@tokkokking  No. There is no evidence that suggests that COVID vaccination affects Male or Female Fertility. Kindly refer to the link below. Hope this helps.

https://www.bbc.com/news/health-56012529#:~:text=Claims%20on%20social%20media%20that,bodies%20to%20attack%20the%20placenta.

Dear @Goldenwhiskey  The pfizer-BioNtech COVID-19 Vaccine is not recommended for patients with a history of anaphylaxis or severe allergies as well as severe drug reactions. You might wish to discuss your suitability for the vaccination with the healthcare team administering the vaccine prior to receiving it. Hope this helps.

Dear @Fit-me7 The pfizer-BioNtech COVID-19 Vaccine is not recommended for patients with a history of anaphylaxis or severe allergies as well as severe drug reactions. You might wish to discuss the degree of your allergy and your suitability for the vaccination with the healthcare team administering the vaccine prior to receiving it. Hope this helps.

Hi

It is common to lose range of the shoulder or the neck (cervical spine) after a sprain injury due to muscular spasm, pain or tightness. 

It will be advisable to have an orthopaedic surgeon evaluate you by way of clinical examination to ascertain if the problem is with the shoulder or the cervical spine. The loss of strength and inability to raise your arm above shoulder level seems to point to a rotator cuff injury. If there was a suspicion of rotator cuff injury or tear, or a slipped disc of the cervical spine, a MRI scan of the affected region would be highly recommended. 

These issues can be addressed with analgesia and physiotherapy. If the scans reveal a rotator cuff tear or a significant nerve compression from a slipped disc - only then is surgery advised. 

Dear @Siti I do not forsee any added risk for you with regards to receiving the COVID-19 vaccination. You may continue your daily anti histamines before and after receiving the vaccination. Hope this helps.

It's been 3 years since the surgery. If there is pain and crepitus, you should get an Xray and MRI of the wrist to evaluate the current situation. 

Dear @Kelvin_tan Kindly note that he is advised to take his covid-19 vaccination at least 2 weeks after his influenza and pneumococcal vaccine today. Hope this helps you in scheduling his vaccination appt.

Dear @ThankYou. Kindly note that HPV vaccination is recommended prior to any sexual interactions. You are right to point out that the risk of acquiring HPV is much lower if both partners are each other's " only partner for life". However no one can be 100% certain of their future and hence it is still advisable for patients to undergo HPV vaccination before sexually active. Hope this helps.

Hello! I appreciate how confusing your physical symptoms must be, and even frightening to experience them whilst on the road or at work. 

The doctors you’ve seen have diagnosed stress as a factor. Many people have been experiencing higher levels of stress due to the pandemic. Of course it doesn’t mean the diagnosis you’re also worried about, which is anxiety, cannot co-exist. But that is a specific condition that a psychiatrist for instance, would be better placed to answer. Such a specialist would also be able to answer your question about what medication would be helpful, after a thorough consultation. 

Meanwhile, in order to reduce your levels of stress and anxiety through non-medicinal methods, it might be helpful to keep good personal physical health. Drink plenty of water, and sleep well. 

Having a conversation with someone trained is helpful too. Life coaches are trained to help people to achieve their goals and become better versions of themselves. 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 with me.

Dear @nomanmarsuni Your mother belongs to the high risk group as she is elderly and has chronic conditions like diabetes. She will have poorer outcome in the unfortunate event if she contracts covid-19. 

It is recommended that she undergoes the covid-19 vaccination. However the vaccination center will definitely check on her medical and medication history thoroughly to ensure that she is suitable for vaccination before proceeding. You may wish to proceed to book her Covid-19 vaccination. 

Please be reminded to press on her vaccination site longer as she is on blood thinners, to prevent a big bruise on the injection site. Hope this helps.

Hi Jsmum,
Thanks for sharing this interesting case. Lesser toe deformities in children can be quite common as they grow. Deviation of the toe is usually referred to as curly toe deformities and typically get better as the child grows and wears more closed shoes. Of course, it is important to exclude other causes like a local growth pushing the toe out or a fracture. If the pain from rubbing on the deviated toe is causing more pain, I would suggest consultation with a foot & ankle specialist. 

Dear @JohnnyDoe  Prolonged PR interval might suggest first degree heart block.  Generally treatment is not required for first-degree heart block unless PR interval is extremely prolonged(>400 ms) or rapidly evolving. Cardiac Pacing might be required for extremely prolonged PR interval. You might wish to consult a cardiologist who might recommend further investigations such as 24 hours holter monitoring or threadmill test. Hope this helps.

Dear @leonida_hegmann There appears to be a displaced fracture of the right clavicle. You should have a discussion with the orthopedics surgeon managing your mother and discuss surgical and non surgical options. You can check with them how long her recovery is likely to take and optimise her sugar control before, during and after surgery. Hope this helps.

Dear @Ariana351 pregnancy is a possibility as there is risk of failure with use of any contraceptive methods including implants. The risk of failure is higher especially since the implant was not started at the onset of your menstruation cycle on 22nd Jan. A backup method of contraception such as barrier contraceptives is recommended when first started on implant.

Dear @sebastian. It will be good to do a urine pregnancy test to ensure you are not pregnant in view of delayed menses. Menstrual cycle can be irregular especially if you are down with a cold or unwell. You might wish to consult your gynaecologist or family physician if you have persistent irregular menses. They might consider further investigations or start you on hormonal tablets to regulate your menses. Hope this helps.

Dear @Bachoua94  You might wish to consult your family physician and get your throat examined. Quinsy ( Peri-tonsillar abscess) can present with severe sorethroat and severe pain when eating. If you are diagnosed with this condition, intravenous antibiotics as well as incision and drainage will be required for the tonsillar abscess. Hence I suggest you seek medical attention. Hope this helps.