest as a “loose” ankle that rolls over or gives way easily.
However, that’s not always true and there are many people who instead have symptoms of an achy and sore ankle with activity instead. This is because the ankle joint mechanics is off due to the loss of ligament function.
If you’ve had an MRI done already which shows the ankle is healthy except for the ligament tear and bone avulsion, then there’s a pretty good chance your symptoms are due to the laxity and altered mechanics from the incompetent ligament. Another soft sign is if your ankle feels better or more secure when you wear a brace - this can also be an indicator that the symptoms are due to loss of ligament function.
0
Hi @vermie
Very unfortunate that you got a burn. Managed to see the pic. Hope you get better soon.
Did you run the hand under running cool water after the burn ? That can potentially help.
As for the paste, I wouldn’t suggest it as it has chemicals in the whitening component which can be more harmful.
Aloe Vera and honey can be helpful home remedies.
From the retail pharmacies - you can request for a Silvin cream ( Burn cream ) and apply it twice a day.
If you notice increasing redness , swelling or feeling feverish or notice discharge , pls consult your doctor at the soonest.
Hope this helps.
Very unfortunate that you got a burn. Managed to see the pic. Hope you get better soon.
Did you run the hand under running cool water after the burn ? That can potentially help.
As for the paste, I wouldn’t suggest it as it has chemicals in the whitening component which can be more harmful.
Aloe Vera and honey can be helpful home remedies.
From the retail pharmacies - you can request for a Silvin cream ( Burn cream ) and apply it twice a day.
If you notice increasing redness , swelling or feeling feverish or notice discharge , pls consult your doctor at the soonest.
Hope this helps.
0
@BusinessJing thanks for your question again. Critically ill patient can develop anytime any complications by secondary infections also.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152411/
SERS COV 2 does not cause directly meningitis, endocarditis but after attacking of this virus when immune system doesn’t work properly ,the patient may develop other complications by others micro-organism and can develop above mentioned complications.
When the virus enters someone’s cell through nostrils or inhalation ,cytokine release and develop alveoli oedema in periphery of lungs and can cause pneumonia.Patient develops breathlessness.
But some drugs need to treat the COVID 19 patient to prevent secondary infection(azithromycin,fexofenadin, hydroxyichloroquine) have some side effect of QT prolongation of heart and chance of myocardial infarction.that is why during under treatment of COVID 19 patient ECG should be routine check up. Singapore Government is very cooperative and treatment facilities is high standard comparative others country.
In late stage of COVID 19 patient who are in critically ill they may develop any complications at any time and can develop organ failure finally death.
Stay home and stay blessed. Because this is deadly virus and spread very rapidly.
SERS COV 2 does not cause directly meningitis, endocarditis but after attacking of this virus when immune system doesn’t work properly ,the patient may develop other complications by others micro-organism and can develop above mentioned complications.
When the virus enters someone’s cell through nostrils or inhalation ,cytokine release and develop alveoli oedema in periphery of lungs and can cause pneumonia.Patient develops breathlessness.
But some drugs need to treat the COVID 19 patient to prevent secondary infection(azithromycin,fexofenadin, hydroxyichloroquine) have some side effect of QT prolongation of heart and chance of myocardial infarction.that is why during under treatment of COVID 19 patient ECG should be routine check up. Singapore Government is very cooperative and treatment facilities is high standard comparative others country.
In late stage of COVID 19 patient who are in critically ill they may develop any complications at any time and can develop organ failure finally death.
Stay home and stay blessed. Because this is deadly virus and spread very rapidly.
0@BusinessJing thank you for your question.
Those who are on duty in Corona related patient they need respiratory filtration type mask and also need surgical type of mask with face sheild. But mandatory mask is respiratory mask.
N95 Mask:
(The N95 mask has a full name of NIOSH-certified N95 respirator, which means these respirators are tested of 95% filtration and certified by the U.S. National Institute of Occupational Safety & Health (NIOSH)
KN95 mask:
(The KN95 respirator is a particulate-filtering mask tested using the China criteria)
FFP2 mask and KF94 mask:
FFP2 made as Europian standard and KF94 South korean standard.
(The FFP2 is a filtering facepiece score of 94% filter capacity approved by Europe and the KF94 is tested by Korea criteria. Actually, both the N95, KN95, FFP2 and KF94 respirators have almost the same filtration efficiency, it means that KN95, FFP2, and KF94 are as effective as the N95 respirator mask. The main difference between these respirators is that they are tested by different nations.
