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THE<strong>Apple</strong><br />
TODAY’S NEWS FROM YOUR DOCTORS <strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong><br />
How do you feel?<br />
Breast cancer is the commonest cancer in the UK.<br />
Self-examination can literally be a life saver…<br />
Do you have a Sixth Sense?<br />
A doctors instinct can make all the difference<br />
Anxiety in Children<br />
It’s surprisingly easy to make matters worse<br />
Does food influence mood?<br />
Could you have irritable bowel syndrome (IBS)?<br />
Screen Sensation<br />
One simple check could save your life. ..<br />
BLUE PAGES<br />
Our very own accredited<br />
Healthcare, Wellbeing & Lifestyle<br />
Directory featuring carefully<br />
selected JDoc365 Affiliate<br />
Partners, all of whom are here to<br />
help you.<br />
SEE PAGE 14<br />
MEET THE DOCTOR<br />
Dr. Lewin<br />
SEE PAGE 5<br />
www.jdoc365.co.uk APPOINTMENTS 0800 043 1492
Spring is in the air…<br />
Emerging from Winter, the brighter days are within touching distance<br />
now. In this edition of The <strong>Apple</strong>, we want to help you make sure<br />
nothing spoils the new season for you or your family.<br />
Many types of health screening are beneficial. We provide them to help detect, prevent and treat many illnesses and<br />
conditions in JDoc365 patients. Breast cancer screening for example, can be a life saver. Dr. Sylvia Abramov offers<br />
sound advice on the subject in her article on page 6, whilst I share some of my own experience on page 8.<br />
Whilst some children are naturally outgoing, others are held back by anxiety. Emma Citron specialises in child<br />
psychology, and many will find her article on page 4 enlightening. And did you know that your mood can be<br />
influenced by what you eat and drink? Tara Whyand, specialist dietitian and nutritionist, suggests some lifestyle<br />
adjustments that could help put the smile back on your face on page 7.<br />
Planning a holiday? You’ll have read about the Zika virus, so check carefully before travelling anywhere. You may need<br />
travel ‘jabs’ or vaccinations, so get them in plenty of time. We can tell you exactly which ones you’ll<br />
need, and how far in advance of travelling you’ll need them.<br />
And if there’s anything else we can do for you or your family, remember we’re only a phone call way.<br />
Kind regards,<br />
Dr.Walter Abelman<br />
JDoc365 Founder and Medical Director<br />
THE<strong>Apple</strong><br />
3 Do you have a Sixth Sense?<br />
A doctors instinct can make all the difference<br />
4 Anxieties & Phobias in Children<br />
No individual is immune to anxiety across the age ranges<br />
6 How do you feel?<br />
Breast cancer is the commonest cancer in the UK.<br />
Self-examination can literally be a life saver…<br />
7 Does food influence mood?<br />
Could you have irritable bowel syndrome (IBS)?<br />
8 Screen Sensation<br />
One simple check could save your life...<br />
10 Flight or Fight<br />
Anger can weaken immunity and lead to heart disease<br />
12 The Zika Virus<br />
More cases from Brazil, Latin America and the Caribbean<br />
14 Blue Pages<br />
The JDoc365 Healthcare, Wellbeing & Lifestyle Directory<br />
COVER PICTURE Michelle Kenny-Moore and Claire Goldwater complete the 26 mile<br />
‘Moonwalk’ last year to raise funds for Breast Cancer Research (see page 8)<br />
<strong>Apple</strong> Magazine is designed and produced by nCompass Communications 01707 693131<br />
10<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong><br />
In this Issue…
Sixth sense<br />
By Dr. Herschil Lewin<br />
A doctors instinct<br />
can make all the<br />
difference<br />
I feel very privileged to be able to help my patients as a<br />
result of the study and training I have received, and the<br />
experience I have gained throughout my 30 year<br />
medical career.<br />
Whilst constant advances in medical science provide<br />
new insight, and the ability to prevent and treat many<br />
illnesses now, many doctors also posses an invaluable<br />
‘sixth sense’ when examining patients.<br />
Sometimes, an internal alarm bell<br />
will ring, and I will be compelled<br />
to check for something purely on<br />
an inexplicable ‘hunch’<br />
This happened to me not so long ago. A mother<br />
brought her nine month old baby boy to me for a<br />
check-up as he had a slightly raised temperature.<br />
Having conducted all the obvious checks with no cause<br />
for alarm, an inner voice told me that something was<br />
still not right. I referred the baby to hospital to be sure,<br />
and his mother took him straight there.<br />
When the baby was being examined in the hospital, he<br />
suddenly developed a rash which hadn’t been evident<br />
before. It turned out to be bacterial meningitis, so the<br />
appropriate medication was administered without<br />
delay. Thankfully he made a full recovery, thanks in part<br />
to being in the right place at the right time.<br />
Similarly, on another occasion a concerned mother<br />
brought her child to see me as he was struggling with a<br />
nasty cold. Maybe parents also develop a sixth sense<br />
when caring for their children, as suddenly his<br />
demeanour changed and I realised that something<br />
