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.

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.

Dear @b_itchy. You have likely correctly identified the trigger of your hive (urticaria). A skin prick test will help to identify the allergen that you are sensitive to. You might wish to consult your Family Physician/ designated workplace doctor to assist you in finding out the allergen and workplace modifications can possibly be done to reduce your exposure to the allergens.  Anti histamines such as zyrtec are safe for regular consumption and helps in treating urticaria. You might wish to take anti histamines prior to exposure of your allergens in order to prevent or reduce the severity of your urticaria. Hope this helps.