Comparative criteria:
N100 (99.97%) = FFP3 (99.95%) > N95 (95%) = KN95 (95%) = FFP2 (94%) = KF94 (94%) > KN90 (90%).
Hope you can understand now easily.
The normal and the safest way to avoid and suffering from corona is to stay at home.We are frontliner fighter working at battle field that u all are safe.Each and every life is important to the nation.
Plz keep maintain distance and wear mask in appropriate way.Stay safe.
Dr Mst Shabnam Shaila Sharmin.
Those who are on duty in Corona related patient they need respiratory filtration type mask and also need surgical type of mask with face sheild. But mandatory mask is respiratory mask.
N95 Mask:
(The N95 mask has a full name of NIOSH-certified N95 respirator, which means these respirators are tested of 95% filtration and certified by the U.S. National Institute of Occupational Safety & Health (NIOSH)
KN95 mask:
(The KN95 respirator is a particulate-filtering mask tested using the China criteria)
FFP2 mask and KF94 mask:
FFP2 made as Europian standard and KF94 South korean standard.
(The FFP2 is a filtering facepiece score of 94% filter capacity approved by Europe and the KF94 is tested by Korea criteria. Actually, both the N95, KN95, FFP2 and KF94 respirators have almost the same filtration efficiency, it means that KN95, FFP2, and KF94 are as effective as the N95 respirator mask. The main difference between these respirators is that they are tested by different nations.
Comparative criteria:
N100 (99.97%) = FFP3 (99.95%) > N95 (95%) = KN95 (95%) = FFP2 (94%) = KF94 (94%) > KN90 (90%).
Hope you can understand now easily.
The normal and the safest way to avoid and suffering from corona is to stay at home.We are frontliner fighter working at battle field that u all are safe.Each and every life is important to the nation.
Plz keep maintain distance and wear mask in appropriate way.Stay safe.
Dr Mst Shabnam Shaila Sharmin.
0
Hi @Tani
1) Your main complaint sounds like a septal ( the internal part which separates the left and right nostril) deviation. If you had any injury in the past, this could be a possibility too. This at times can be related with slightly higher likelihood with allergic rhinitis . Simple anti histamines like Cetrizine or prescription nasal sprays might be helpful. If symptoms are persistent and worsening , would need a review by an ENT specialist to take a closer look inside.
2) sounds like an allergic problem. As long as there is no fever, shortness of breath or cough when you are not wearing the masks and symptoms of shortness of breath and dizziness only appear when you the wear the mask , then it’s most likely related to the mask itself. If you are using a cloth or cotton mask - there is higher chances of it. Did you manage to try surgical masks to see whether the symptoms appear with those as well?
Hope this helps .
1) Your main complaint sounds like a septal ( the internal part which separates the left and right nostril) deviation. If you had any injury in the past, this could be a possibility too. This at times can be related with slightly higher likelihood with allergic rhinitis . Simple anti histamines like Cetrizine or prescription nasal sprays might be helpful. If symptoms are persistent and worsening , would need a review by an ENT specialist to take a closer look inside.
2) sounds like an allergic problem. As long as there is no fever, shortness of breath or cough when you are not wearing the masks and symptoms of shortness of breath and dizziness only appear when you the wear the mask , then it’s most likely related to the mask itself. If you are using a cloth or cotton mask - there is higher chances of it. Did you manage to try surgical masks to see whether the symptoms appear with those as well?
Hope this helps .
0
Hi @SL
Sorry to hear about your finger. It does sound bothersome.
I would advise that you see a doctor to exclude infection in view of the symptoms you mentioned.
Sorry to hear about your finger. It does sound bothersome.
I would advise that you see a doctor to exclude infection in view of the symptoms you mentioned.
0Hi @Jayde sorry to hear that! The truth is, although this is suggestive for BPPV, it could be due to any of those causes, including other possibilities. Others include low sugar levels since you were exercising at the time, or other more severe problems involving parts of the brain such as the cerebellum that could be life-threatening. Unfortunately it is not possible to differentiate between them without performing a more detailed assessment.
Therefore, I strongly recommend to seek medical attention for a more detailed assessment. I hope this helps!
Therefore, I strongly recommend to seek medical attention for a more detailed assessment. I hope this helps!
0Hi @jumpygiraffe
That is a good thought.
However, in some individuals, they may require serial testing before it turns positive as the virus has an incubation period.
Hence, in high risk individuals, a single negative test does not mean the person will not be infected subsequently. Mass giving out kits may lead to misconception that a single negative test excludes one from being tested positive in the future.