more serious was going on. I put the patient on the<br />
couch, and a moment later he stopped breathing and<br />
his eyes rolled up. Although terrifying for the patient<br />
and mother, we were quickly able to resuscitate him<br />
and return his vital signs to a normal level.<br />
Fortunately cases like this are very rare, but they do<br />
happen. Most of the time, the conditions are selflimiting<br />
and everything settles back to normal with little<br />
additional intervention. Even when more serious<br />
conditions are found, modern medicine can now treat<br />
them effectively. During my career, advances in medical<br />
science have given us access to new drugs and<br />
medication, and a deep understanding of how to<br />
administer them for the greatest effect. Guidelines have<br />
been developed to help us treat and monitor<br />
conditions, and there is a huge bank of research and<br />
information which doctors can access to help provide<br />
the best possible service to our patients.<br />
Having successfully tackled so many conditions, patients<br />
now live longer than ever before. As a direct result,<br />
new diseases like dementia have replaced them, and<br />
our aging population has new and different healthcare<br />
needs compared to previous generations.<br />
The challenge of meeting the needs of the patients of<br />
the future goes on. Further amazing advances in<br />
medical science continue to help, but the doctors sixth<br />
sense will always have an important role to play in<br />
looking after patients.<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 3
AFFILIATE PARTNER FEATURE<br />
EMMA CITRON<br />
Anxieties & Phobias in Children<br />
Children, like adults, can experience anxieties and phobias, and in equal<br />
measure. No individual is immune to anxiety across the age ranges.<br />
We see anxiety manifesting itself in children as young<br />
as a few months old in extreme circumstances. They<br />
may go off their food, have sleep disturbance, become<br />
withdrawn or hard to manage when stressed. This is<br />
well recognised now by parents, carers and educators.<br />
Some children are more anxious than others, and we<br />
recognise the child who worries about contracting<br />
SARS or any other ailments they learn about on<br />
posters, at school or via the media. Some may worry<br />
about the safety of their parents if they cycle to work<br />
or travel abroad, or terrorists or plane crashes. We<br />
should remember that children’s anxieties are no more<br />
‘irrational’ than our own.<br />
changes in behaviour, avoidance behaviours or<br />
apparent distress, then assessment by a registered<br />
Clinical Psychologist will be useful. They may consider<br />
cognitive behavioural therapy or other techniques.<br />
Don’t try this yourself, as you may inadvertently make<br />
the anxieties worse, especially if the child perceives that<br />
family members find their worries fanciful or absurd.<br />
Anxiety is useful and can help a child<br />
to perform at their best in a school<br />
show or test<br />
Anxiety prepares a person for ‘fight or flight’ and results<br />
in a surge of adrenalin. However, when worry causes<br />
distress and avoidance of usually enjoyed activities, this<br />
is an issue which is likely to need addressing.<br />
An 8 year old child came to me as he was convinced<br />
that there were snipers in his garden who were<br />
threatening the wellbeing of his loved ones. This may<br />
sound fanciful, but he was aware of well publicised<br />
random acts of violence. He knew about the London<br />
bombings and did not want to use the Underground.<br />
He also knew about Maddie and worried that he, or a<br />
sibling, may be kidnapped.<br />
These occurrences are real, so dismissing the worries as<br />
ridiculous will not help. If your child is significantly<br />
anxious over a period of two or more weeks with any<br />
Emma Citron<br />
Clinical Psychologist<br />
Remember, many of our anxieties or phobias seem<br />
trivial to others. Why would you be afraid of dogs,<br />
spiders, snipers, bombers or the dark? They don’t harm<br />
you, or are so rare so as to be of negligible concern.<br />
Listen attentively to your child, and take their concerns<br />
seriously. Respond to their subjective distress and seek<br />
the help of a qualified professional where necessary.<br />
For more information about clinical psychology or<br />
Emma Citron, visit the Blue Pages 14-16 in this<br />
edition of The <strong>Apple</strong>, call 07903 169162 or visit<br />
www.citronpsychology.co.uk.<br />
4 JDOC365 APPLE MAGAZINE
MEET THE DOCTOR<br />
Dr. Heschil Lewin<br />
Dr Heschil Lewin is multi-lingual, being fluent in<br />
Hebrew and German having grown up and trained in<br />
Munich, and also lived in Israel. He has been resident in<br />
London since 1987, where he met and married his wife<br />
Lorraine. They have three children and two grandchildren.<br />
Heschil has a Doctorate in Medicine (based on his<br />
research into urology and bladder cancer), a Diploma in<br />
Clinical Dermatology and a Diploma in Gynaecology &<br />
Obstetrics (DRCOG).<br />
Before becoming a GP in 1989, Heschil worked in A&E,<br />