Currently in Singapore, they are already adopting a pro-active approach whereby healthcare workers are being rostered to swab people residing in clusters such as the recent dormitory cluster. I feel that that may give us a higher yield, to swab those individuals with known risks/exposure rather than the general public.
That is a good thought.
However, in some individuals, they may require serial testing before it turns positive as the virus has an incubation period.
Hence, in high risk individuals, a single negative test does not mean the person will not be infected subsequently. Mass giving out kits may lead to misconception that a single negative test excludes one from being tested positive in the future.
Currently in Singapore, they are already adopting a pro-active approach whereby healthcare workers are being rostered to swab people residing in clusters such as the recent dormitory cluster. I feel that that may give us a higher yield, to swab those individuals with known risks/exposure rather than the general public.
0
Yes. It might be a possibility but the government is now enforcing food workers to wear mask of face fines. As Long S they have masks on, you should be safe.
0
Hi @Gabriel
Thanks for ur questions. Sounded like an essay in the making.
From my point of view:
Pressing Problems:
1) Numbers of covid-19 rising- rate of community spread is relatively high in Singapore compared to other developed countries in Asia
2) Resource allocation- with more cases, Increased need for resources such as ICU/isolation beds, manpower including lab staff, Nurses etc. And hence prioritisation of need for non-covid19 cases in healthcare setting leading to postponement of procedures and reviews
3) Disruption of schedule with lockdown
Solution:
Solution to the above mentioned issues would be to control the infection rates of covid-19. And how do we do that?
Everyone plays a part.
Be socially responsible, stay home, minimise unnecessary travel, wear masks when out of the house.
If we are able to control the numbers, it is hopeful that everything can return to normal. However, the bigger issue is regional and global as the economy has taken a great hit.
How to cope better:
If you are unable to change the situation, the best way is to change your mindset. Circuit breaker is a national effort with an aim of curbing infection rates by minimising contact within the community and hence community spread of covid-19. Staying home may be challenging for some, but it is still better to be home healthy than to be in the hospital unwell.
I hope this helps.
J
Thanks for ur questions. Sounded like an essay in the making.
From my point of view:
Pressing Problems:
1) Numbers of covid-19 rising- rate of community spread is relatively high in Singapore compared to other developed countries in Asia
2) Resource allocation- with more cases, Increased need for resources such as ICU/isolation beds, manpower including lab staff, Nurses etc. And hence prioritisation of need for non-covid19 cases in healthcare setting leading to postponement of procedures and reviews
3) Disruption of schedule with lockdown
Solution:
Solution to the above mentioned issues would be to control the infection rates of covid-19. And how do we do that?
Everyone plays a part.
Be socially responsible, stay home, minimise unnecessary travel, wear masks when out of the house.
If we are able to control the numbers, it is hopeful that everything can return to normal. However, the bigger issue is regional and global as the economy has taken a great hit.
How to cope better:
If you are unable to change the situation, the best way is to change your mindset. Circuit breaker is a national effort with an aim of curbing infection rates by minimising contact within the community and hence community spread of covid-19. Staying home may be challenging for some, but it is still better to be home healthy than to be in the hospital unwell.
I hope this helps.
J
0
Hi @fair
I’m sorry your family is going through a tough time.
All procedures carry some form of risks, some may be common while some are rare. We always weigh the benefits versus the risks in deciding if the procedure is worth going ahead with.
However, If you feel unsure about making a decision on which procedure to opt for, there is no wrong in seeking a second opinion from a cardiologist.
My advise is: To bring the relevant records including past clinical investigations/reports and bring your mum for a consult with another cardiologist so that you can consider your options better.
Take care >>
I’m sorry your family is going through a tough time.
All procedures carry some form of risks, some may be common while some are rare. We always weigh the benefits versus the risks in deciding if the procedure is worth going ahead with.
However, If you feel unsure about making a decision on which procedure to opt for, there is no wrong in seeking a second opinion from a cardiologist.
My advise is: To bring the relevant records including past clinical investigations/reports and bring your mum for a consult with another cardiologist so that you can consider your options better.
Take care >>
0
Hi there,
I would be very happy to treat you if you are looking specifically for neuromuscular management for TMJ pain. Please kindly let me know the severity of your pain as this will decide if you can be seen at a dental clinic during the Circuit Breaker Period.
please kindly contact hello@nuffielddental.com.sg
I would be very happy to treat you if you are looking specifically for neuromuscular management for TMJ pain. Please kindly let me know the severity of your pain as this will decide if you can be seen at a dental clinic during the Circuit Breaker Period.
please kindly contact hello@nuffielddental.com.sg
0Hi @Charlycat
For your interest, this article talks about a Belgian-Dutch study which suggested that safe distance when running, biking and walking during COVID-19 times is further than the typical 1–2 meter as prescribed in different countries!