gynaecology and obstetrics, later gaining further invaluable<br />
experience as lead GP at the Primary Urgent Care Centre<br />
at Homerton Hospital.<br />
He has just celebrated the first anniversary of joining the<br />
JDoc365 team, where he practices from Golders Green.<br />
Your appointment with Dr. Lewin<br />
Dr. Lewin is in residence at JDoc365 Golders Green on Mondays,<br />
Wednesdays and Sundays. If you would like to make an appointment,<br />
call 0800 043 1492 or email reception@jdoc365.co.uk.<br />
Dr. Lewin Mon 7-9pm, Weds 2-5pm & Sunday 10-noon<br />
JDoc365 at the Wellington Diagnostic & Outpatient Centre,<br />
3rd Floor, Roman House, 296 Golders Green Road, London NW11 9PY<br />
Clinic Times<br />
JDOC365 GOLDERS GREEN<br />
Monday –Thursday 9am-5pm* and 7pm-9pm<br />
Friday (Nov-March) 9am-4pm*<br />
Saturday<br />
9am-1pm and 7pm-9pm<br />
Sunday<br />
10am-1pm and 7pm-9pm<br />
*Closed 1pm-2pm<br />
HOME VISITS<br />
By appointment subject to availability (see coverage map)<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 5
How do you feel?<br />
20% of breast cancers can be found by self examination<br />
One in eight women will contract breast cancer. It is the commonest<br />
cancer in the UK with 80% of cases recorded in women aged over 50.<br />
by Dr. Sylvia Abramov<br />
85% of patients survive breast cancer for 5 years or<br />
more so early detection is essential. Some risk factors<br />
are inherited, a history of breast cancer or other breast<br />
conditions, an early start of periods or late menopause<br />
also increases the likelihood of breast cancer.<br />
Other factors include the use of hormones in the<br />
contraceptive pill, a late first pregnancy (over 30 years<br />
old), obesity, smoking, excessive drinking and postmenopausal<br />
HRT. No scientific evidence supports the<br />
theory that antiperspirant, tight bras, termination of<br />
pregnancy or breast implants impact on risk. However,<br />
prolonged breastfeeding seems to be protective, as<br />
well as exercise.<br />
Brisk walking for just two hours a<br />
week reduces the risk of breast<br />
cancer by 18%<br />
About 20% of breast cancers are found by physical<br />
examination rather than mammography. Look in the<br />
mirror for uneven breast size or shape, nipple changes<br />
or discharge, or a rash. Check with arms raised too.<br />
Feel your breasts while lying down. Use the pulp of<br />
your fingers to check the opposite breast in small<br />
circular movements. Start from the nipple and move in<br />
larger circles, covering the whole breast to the armpit.<br />
Breasts can feel lumpy, but you are looking for a lump<br />
that feels different from the rest of the glandular tissue,<br />
or a palpable lymph node in the armpit. Regular selfexamination<br />
helps to identify changes early. Not all<br />
lumps are cancer but if in doubt, consult your Doctor.<br />
If a lump or nipple discharge is found, or as a regular<br />
screening tool for women between 50 and 70, a<br />
mammogram may be carried out. MRI scans can be<br />
used for screening high risk women too, or to examine<br />
a suspicious area. If an abnormality is detected, a biopsy<br />
is the only way to tell if cancer really is present.<br />
JDoc365 provides breast screening, advice and, where<br />
appropriate, referral to consultant breast surgeons. Call<br />
0800 043 1492 for an appointment today.<br />
6 JDOC365 APPLE MAGAZINE
AFFILIATE PARTNER FEATURE<br />
PROFBIOTICS.COM<br />
How much does food<br />
influence your mood?<br />
by Tara Whyand M.Sc, B.Sc, specialist dietitian and nutrition advisor to ProfBiotics.com<br />
If you have been diagnosed with irritable<br />
bowel syndrome (IBS), you may feel like<br />
it’s a never ending battle. You may have<br />
trialled a range of prescribed drugs or<br />
peppermint products but found many of<br />
their effects just do not last. Why is this?<br />
IBS is a functional bowel disorder, meaning bowel<br />
movements are affected. Apparently the cause of<br />
altered movements is down to changes in our gut<br />
bacteria, so unless you address the bacteria directly and<br />
work out what is affecting them, your symptoms will<br />
never go away. These bacteria can produce substances<br />
that cause inflammation, which is another good reason<br />
to nip this problem in the bud. One of the things often<br />
ignored is how our brain affects the bowel.<br />
Our state of mind impacts on the make-up<br />
of bacteria in the bowel, and effects the<br />
function and symptoms experienced.<br />
Stress and lower mood for example can also impact on<br />
the choice of foods and drinks consumed, which can<br />
then go on to make symptoms worse.<br />
Before seeing a Dietitian for any dietary manipulation it<br />
is really important for you to become aware of how<br />
your lifestyle affects your bowel symptoms. For this I<br />
recommend using a food and mood diary for at least 3<br />
days, including 1 weekend day. It will help you see a link<br />
between your mood, and why you choose to eat or<br />
drink something.<br />
People often start the day with overstimulated ‘loose’<br />
bowels which are linked to excess caffeine and stressful<br />
starts. Others miss meals or do not drink enough<br />
because they are rushed, leading to burping,<br />
constipation and bloating.<br />
Of course solving this is easier said than done. Stress<br />
management e.g. relaxation therapy, mindfulness,<br />
meditation, massage and all forms of exercise can help.<br />
Consider regular planned meals, frequent water sips<br />
and limiting to four caffeinated drinks a day too, before<br />
changing what food products you consume.<br />
For more information about<br />
ProfBiotics, visit the Blue Pages<br />
13-15 in this edition of The<br />
<strong>Apple</strong> or visit<br />
www.profbiotics.com.<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 7
Screen sensation<br />
One simple check could save your life. Even if you feel<br />
healthy now, you may have inherited health risks or<br />
problems that are not evident, but may be detected<br />
through examination and investigation.<br />
“The Wellbeing Check revealed a well woman, but<br />
breast examination revealed a 2cm lump in the upp<br />
outer quadrant of the left breast.”<br />
By Dr. Walter Abelman<br />
Despite increased awareness of lifestyle and inherited<br />
factors that influence our health, none of us really know<br />
how ‘healthy’ we are. For many going about their busy<br />
lives, subtle signs or bearable symptoms can be<br />
ignored, only for conditions to re-emerge with serious<br />
implications later on. Even when screening or checking<br />
for specific symptoms, it’s easy to miss other vital clues<br />
that something may be wrong.<br />
That’s why a thorough ‘Wellbeing Check’ is<br />
recommended. They are like your own annual MOT,<br />
the perfect opportunity to take stock of your health,<br />
and are a form of health screening which is<br />
preventative, helping to avert the onset of disease early.<br />
Many conditions such as high blood pressure, prediabetic<br />
states, high cholesterol, prostate cancer, heart<br />
problems and stress can be prevented or effectively<br />
treated before your health is compromised.<br />
The JDoc365 Wellbeing Check includes specific tests<br />
based on gender, age and medical history. In most<br />
cases, results are available within 24 hours.<br />
The benefits of a Wellbeing Check are perfectly<br />
illustrated by the case of the 52 year old woman who<br />
booked one purely as a precautionary check. She<br />
arrived looking healthy, having recently had an NHS<br />
screening for breast cancer. Her mammogram<br />
appeared clear and she was given a clean bill of breast<br />
heath. This came as no surprise as the patient checked<br />
her own breasts regularly.<br />
The JDoc365 Wellbeing Check revealed a well woman,<br />
but our breast examination revealed a 2cm lump in the<br />
upper outer quadrant of the left breast.<br />
Without delay, the patient was sent to a breast<br />
surgeon and underwent a thorough assessment<br />
including examination, ultrasound localisation and a<br />
biopsy of the breast. Diagnosis confirmed a grade 2<br />
lobular carcinoma. Although this form of cancer can be<br />
felt, it is not always apparent on mammograms.<br />
Swift and thorough action was taken. All ended well, as<br />
after a further lumpectomy, breast conserving surgery<br />
and radiotherapy, the patient was given the all clear.<br />
If the lump had not been detected, it may have grown<br />
and spread with devastating consequences. Now, five<br />
years on, the patient remains fit, well and very grateful<br />
for the vital discovery that saved her life.<br />
8 JDOC365 APPLE MAGAZINE
the<br />
er<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 9
AFFILIATE PARTNER FEATURE<br />
COUNSELLING NORTH LONDON<br />
Fight or Flight?<br />
By Aryeh Sampson<br />
If you’ve ever exploded with anger and<br />
regretted it shortly afterwards or felt<br />
yourself simmering with resentment for<br />
days, you’ll know how harmful these<br />
feelings can be.<br />
Anger can wreak havoc on relationships and have a destructive<br />
effect on yourlife.<br />
Research has shown anger to be<br />
linked to an increased likelihood<br />
of heart disease, stroke, cancer<br />
and the weakening of the<br />
immune system<br />
As a psychotherapist that specialises in anger<br />
management, I have seen three key approaches play a<br />
vital role in helping to control anger.<br />
MANAGING ANGER 1 GAINING CLARITY<br />
In the heat of the moment we often become irrational,<br />
blowing things out of proportion. Once we feel calmer,<br />
it’s important to look rationally and objectively at the<br />
anger-provoking situation. By changing the way we<br />
think about the situation, and seeing it from the other<br />
person’s perspective, we can change our emotional<br />
reaction to it.<br />
MANAGING ANGER 2 COMMUNICATION<br />
When a person feels angry two responses are<br />
common: fight (explode outwardly) or flight (retreat<br />
inwardly). Learning to communicate one’s feelings in an<br />
open, non-confrontational way is very important. It<br />
leads to creating a safe space where both sides can be<br />
understood and work to resolve their differences.<br />
MANAGING ANGER 3 PERSONAL CHANGE<br />
Simple lifestyle changes can often help us to become<br />