In summary, the article suggested:
“for walking the distance of people moving in the same direction in 1 line should be at least 4–5 meter, for running and slow biking it should be 10 meters and for hard biking at least 20 meters.”
https://medium.com/@jurgenthoelen/belgian-dutch-study-why-in-times-of-covid-19-you-can-not-walk-run-bike-close-to-each-other-a5df19c77d08
In addition, Paris has also started to ban daytime jogging as outlined in the article below:
https://www.channelnewsasia.com/news/world/paris-bans-daytime-jogging-to-fight-spread-of-covid-19-12618872?cid=FBcna
Henceforth, although the nature parks in Singapore are open air and safer than in confined spaces like indoor gyms, it is prudent for one to observe safe distancing measures to protect yourself and minimise travel to further curb the spread of covid-19.
For your interest, this article talks about a Belgian-Dutch study which suggested that safe distance when running, biking and walking during COVID-19 times is further than the typical 1–2 meter as prescribed in different countries!
In summary, the article suggested:
“for walking the distance of people moving in the same direction in 1 line should be at least 4–5 meter, for running and slow biking it should be 10 meters and for hard biking at least 20 meters.”
https://medium.com/@jurgenthoelen/belgian-dutch-study-why-in-times-of-covid-19-you-can-not-walk-run-bike-close-to-each-other-a5df19c77d08
In addition, Paris has also started to ban daytime jogging as outlined in the article below:
https://www.channelnewsasia.com/news/world/paris-bans-daytime-jogging-to-fight-spread-of-covid-19-12618872?cid=FBcna
Henceforth, although the nature parks in Singapore are open air and safer than in confined spaces like indoor gyms, it is prudent for one to observe safe distancing measures to protect yourself and minimise travel to further curb the spread of covid-19.
0
Hi @Concerned101 this is unclear as I am not able to find any descriptions on the effectiveness of Quat for this application, let alone the safety of doing this. Would not recommend it!
0Hi @passerby firstly, Im sorry to hear this and Im sure this must be concerning. Unfortunately as this is a new virus, the definition for what constitutes significant exposure that places you at risk is evolving as more information comes to light. That being said, I would reassure you that the risk in your situation is very low, unless you were directly exposed to the patient or their environment while they were coughing/sneezing. Also, not everyone with symptoms has the coronavirus as there are other common viruses that cause similar symptoms.
MOH has defined what you describe as “transient contact” that amounts to low risk, more information at this link https://www.moh.gov.sg/covid-19/faqs. The CDC, also considered by most as a reliable resource, identifies this as direct exposure to coughing/sneezing from a confirmed patient, spending 10mins within 6 feet of a confirmed patient, among others at this link: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDexposed.pdf
Ultimately, with respect to what to do - there is possible community spread in Singapore now so it would be best to adopt the recommended social distancing measures to protect your loved ones, and seek medical attention early if you feel unwell, especially since you may have been exposed. If convenience is an issue, the assessment can be done online via apps like DoctorWorld that provide video-based consultations, and depending on your condition, the attending doctor may be able to prescribe suitable medications and have them delivered to you. Here is a link that shares more about this: https://www.todayonline.com/brand-spotlight/doctor-will-see-you-next-app
Hope this helps!
MOH has defined what you describe as “transient contact” that amounts to low risk, more information at this link https://www.moh.gov.sg/covid-19/faqs. The CDC, also considered by most as a reliable resource, identifies this as direct exposure to coughing/sneezing from a confirmed patient, spending 10mins within 6 feet of a confirmed patient, among others at this link: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDexposed.pdf
Ultimately, with respect to what to do - there is possible community spread in Singapore now so it would be best to adopt the recommended social distancing measures to protect your loved ones, and seek medical attention early if you feel unwell, especially since you may have been exposed. If convenience is an issue, the assessment can be done online via apps like DoctorWorld that provide video-based consultations, and depending on your condition, the attending doctor may be able to prescribe suitable medications and have them delivered to you. Here is a link that shares more about this: https://www.todayonline.com/brand-spotlight/doctor-will-see-you-next-app
Hope this helps!
0
How early a person starts undergoing mammogram depends on the background risk. For normal risk individuals, Hpb Guidelines recommend mammogram after 50 years old once every 2 years. However, in individuals with risk factors such as history of BRCA mutation in the family, strong family history of breast cancers, and in patients who experience symptoms, they shd undergo some form of screening at an earlier age.
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