less prone to anger; for example getting more sleep,<br />
eating better or being more organised. On a deeper<br />
level, that may mean overcoming insecurities and<br />
confronting unresolved issues from the past.<br />
More information can be found on the Blue Pages<br />
14-16 in this edition of The <strong>Apple</strong> and on the website<br />
www.counsellingnorthlondon.org.<br />
To book an appointment, call 07727 697181 or<br />
email aryeh.sampson@gmail.com.<br />
10 JDOC365 APPLE MAGAZINE
JDoc365 helps latest fundraiser at<br />
Menorah Foundation School<br />
JDoc365 were delighted to support a recent fundraiser<br />
for The Menorah Foundation School, by donating a<br />
years complimentary family membership of Privé<br />
Health worth £149 as a raffle prize.<br />
Privé Health members benefit from membership<br />
discounts on every private GP consultation at<br />
a growing list of Privé Health private clinics.<br />
The Melave Malka was held at Hasmonean High<br />
School on 16 January and was attended by 180<br />
parents and staff. The lucky winner was<br />
Penina Ehreich, although she was unable to<br />
attend on the night. Instead, her sister-in-law<br />
Esther Maurer accepted the prize on her<br />
behalf from MC, Gav Noe, also a parent at<br />
The Menorah Foundation School.<br />
MENINGITIS B<br />
VACCINE<br />
Due to an unprecedented surge in demand, we have<br />
now exhausted our stock of Meningitis B vaccine.<br />
Further stock is unlikely before May.<br />
PLEASE NOTE THAT WE CANNOT CURRENTLY DEAL<br />
WITH MENINGITIS B ENQUIRIES BY TELEPHONE.<br />
If you would like to read the article<br />
‘Understanding Meningitis’ that we<br />
published in the October 2015 edition<br />
of The <strong>Apple</strong>, please visit jdoc365.co.uk<br />
and click on The <strong>Apple</strong> tab.<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 11
Zika<br />
What you should know about the latest<br />
tropical virus that’s all over the news…<br />
By Dr. Dalia Bialostocky<br />
Zika was discovered in 1947, although<br />
outbreaks were rare prior to 2015.<br />
Until recently, Zika occurred mainly in Africa, Southeast<br />
Asia and the Pacific Islands. Now however, we see an<br />
increasing number of cases in Brazil, and across Latin<br />
America and the Caribbean.<br />
Zika virus is transmitted primarily by the bite of an<br />
infected Aedes mosquito. Whilst there have also been<br />
cases which were transmitted sexually or from mother<br />
to baby via the placenta, these are rare. Generally, Zika<br />
is NOT passed from person to person.<br />
What are the symptoms?<br />
Zika has an incubation period of 3-12 days. Symptoms<br />
include low grade fever, joint and muscle pains, rash,<br />
conjunctivitis, a headache and eye pain.<br />
Why is Zika such a serious virus?<br />
The World<br />
Health<br />
Organisation<br />
claim that a test<br />
to more easily<br />
diagnose<br />
the Zika<br />
virus could be<br />
available within<br />
weeks, not<br />
years.<br />
When contracted during pregnancy (especially in the early<br />
stages), the Zika virus is associated with microcephaly.<br />
This is a neurological condition in which a baby's head<br />
is significantly smaller than those of other children of<br />
the same age and sex, and this will often lead to<br />
developmental issues. During the Zika outbreak, there<br />
have also been an increased number of cases of<br />
Guillain-Barre Syndrome. This affects the peripheral<br />
nervous system. It occurs when the body's immune<br />
system attacks part of the nervous system.<br />
How can you minimise the risk?<br />
There is currently no vaccine against Zika virus, so<br />
pregnant women should avoid traveling to high risk<br />
areas. If travel is unavoidable, scrupulous mosquito<br />
bite avoidance is advised.<br />
If traveling to a high risk area, avoid conception during<br />
travel and for 28 days after returning home.<br />
If a pregnant woman returns from areas of high risk,<br />
even she if does not have any symptoms, consider<br />
seeking medical advice to rule out having<br />
acquired the virus.<br />
A full range of travel vaccinations<br />
are available from JDoc365,<br />
including Yellow Fever jabs.<br />
CallJDoc365 on 0800 043 1492 for travel advice.<br />
12 JDOC365 APPLE MAGAZINE
TRIGGER<br />
FINGER<br />
By Professor Abhilash Jain<br />
MBBS, MRCS, MSc, PhD, FRCS(Plast)<br />
Associate Professor of Plastic and Hand Surgery,<br />
University of Oxford & Imperial College Trust London<br />
Trigger finger is a common condition<br />
affecting the base of the finger or<br />
thumb in the palm, particularly when<br />
trying to straighten the digit.<br />
It can produce a “click” when the digit is straightened. Tendons<br />
pass through a tunnel in the finger, known as the flexor sheath.<br />
Sometimes this becomes swollen and restricts tendons, causing<br />
them to ‘catch’ and ‘lock’. This catching can cause pain and<br />
restrict movement which results in ‘triggering’.<br />
Trigger finger is more common in women, patients over 60, in<br />
the dominant hand and in those with diabetes or arthritis. It is<br />
also associated with other conditions such as carpal tunnel<br />
syndrome, which is caused by compression of the median<br />
nerve and can cause tingling and numbness in the fingers.<br />
Once the finger starts to lock, it is likely to get worse unless<br />
treated. Within the first six months, prevention of movement<br />
of the finger using a splint for up to six weeks can be effective,<br />
however it can result in some stiffness.<br />
Instead, most specialist Hand Surgeons treat trigger finger with<br />
a steroid injection. This is usually effective and patients can use<br />
the hand immediately, although the triggering may take a<br />
couple of weeks to settle down. Sometimes a repeat injection<br />
is needed six weeks following the first injection.<br />
In severe cases, a small operation may be necessary. This simple<br />
surgery only requires a local anaesthetic, but must be carried<br />
out by a specialist Hand Surgeon – and JDoc365 can refer you.<br />
The procedure is almost 100% successful, is not usually painful<br />
and patients are able to use the hand normally almost<br />
immediately.<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 13
JDOC365 AFFILIATE<br />
DIRECTORY<br />
These Blue Pages spotlight some of our JDoc365<br />
Affiliate Partners, all of whom uphold the highest<br />
standards of excellence and are here to help you.<br />
CLINICAL PSYCHOLOGY<br />
EMMA CITRON<br />
Emma Citron is a Health Professions Council registered Consultant Clinical Psychologist.<br />
She offers a holistic and non- judgemental approach with clients , drawing upon, but not relying on, cognitive behavioural therapy .<br />
Emma helps clients and couples of all ages to identify and change patterns of behaviour that they do not find useful or promoting of their<br />
psychological well being. Social, emotional and mental health issues are addressed including but not limited to low mood/ depression,<br />
anxieties and phobias, OCD's, trauma, social phobias, Asperger's issues, diagnosis of ADHD, ADD and advice about education and<br />
lifestyle choices for youngsters, self harm, eating disorders, addictions where there is a willingness to change, and behavioural issues in<br />
children. Emma is an insurance provider. Call 07903 169162 or visit www.citronpsychology.co.uk.<br />
MEMBERSHIP<br />
PRIVÉ HEALTH<br />
We make it easy and convenient for you to find the best private healthcare wherever you may be.<br />
You can book to see a GP that day, the next day or at any time that fits in with your schedule. We like to think of joining Privé<br />
Health as becoming part of a family. Members save £15 off every Privé Health private GP consultation at any of our clinics or home<br />
visits. Finally, we believe that care stretches beyond the GP’s clinic, which is why we are building a network of Allied Health<br />
Professionals from psychotherapists to midwives and pilates teachers to physiotherapists to support you. Our high standards of care<br />
apply to all professionals who represent Privé Health.<br />
Call 0800 246 1000 or visit www.privehealth.com for more details.<br />
NURSING & HOME CARE<br />
GOLDERS GREEN NURSING<br />
Golders Green Nursing is a highly regarded independent nursing and care agency.<br />
Founder, Claudia Alexander, is a Registered General Nurse with over 35 years experience, specialising in coronary care and care of<br />
the elderly. Her guiding principles recognise the importance of a uniquely personal approach for all elderly and housebound clients.<br />
Each is visited regularly, and the Agency keeps in constant contact via telephone to check all is running smoothly. A broad range of<br />
added-value services are also included at no extra cost; organisation of prescriptions, delivery of specimens, ordering and collection<br />
of disability aids and arranging visits from physiotherapists, chiropodists and dentists. An advice service and assistance with form filling<br />
is also offered. For full details, visit www.ggnursing.co.uk or call 020 8371 9592.<br />
NUTRITION & DIET<br />
NONA OZERIANSKAYA<br />
Nona Ozerianskaya provides evidence based dietary advice which may help to prevent or treat<br />
different medical conditions and promote long term optimal health and performance.<br />
Formerly a physician in the Soviet Union, Nona came to the UK and gained a BSc Hons in Nutrition & Dietetics. She helps patients<br />
with diabetes, coronary artery disease, lipid disorders, disease related malnutrition, polycystic ovarian syndrome and obesity including<br />
gastric band and sleeve gastrectomy procedures. She also treats gastrointestinal problems including Coeliac disease, gluten sensitivity,<br />
Crohn’s, irritable bowel syndrome, colitis, constipation, anaemia, renal and liver disease, food intolerances, allergies and osteoporosis.<br />
Book your appointment with Nona on 07841 021733 or by email nona.ozerianskaya@gmail.com.<br />
NUTRITION & DIET<br />
PAEDIATRIC DIETITIAN<br />
Feeding your growing infant or child should be a happy and enjoyable event. However, it can be a<br />
minefield of confusing and conflicting advice for parents.<br />
A child’s healthy diet is important, but some babies may need extra help, especially if reflux or bowel problems persist. Jane<br />
Schlezinger is a qualified paediatric dietician and specialises in food allergy. She also advises on weaning, constipation, coeliac disease,<br />
iron and vitamin D deficiency, healthy eating and nutritional assessments for the under 5s. Jane also provides advice to teenagers on<br />
diet and stress related issues. Jane qualified from King’s College, London with a BSc (Hons) in Nutrition & Dietetics, and trained at<br />
UCLH. She has extensive experience in primary care and hospital settings. Email Jane on paediatricdietitian@gmail.com.<br />
NUTRITION & DIET<br />
PROFBIOTICS<br />
The ProfBiotics range of evidence-based food supplements, consists of vitamins, minerals and botanical<br />
extracts to support the wellbeing of the bowel, breasts, prostate, pancreas and liver.<br />
Many people take supplements without any evidence or rationale and may be also be taking supplements without knowing the best<br />
dose. There is growing evidence to support the role of food supplements in complementing a healthy diet and lifestyle. ProfBiotics has<br />
developed specific formulations with dietary compounds that may support specific organ health. The ethos of ProfBiotics is to promote<br />
a healthy diet and provide an evidence base for when supplements might be required.<br />
Visit www.profbiotics.com to download free meal plans and read articles about diet and health.<br />
20%<br />
DISCOUNT<br />
off first 3 purchases for<br />
each JDoc365 customer<br />
Quote code JDOC20<br />
14 JDOC365 AFFILIATE DIRECTORY
They meet the quality, medical and ethical standards<br />
that you demand, and operate a consistent fee<br />
structure to ensure customer value is guaranteed.<br />
JDOC365 AFFILIATE<br />
DIRECTORY<br />
OSTEOPATHY<br />
THE OSTEOPATHY CLINIC<br />
Don’t let pain stop you living the life you deserve! Open seven days a week in Hendon.<br />
Shital, Ana and Dilly are Registered Osteopaths who graduated from the British School of Osteopathy. We have developed a<br />
reputation for effective treatment of sinus drainage issues, lymphatic issues and headaches, and applying effective relief for seasonal<br />
sinusitis, bruxism (teeth grinding), TMJ (jaw) problems and congestive lymph issues.<br />
Shital and Ana are also cranial osteopaths and treat children. Dilly is a visceral osteopath, who specialises in injuries (inclining sporting<br />
injuries and complaints). Ana and Dilly also fit Orthotics.<br />
Call The Osteopathy Clinic today on 020 8202 1184 or visit www.theosteopathyclinic.co.uk.<br />
OVERSEAS DOCTOR<br />
TEL AVIV DOCTOR (ISRAEL)<br />
Tel Aviv Doctor is run by British doctors in Israel. They speak fluent English and Hebrew (and some<br />
French and Spanish, and work with translators to serve patients in other languages).<br />
In the clinic they treat private patients from all over the world with conditions ranging from rashes to shark bites. The doctors have<br />
years of experience and qualifications in surgery, emergency medicine, paediatrics, orthopaedics, dermatology and travel medicine.<br />
As a JDoc365 Affiliate Surgery, Tel Aviv Doctor charges the same fees as UK-based JDoc clinics and can access your UK medical<br />
notes (subject to patient approval). For more information, visit www.telaviv-doctor.com.<br />
OVERSEAS DOCTOR<br />
DOCTORS ON CALL (SOUTH AFRICA)<br />
Doctors on Call is a mobile medical services company offering a reliable, professional and highly<br />
personal medical care service in Johannesburg and Cape Town.<br />
DoC caters for international travellers and is affiliated to leading hotel groups and accommodation providers. DoC doctors are<br />
certified under the Health Professions Council of South Africa and are supported by additional locum doctors available around the<br />
clock, offering assistance for minor ailments to serious pathologies. All doctors are equipped with medication and mobile diagnostic<br />
equipment, and can arrange immediate hospital admission and referrals. As a JDoc365 Affiliate Surgery, DoC charges the same fees<br />
as UK-based JDoc clinics and can access your UK medical notes (subject to patient approval). www.doctorsoncall.co.za<br />
OVERSEAS DOCTOR<br />
ATLANTIC CLINIC (MARBELLA, SPAIN)<br />
Atlantic Clinic is a British, purpose-built medical centre designed to bring together the best Englishspeaking<br />
doctors, specialists and other health professionals on the Costa del Sol under one roof.<br />
Dr Anthony Crichton-Smith is the owner and Medical Director. Most of the health professionals are UK-trained and fluent English<br />
speakers. Appointments with specialists are normally in consultation with your GP and emergency services are available 24 hours.<br />
Atlantic Clinic is on a main road in Nueva Andalucia, Puerto Banus. Despite its location, it is a leafy oasis of tranquility with beautiful<br />
views across the Benabola valley. JDoc365 patients using the Atlantic Clinic, pay their medical fees directly to the clinic, at the same<br />
rates they would pay in the UK. For more information, visit www.atlantic-clinic.es.<br />
PERSONAL TRAINING<br />
PGPT<br />
PGPT offers personal and group training focused on losing weight and increasing quality of life<br />
for our busy London clients.<br />
We believe in integrity, professionalism, accountability and most importantly results. Our purpose is to bring tailored programmes<br />
which are unique to each and every client. PGPT has had the opportunity to work with amazing people that have literally changed<br />
their lives in ways they never thought possible because they took charge of their health and fitness. Last year, David, Phillip and Jess<br />
lost a total of 15 stone between them. Not only do they look and feel 1000% better, their outlook and motivation on life is so<br />
positive now, it’s like they are literally new people. Get in touch today www.pgpt.co.uk or 020 8203 8657.<br />
PHYSIOTHERAPY<br />
LONDON HOME PHYSIO<br />
We provide a full range of physiotherapy services from the comfort of your own home.<br />
Founder Hily Klibansky is a Chartered Physiotherapist with years of experience in both the NHS and private sector. She set up the<br />
service to provide you home physiotherapy with a personal approach. The physiotherapists at London Home Physio treat a range<br />
of conditions from arthritis and joint replacement surgery to stroke rehabilitation. If you are being discharged from hospital, a<br />
physiotherapist can see you as soon as you return home. Exclusive rates offered to JDoc365 members. Recognised by a range of<br />
insurance companies.<br />
For more information, call 020 7096 0684 or visit www.londonhomephysio.co.uk.<br />
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JDOC365 AFFILIATE<br />
DIRECTORY<br />
Contact your JDoc365 Affiliate directly<br />
When you call, please mention JDoc365, and tell them<br />
your membership number if you have one.<br />
PHYSIOTHERAPY<br />
PHYSIO CLINIC LONDON<br />
Neck pain from sitting at your desk? Shaping up for a run? Tired of pregnancy aches?<br />
Physio Clinic London is based at the Wellington Diagnostic & Outpatients Centre in NW11. Founded by Dalia Nessim, we help to<br />
reduce pain, increase mobility or rehabilitate you back to your favourite sport.<br />
We specialise in injury prevention and rehabilitation for newborns to elderly patients and elite athletes. Our team are members of<br />
the Chartered Society of Physiotherapy and the Health & Care Professions Council, and treat conditions including musculoskeletal<br />
problems, respiratory disorders and paediatric physiotherapy. Recognised by major insurance companies, we offer preferential rates<br />
for JDoc365 members. Call today on 07989 237572 or visit www.physiocliniclondon.com.<br />
PSYCHOTHERAPY<br />
COUNSELLING NORTH LONDON<br />
Psychotherapy and psychotherapeutic counselling are talking therapies. They help people with<br />
emotional, social or mental health problems.<br />
Aryeh Sampson is an accredited member of the British Association of Counselling & Psychotherapy, and has counselled for a<br />
number of organisations including MIND, LACAP and the Jewish Marriage Council. He sees clients privately in Golders Green, East<br />
Finchley and Bushey. Aryeh works with a broad range of issues including individual and couple relationship issues, anxiety,<br />
depression, anger and posttraumatic stress disorder. He draws from a variety of psychological approaches to address the unique<br />
needs of each client. For more information visit www.counsellingnorthlondon.org or call 07727 697 181.<br />
SPEECH THERAPY<br />
TALKABOUT SPEECH THERAPY<br />
Private speech and language therapy service for adults with communication or swallowing difficulties.<br />
Founded in 2012 by Sam Bowman with over fifteen years of NHS and private experience, the Talkabout team work closely to<br />
deliver high quality, innovative therapy. We provide the best treatment packages by carefully selecting Speech Therapists with<br />
complimentary skills, all of whom are registered with the Health Professions Council and Royal College of Speech and Language<br />
Therapists. We provide support and advice to your family and carers, and understand that you may need to be seen immediately.<br />
Everyone has individual needs and we will tailor your treatment accordingly.<br />
For more information, visit www.talkaboutspeechtherapy.com or call 07947 471955.<br />
Contacting your JDoc365 Clinic<br />
JDoc365 doctors are here every day of the week, in the evenings and at weekends, and your JDoc365 Affiliates<br />
are here for you too. Make a note of the JDoc365 telephone number – it’s the same number regardless of<br />
which clinic you wish to attend, or contact our Affiliates directly using the details in their<br />
profile panels above. Call whenever you or a member of your family needs us.<br />
APPOINTMENT<br />
HOTLINE 0800 043 1492<br />
GOLDERS GREEN GREEN<br />
JDoc365 at the Wellington<br />
Diagnostic & Outpatient Centre<br />
3 rd Floor, Roman House,<br />
296 Golders Green Road,<br />
London NW11 9PY<br />
reception@jdoc365.co.uk<br />
BUSHEY<br />
JDoc365 at Spire Bushey<br />
clinic now closed<br />
New clinic opening <strong>2016</strong><br />
Call 0800 043 1492 for<br />
home visits or email<br />
reception@jdoc365.co.uk<br />
ST JOHNS WOOD<br />
JDoc365 at the Platinum<br />
Medical Centre<br />
15-17 Lodge Road<br />
London NW8 7JA<br />
reception@jdoc365.co.uk<br />
www.jdoc365.co.uk<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 16